Leadership and Management
Care Quiz
,A nurse is preparing a client who speaks limited English for surgery. Which of the
following is the most appropriate nursing action in obtaining informed consent from
this client?
Select one:
a. Do nothing as this is the provider's primary concern.
b. The nurse should explain the procedures using pictures and hand gestures.
c. Have the nurse respond to the client's concerns so the provider can prepare for
surgery.
d. Seek the assistance of a nurse on the floor who is fluent in the client's language. (ANS-
d. Seek the assistance of a nurse on the floor who is fluent in the client's language.
The nurse is responsible for ensuring that the client understands the information
provided regarding the procedure.
A nurse is performing initial teaching with a client who will be receiving
electroconvulsive therapy (ECT). Which statement by the client indicates a need for
further teaching?
Select one:
a. "My Dilantin dose will be increased several days before the procedure."
b. "Before the procedure, I will have an EKG to assess for heart irregularities."
c. "I will need to continue taking my regular blood pressure medication."
d. "I will stop taking my lithium for 2 weeks prior to my procedure."
(ANS- a. "My Dilantin dose will be increased several days before the procedure."
Because the therapeutic action of ECT is to induce seizures, any medications that affect
the client's seizure threshold must be decreased or discontinued several days before the
procedure.
Any cardiac conditions, such as dysrhythmias, should be monitored and treated before
the procedure
, A daughter of a client with a terminal illness pulls a nurse to the side and says, "Although
my mother's living will states she is not to be resuscitated, the family wants everything
done to save her if she has a cardiac arrest." How should the nurse respond?
Select one:
a. "The living will documents your mother's wishes and must be followed."
b. "I will contact the provider to make him aware of your request."
c. "If your mother has a cardiac arrest, we will begin resuscitation if you wish."
d. "Since the living will is a legal document a lawyer will have to make the
changes."
(ANS- a. "The living will documents your mother's wishes and must be followed."
A living will is a document that expresses the client's wishes regarding medical
treatment in the event the client becomes incapacitated and is facing end-of-life
issues. The client's wishes should be followed by the health care provider.
A provider informs the wife of a comatose client with terminal cancer that she will need to
sign the consent for insertion of a gastrostomy feeding tube. The nurse knows this is
against the client's wishes. What is the appropriate action by the nurse?
Select one:
a. Inform the wife she cannot sign the consent
b. Prepare the consent for the wife to sign.
c. Ask the provider for an order for a NG tube instead.
d. Consult the hospital's ethics committee.
(ANS- d. Consult the hospital's ethics committee.
If the nurse believes the provider's actions are directly against the client's wishes, the
nurse should contact the hospital's ethics committee. These committees are typically
multidisciplinary and are organized to consciously and reflectively consider significant
and often difficult issues related to client care. Any nurse can consult the hospital's ethics
committee when deemed necessary.
Care Quiz
,A nurse is preparing a client who speaks limited English for surgery. Which of the
following is the most appropriate nursing action in obtaining informed consent from
this client?
Select one:
a. Do nothing as this is the provider's primary concern.
b. The nurse should explain the procedures using pictures and hand gestures.
c. Have the nurse respond to the client's concerns so the provider can prepare for
surgery.
d. Seek the assistance of a nurse on the floor who is fluent in the client's language. (ANS-
d. Seek the assistance of a nurse on the floor who is fluent in the client's language.
The nurse is responsible for ensuring that the client understands the information
provided regarding the procedure.
A nurse is performing initial teaching with a client who will be receiving
electroconvulsive therapy (ECT). Which statement by the client indicates a need for
further teaching?
Select one:
a. "My Dilantin dose will be increased several days before the procedure."
b. "Before the procedure, I will have an EKG to assess for heart irregularities."
c. "I will need to continue taking my regular blood pressure medication."
d. "I will stop taking my lithium for 2 weeks prior to my procedure."
(ANS- a. "My Dilantin dose will be increased several days before the procedure."
Because the therapeutic action of ECT is to induce seizures, any medications that affect
the client's seizure threshold must be decreased or discontinued several days before the
procedure.
Any cardiac conditions, such as dysrhythmias, should be monitored and treated before
the procedure
, A daughter of a client with a terminal illness pulls a nurse to the side and says, "Although
my mother's living will states she is not to be resuscitated, the family wants everything
done to save her if she has a cardiac arrest." How should the nurse respond?
Select one:
a. "The living will documents your mother's wishes and must be followed."
b. "I will contact the provider to make him aware of your request."
c. "If your mother has a cardiac arrest, we will begin resuscitation if you wish."
d. "Since the living will is a legal document a lawyer will have to make the
changes."
(ANS- a. "The living will documents your mother's wishes and must be followed."
A living will is a document that expresses the client's wishes regarding medical
treatment in the event the client becomes incapacitated and is facing end-of-life
issues. The client's wishes should be followed by the health care provider.
A provider informs the wife of a comatose client with terminal cancer that she will need to
sign the consent for insertion of a gastrostomy feeding tube. The nurse knows this is
against the client's wishes. What is the appropriate action by the nurse?
Select one:
a. Inform the wife she cannot sign the consent
b. Prepare the consent for the wife to sign.
c. Ask the provider for an order for a NG tube instead.
d. Consult the hospital's ethics committee.
(ANS- d. Consult the hospital's ethics committee.
If the nurse believes the provider's actions are directly against the client's wishes, the
nurse should contact the hospital's ethics committee. These committees are typically
multidisciplinary and are organized to consciously and reflectively consider significant
and often difficult issues related to client care. Any nurse can consult the hospital's ethics
committee when deemed necessary.
