ANSWERS
- Patient rights
- Respect the client's individual needs and source of control
- Coordinate compassionate care
- Respect preference, values and beliefs
- Keep client informed
- Provide comfort and emotion support with client and family
- Continuity of care
- Minimizing risk of harm correct answer Patient-centered care
A client is brought to the emergency department by emergency medical services
(EMS) after being hit by a care. The name of the client is unknown, and the client
has sustained a severe head injury and multiple fractures and is unconscious. An
emergency craniotomy is required. Regarding informed consent for the surgical
procedure, which is the BEST action?
a. Obtain a court order for the surgical procedure.
b. Ask the EMS team to sign the informed consent.
c. Transport the victim to the operating room for surgery.
d. Call the police to identify the client and locate family. correct answer c.
Transport the victim to the operating room for surgery
A critically ill Hispanic client tells the nurse through an interpreter that she is
Roman Catholic and firmly believes in the rituals and traditions of the Catholic
,faith. Based on the client's statement, which actions by the nurse demonstrate
culturally sensitivity and spiritual support? Select all that apply.
a. Ensure that a close kin stays with the client.
b. Make a referral for a Catholic priest to visit the client
c. Removes the crucifix from the wall in the client's room
d. Administers the sacrament of the sick to the client if death is imminent
e. Offers to provide a means for praying the rosary if the client wishes
f. Reminds the dietary department that meals served on Fridays during Lent do
not contain meat. correct answer a. Ensure that a close kin stays with the client
b. Make a referral for a Catholic priest to visit the client
e. Offers to provide a means for praying the rosary if the client wishes
A faculty member of a nursing program is conducting an informational session for
potential nursing students. The faculty member includes the information that at
the completion of the program licensure to practice is:
a. A responsibility of the American Nurses Association
b. Granted on graduation from a nursing program
c. Approved by the National League for Nursing
d. Required by state law correct answer d. Required by state law
A home health care nurse is functioning as a case manager for a patient recently
discharged from the hospital. What is the primary role of the nurse when function
as a case manager?
,a. Coordinator
b. Counselor
c. Provider
d. Teacher correct answer a. Coordinator
A hospitalized client tell the nurse that an instructional directive is being prepared
and that the lawyer will be bringing the document to the hospital today for
witness signatures. The client asks the nurse for assistance win obtaining a
witness to the will. Which is the MOST APPROPRIATE response to the client?
a. "I will sign as a witness to your signature."
b. "You will need to find a witness on your own."
c. "Whoever is available at the time will sing as a witness for you."
d. "I will call the nursing supervisor to seek assistance regarding your request."
correct answer d. "I will call the nursing supervisor to seek assistance regarding
your request."
A nurse expert is call to testify in a lawsuit regarding professional nursing
malpractice primarily to testify:
a. About standards of nursing care as they apply to the facts in the case
b. With regard to laws governing the practice of nursing
c. For the prosecution
d. For the defense correct answer a. About standards of nursing care as they
apply to the facts in the case
, A nurse finds Mr. Jones wandering in the hall trying to find his room. The best
documentation would be:
a. Patient confused
b. Patient in hall unable to locate room
c. Patient appears disoriented
d. Patient seems out of touch with reality correct answer b. Patient in hall unable
to locate room
A nurse may gather assessment data from which of the following sources: (Select
all that apply)
- Nursing experience
- Other health care team members
- Patient's roommate
- Family
- Medical records
- Patient correct answer - Other health care providers
- Family
- Medical records
- Patient
A nursing graduate is attending an agency orientation regarding the nursing
model of practice implemented in the health care facility. The nurse is told that
the nursing model is a team nursing approach. The nurse determines that which
scenario is characteristic of the team-base model of nursing practice?