Issues in Nursing exam m m m
1. Which action of a nursing student regarding The Joint Commission recom-
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mendations for creating a safe, welcoming environment for lesbian, gay, bisex-
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ual, transgender, and queer/questioning (LGBTQ) patients needs revision?
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Posting a patient's bill of rights and nondiscrimination policies visibly Arra
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nging exclusive waiting rooms for LGBTQ patients and their families Provid
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ing information on special health care concerns for LGBTQ patients
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Avoiding assumptions about any patient's sexual orientation and gender ide
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ntity: Arranging exclusive waiting rooms for LGBTQ patients and their families
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As per the recommendation of The Joint Commission, the nursing student should ma
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ke all waiting rooms inclusive of LGBTQ patients and families, not special sepa-
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rate ones. This can be done by posting Safe Zone, rainbow, or pink triangle signs. As a
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m best practice for patient safety and quality care, the nursing student should post the
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patient's bill of rights and nondiscrimination policies in a visible place. Thenursing s
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udent should have adequate information on special health care concernsfor LGBTQ p
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atients and provide the same whenever required. The nursing studentshould never m
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1m/m53
,ake assumptions about a patient's sexual orientation and gender identity.
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2. A nursing student is listing key points about ethics and values. Which pointli
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sted by the nurse indicates a need for more education?
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"A nurse's point of view offers a unique voice in the resolution of ethicald
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ilemmas."
"Professional nursing promotes accountability, responsibility, advocacy, andco
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nfidentiality."
"The American Nurses Association (ANA) code of ethics ensures that the coderem
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ains constant."
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"Standards ethics in healthcare consist of autonomy, beneficence, nonmalef-
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icence, justice, and fidelity.": "The American Nurses Association (ANA) code of eth
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ics ensures that the code remains constant."
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2m/m53
,The American Nurses Association (ANA) code of ethics reviews and revises the cod
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e regularly to reflect changes in practice. The basic principles of the ANA code (suc
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h as responsibility, accountability, advocacy, and confidentiality) remainconstant. A
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m nurse's point of view offers a unique voice in the resolution of ethical dilemmas b
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y including knowledge based upon clinical and psychosocial observa-
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tions. Professional nursing promotes accountability, responsibility, advocacy, and co
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nfidentiality. Standards ethics in healthcare consist of autonomy, beneficence, non
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maleficence, justice, and fidelity. m m m
3. A client with a mental illness in the emergency unit needs to undergo an e
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mergency surgery. What would be the nurse's first course of action to preventan
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y legal complications?
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Wait for a court order to intervene on the client's behalf.
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Obtain consent from a person legally authorized to give it on the client'sb
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ehalf, if available.
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Obtain a court order to state that the client is incompetent to decide for himself
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3m/m53
, r herself. m
Request that the primary healthcare provider start the procedure without the
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client's consent.: Obtain consent from a person legally authorized to give it on thecl
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ent's behalf, if available
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The nurse should ideally try to obtain consent from a person legally authorized to gi
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ve it on the client's behalf in case of an emergency situation. Clients with mental illn
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esses have the right to refuse treatment until a court has legally determined that th
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ey are incompetent to decide for themselves. However, in case of emergencysituation
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s, healthcare providers should not wait for a court order. In case healthcareproviders
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are unable to obtain consent, the primary healthcare provider can start with the pro
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cedure to save the client's life. In such circumstances the law accepts that the client
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would wish to be treated. m m m m
4. Which terminology system should the nurse use to enter nursing diag-
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noses, interventions, and outcomes in electronic health records?
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Omaha system m
4m/m53
1. Which action of a nursing student regarding The Joint Commission recom-
m m m m m m m m m m
mendations for creating a safe, welcoming environment for lesbian, gay, bisex-
m m m m m m m m m m m
ual, transgender, and queer/questioning (LGBTQ) patients needs revision?
