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Exam (elaborations)

Exam (elaborations) HESI COMPREHENSIVE FOR THE NCLEX-RN

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HESI COMPREHENSIVE FOR THE NCLEX-RN
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HESI COMPREHENSIVE FOR THE NCLEX-RN
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HESI COMPREHENSIVE FOR THE NCLEX-RN

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Uploaded on
December 6, 2024
Number of pages
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Written in
2024/2025
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,What types of procedures should be assigned to professional nurses? - CORRECT
ANSWERS-Sterile or invasive procedures.

Negligence is measured by reasonableness. What question might the nurse ask when
determining such reasonableness? - CORRECT ANSWERS-Would a reasonable and
prudent nurse act in the same manner under the same circumstances?

List the 4 elements that are necessary to prove negligence. - CORRECT ANSWERS-
Duty. Failure to protect client again unreasonable risk. Breach of duty. Failure to
perform according to established standards. Causation. A connection exists between
conduct of the nurse and the resulting damage. Damages. Damage is done to the client,
physical or mental.

Define an intentional tort and five one example. - CORRECT ANSWERS-Conduct
causing damage to another person in a willful or intentional way without just cause.
Example Hitting a client out of anger, not in a manner of self protection.

Voluntary admission - CORRECT ANSWERS-Client admits self to an institution for
treatment and restrains his or her civil rights. He or she may leave at any time.

Involuntary admission - CORRECT ANSWERS-Someone other than client applies for
the client's admission to an institution requires certification by 1 or 2 health care
providers that the person is a danger to self or others.

List 5 activities a person who is declared incompetent cannot perform. - CORRECT
ANSWERS-Vote, make contracts or wills, drive a care, sue or be sued, hold a
professional license.

Name 3 legal requirements of a surgical permit - CORRECT ANSWERS-Voluntary,
informed, and written.

Who may give consent for medical treatment? - CORRECT ANSWERS-Alert, coherent,
or otherwise competent adults, a parent or legal guardian, a person in loco parentis of
minors or incompetent adults.

What law protects the nurse who provides care or gives aid in an emergency situation?
- CORRECT ANSWERS-The Good Samaritan Act.

What action should the nurse take if he or she questions a health care provider's
prescription that they believe is wrong? - CORRECT ANSWERS-Inform the health care
provider. Record that the health care provider was informed and the health care
provider's response to such information. Inform the nursing supervisor. Refuse to carry
out the prescription.

Describe the nurse's legal responsibility when asked to perform a task for which he or
she is unprepared. - CORRECT ANSWERS-Inform the health care provider or person

, asking the nurse to perform the task that he or she is unprepared to carry out the task.
Refuse to perform the task.

Describe nursing care of the restrained client. - CORRECT ANSWERS-Apply restraints
properly. Check restraints frequently to see that they are not causing injury and record
such monitoring. Remove restraints as soon as possible. Use restraints as a last resort.

By what authority may RNs delegate nursing care to others? - CORRECT ANSWERS-
State Nurse Practice Act

A UAP may perform care that falls within which components of the nursing process? -
CORRECT ANSWERS-Implementation

Which type of communication is necessary to implement a democratic leadership style?
- CORRECT ANSWERS-Assertive communication skills

What are the 4 rights of communication? - CORRECT ANSWERS-Right task, right
circumstance, right person, right direction or communication, and right supervision.

Which tasks can be delegated to a UAP? A. Inserting a Foley catheter. B. Measuring
and recording the client's output through a Foley catheter. C. Teaching a client how to
care for a catheter after discharge. D. Assessing for symptoms of a urinary tract
infection. - CORRECT ANSWERS-A. is a sterile invasive procedure and should not be
delegated to a UAP. B. Falls within the implementation phase, does not involve nursing
judgement. Evaluation of the I & O must be done by the nurse. C. Client teaching
requires the abilities of a nurse should not be delegated. D. Assessment must be
performed by the nurse and should not be delegated.

What are the essential steps of effective supervision? - CORRECT ANSWERS-
Direction, evaluation, and follow-up.

Which of the following is an example of assertive communication? A. You need to
improve the way you spend your time so that all of your care gets performed. B. I've
noticed that many of your clients did not get their care today. - CORRECT ANSWERS-
A. This is an aggressive communication, which causes anger, hostility, and a defensive
attitude. B. Assertive communication begins with I rather than you and clearly states the
problem.

List the three levels of disaster management - CORRECT ANSWERS-Disaster
preparedness, disaster response, and disaster recovery.

List examples of the three levels of prevention in disaster management. - CORRECT
ANSWERS-Primary: develop plan, train and educate personnel and public. Secondary:
triage, treatment shelter, supervision. Tertiary: follow-up, recovery assistance,
prevention of future disasters.
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