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Exam (elaborations)

Nur 164 Exam 2 Questions With Complete Solutions

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NUR 164 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS

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NUR 164 EXAM 2 QUESTIONS WITH
COMPLETE SOLUTIONS

A nursing professor pulls a student aside to discuss documenting a
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patient's blood pressure of 202/122 but not reporting this to the
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primary nurse. When discovered, the patient was transferred to the
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intensive care unit for treatment and monitoring. How does the faculty
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best explain to the student that their inaction reflects negligence?
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A. "You did not re-assess your patient."
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B. "There was poor interprofessional communication with the health
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care team." |




C. You failed to act as a reasonably prudent nurse would under similar
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circumstances."
D. "This action is consistent with a felony criminal action." - CORRECT
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ANSWER✔✔-C. Negligence is defined as performing an action that the | | | | | | | | | |



reasonably prudent nurse would not perform or failing to act as a
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reasonably prudent nurse would in similar circumstances. Negligence
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may be an act of omission or commission. Criminal law concerning state
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|and federal criminal statutes includes murder, manslaughter, criminal
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negligence, theft, and illegal possession of drugs. Public law regulates
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relationships between people and the government. Private or civil law
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includes laws relating to contracts, ownership of property, and the
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practice of nursing, medicine, pharmacy, and dentistry.
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,Nursing students approaching graduation and licensure are required to
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read the state nurse practice act. Which topics in the law will they
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identity as guides to professional practice? Select all that apply.
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A. Actions resulting in discipline
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B. Clinical procedures
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C. Medication administration
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D. Scope of practice
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E. Delegation policies
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F. Medicare reimbursement - CORRECT ANSWER✔✔-A & D. Each state
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has a nurse practice act that protects the public by broadly defining the
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legal scope of nursing practice. Practicing beyond those limits makes
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nurses vulnerable to charges of violating the state nurse practice act.
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Nurse practice acts also list the violations that can result in disciplinary
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actions against nurses. Clinical procedures are covered by the health
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care institutions themselves. Medication administration and delegation
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are topics covered by the board of nursing. Laws governing Medicare
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reimbursement are enacted through federal legislation. | | | | |




A nurse on a surgical unit is concerned about a colleague's possible
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substance use disorder. Which signs and symptoms could support the
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nurse's suspicion? Select all that apply.
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,A. Exhibiting diminished alertness and somnolence while working
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B. Attending multiple continuing education conferences
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C. Offering to medicate coworkers' patients for pain
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D. Making incorrect narcotics counts and creating wastage
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E. Leaving the unit frequently - CORRECT ANSWER✔✔-A, B, C, D, E.
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Signs of substance use in nurses may include diminished alertness or
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somnolence, leaving the unit frequently, incorrect narcotic counts, | | | | | | | |



wastage, offers to medicate colleagues' patients, or changes in job
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performance, among others. Attending professional conferences is an | | | | | | | |



example of a nurse who is fully engaged with their work.
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A new graduate nurse tells the preceptor they want to obtain
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recognition in wound care, a specialty area of nursing. What credential
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will this nurse need to seek?
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A. Accreditation
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B. Licensure
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C. Certification
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D. Board approval - CORRECT ANSWER✔✔-C. Certification is the process
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|by which a person who has met certain criteria established by a
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nongovernmental association is granted recognition in a specified | | | | | | | |



practice area. Nursing is one of the groups operating under state laws
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that promote the general welfare by determining minimum standards of
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|education through accreditation of schools of nursing. Licensure is a
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legal document that permits a person to offer to the public skills and
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, knowledge in a particular jurisdiction, where such practice would
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otherwise be unlawful without a license. State board of approval
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ensures that nurses have received the proper training to practice
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nursing.


The nurse reports to their manager that informed consent was not
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obtained from a patient for whom HIV testing was already performed.
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The nurse suggests which intentional tort may have been committed?
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A. Assault
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B. Battery
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C. Invasion of privacy
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D. False imprisonment - CORRECT ANSWER✔✔-B. Assault is a threat or
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an attempt to make bodily contact with another person without that
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person's consent. Battery is an assault that is carried out. Every person
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is granted freedom from bodily contact by another person unless
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consent is granted. The Fourth Amendment gives citizens the right of
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privacy and the right to be left alone; a nurse who disregards these
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rights is guilty of invasion of privacy. Unjustified retention or prevention
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of the movement of another person without proper consent can
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constitute false imprisonment. | |




A patient died during routine outpatient surgery, and the nurse was
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accused of having failed to monitor and interpret vital signs. Which fact
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must be established to prove them guilty of malpractice or negligence?
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