m m m m m m m m
Posting a patient's bill of rights and nondiscrimination policies visibly Arra
m m m m m m m m m m
nging exclusive waiting rooms for LGBTQ patients and their families Provid
m m m m m m m m m m
ing information on special health care concerns for LGBTQ patients
m m m m m m m m m
Avoiding assumptions about any patient's sexual orientation and gender ide
m m m m m m m m m
ntity: Arranging exclusive waiting rooms for LGBTQ patients and their families
m m m m m m m m m m
As per the recommendation of The Joint Commission, the nursing student should ma
m m m m m m m m m m m m
ke all waiting rooms inclusive of LGBTQ patients and families, not special sepa-
m m m m m m m m m m m m
rate ones. This can be done by posting Safe Zone, rainbow, or pink triangle signs. As a
m m m m m m m m m m m m m m m m m
m best practice for patient safety and quality care, the nursing student should post the
m m m m m m m m m m m m m
patient's bill of rights and nondiscrimination policies in a visible place. Thenursing s
m m m m m m m m m m m m m
udent should have adequate information on special health care concernsfor LGBTQ p
m m m m m m m m m m m m
atients and provide the same whenever required. The nursing studentshould never m
m m m m m m m m m m m m
1m/m53
,ake assumptions about a patient's sexual orientation and gender identity.
m m m m m m m m m
2. A nursing student is listing key points about ethics and values. Which pointli
m m m m m m m m m m m m m
sted by the nurse indicates a need for more education?
m m m m m m m m m
"A nurse's point of view offers a unique voice in the resolution of ethicald
m m m m m m m m m m m m m m
ilemmas."
"Professional nursing promotes accountability, responsibility, advocacy, andco
m m m m m m m
nfidentiality."
"The American Nurses Association (ANA) code of ethics ensures that the coderem
m m m m m m m m m m m m
ains constant."
m
"Standards ethics in healthcare consist of autonomy, beneficence, nonmalef-
m m m m m m m m
icence, justice, and fidelity.": "The American Nurses Association (ANA) code of eth
m m m m m m m m m m m m
ics ensures that the code remains constant."
m m m m m m
2m/m53
,The American Nurses Association (ANA) code of ethics reviews and revises the cod
m m m m m m m m m m m m
e regularly to reflect changes in practice. The basic principles of the ANA code (suc
m m m m m m m m m m m m m m
h as responsibility, accountability, advocacy, and confidentiality) remainconstant. A
m m m m m m m m m
m nurse's point of view offers a unique voice in the resolution of ethical dilemmas b
m m m m m m m m m m m m m m
y including knowledge based upon clinical and psychosocial observa-
m m m m m m m m
tions. Professional nursing promotes accountability, responsibility, advocacy, and co
m m m m m m m m m
nfidentiality. Standards ethics in healthcare consist of autonomy, beneficence, non
m m m m m m m m m
maleficence, justice, and fidelity. m m m
3. A client with a mental illness in the emergency unit needs to undergo an e
m m m m m m m m m m m m m m
mergency surgery. What would be the nurse's first course of action to preventan
m m m m m m m m m m m m m
y legal complications?
m m
Wait for a court order to intervene on the client's behalf.
m m m m m m m m m m
Obtain consent from a person legally authorized to give it on the client'sb
m m m m m m m m m m m m m
ehalf, if available.
m m
Obtain a court order to state that the client is incompetent to decide for himself
m m m m m m m m m m m m m m
3m/m53
, r herself. m
Request that the primary healthcare provider start the procedure without the
m m m m m m m m m m
client's consent.: Obtain consent from a person legally authorized to give it on thecl
m m m m m m m m m m m m m m
ent's behalf, if available
m m m
The nurse should ideally try to obtain consent from a person legally authorized to gi
m m m m m m m m m m m m m m
ve it on the client's behalf in case of an emergency situation. Clients with mental illn
m m m m m m m m m m m m m m m
esses have the right to refuse treatment until a court has legally determined that th
m m m m m m m m m m m m m m
ey are incompetent to decide for themselves. However, in case of emergencysituation
m m m m m m m m m m m m
s, healthcare providers should not wait for a court order. In case healthcareproviders
m m m m m m m m m m m m m m
are unable to obtain consent, the primary healthcare provider can start with the pro
m m m m m m m m m m m m m
cedure to save the client's life. In such circumstances the law accepts that the client
m m m m m m m m m m m m m m m
would wish to be treated. m m m m
4. Which terminology system should the nurse use to enter nursing diag-
m m m m m m m m m m
noses, interventions, and outcomes in electronic health records?
m m m m m m m m
Omaha system m
4m/m53