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A nursing student is recalling the definition of Nurse Practice Acts. What do the Nurse Practice
Acts do?
A. Nurse Practice Acts describe and define the legal boundaries of nursing practice within each
state.
B. Nurse Practice Acts reflect the knowledge and skills possessed by nurses practicing in their
profession.
C. Nurse Practice Acts are legal requirements that describe the minimum acceptable nursing
care.
D. Nurse Practice Acts protect individuals from losing their health insurance when changing jobs
by providing portability. - ANS :A. Nurse Practice Acts describe and define the legal boundaries
of nursing practice within each state.
The Nurse Practice Acts describe and define the legal boundaries of nursing practice within
each state. They help to distinguish between nursing and medical practice and establish
education and licensure requirements for nurses. Standards of care reflect the knowledge and
skills possessed by nurses who are active practitioners in their profession. Standards of care are
legal requirements that define the minimum acceptable nursing care. The Health Insurance
Portability and Accountability Act (HIPAA) protects individuals from losing their health insurance
when changing jobs by providing portability.
What purpose does block and parish nursing serve in preventive and primary care services?
A. Block and parish nursing provides services to older clients or those who are unable to leave
their homes.
B. Block and parish nursing provides primary care to a specific client population that lives in a
specific community.
C. Block and parish nursing provides nursing services with a focus on health promotion and
education as well as on chronic disease.
D. Block and parish nursing provides services aimed at increasing worker productivity,
decreasing absenteeism, and reducing the use of expensive medical care. - ANS :A. Block and
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parish nursing provides services to older clients or those who are unable to leave their homes.
Block and parish nursing provides services to older clients or those who are unable to leave their
homes. Community health centers provide primary care to a specific client population living in a
specific community. Nurse-managed clinics provide nursing services with a focus on health
promotion and education as well as on chronic disease. Occupational health services provide
services that aim to increase worker productivity, decrease absenteeism, and reduce the use of
expensive medical care.
A nursing student is listing examples of active and passive health promotion strategies. Which
strategy is an example of a passive health promotion strategy?
A. Weight-reduction program
B. Smoking-cessation program
C. Drug abuse prevention strategy
D. Fluoridation of municipal drinking water - ANS :D. Fluoridation of municipal drinking water.
Passive strategies of health promotion help people benefit from the activities of others without
direct involvement. The fluoridation of municipal drinking water is an example of a passive
health promotion strategy. Active strategies of health promotion require clients to adopt
specific programs for improving health. Weight-reduction programs, smoking-cessation
programs, and drug abuse prevention strategies are examples of active health promotion
activities.
A registered nurse is educating a nursing student about the process of resolving an ethical
dilemma. What information should the nurse provide regarding negotiation of outcomes?
A. "A nurse should provide a personal point of view."
B. "Negotiations should be held in formal settings only."
C. "Negotiation takes place immediately after gathering information."
D. "The group agrees to a statement of the problem during the negotiation process." - ANS :AA.
"A nurse should provide a personal point of view."
During the process of negotiating outcomes, the nurse is required to provide a personal point of
view. Negotiations may take place informally at the client's bedside or in a formal setting. After
gathering relevant information regarding an ethical dilemma, the nurse is required to examine
his or her own values and formulate an opinion regarding the matter. When verbalizing the
problem, the group agrees to a statement of the problem to begin discussions. This step is
performed before negotiating outcomes. Negotiations take place after determining all possible
courses of action.
A nurse is teaching staff members about the legal terminology used in child abuse. What
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definition of battery should the nurse include in the teaching?
A. Maligning a person's character while threatening to do bodily harm
B. A legal wrong committed by one person against property of another
C. The application of force to another person without lawful justification
D. Behaving in a way that a reasonable person with the same education would not - ANS :C. The
application of force to another person without lawful justification.
Battery means touching in an offensive manner or actually injuring another person. Battery
refers to actual bodily harm rather than threats of physical or psychological harm. Battery
refers to harm against persons, not property. Behaving in a way that a reasonable person with
the same education would not is the definition of negligence.
What does the Emergency Medical Treatment and Active Labor Act (EMTALA) of 1986 state?
A. The act states that employees can change jobs without losing health insurance coverage.
B. The act states that the hospital should not discharge or transfer a client if an emergency
condition exists.
C. The act states that the hospital protects a person who is HIV positive but does not have
acquired immunodeficiency syndrome (AIDS).
D. The act states that health care institutions should provide written information to clients
concerning their rights under state law to make decisions. - ANS :B. The act states that the
hospital should not discharge or transfer a client if an emergency condition exists.
According to the Emergency Medical Treatment and Active Labor Act (EMTALA) act, the hospital
should not discharge or transfer a client if an emergency condition exists. According to the
Health Insurance Portability and Accountability Act of 1996 (HIPAA), employees can change jobs
without losing health insurance coverage. According to the Americans with Disabilities Act (ADA)
of 1990, the hospital protects a person who is HIV positive but does not have acquired
immunodeficiency syndrome (AIDS). According to the Patient Self-Determination Act (PSDA) of
1991, healthcare institutions should provide written information to clients about their rights
under state law to make decisions.
A registered nurse is educating a nursing student about the stages of changes in a client's health
behavior. Which statement describes the stage of contemplation?
A. "The client considers a change within the next 6 months."
B. "The client does not intend to make changes within the next 6 months."
C. "The client is actively engaged in strategies to change
D. "The client displays sustained change over time; this begins 6 months after action has started
and continues indefinitely." - ANS :A. "The client considers a change within the next 6 months."
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In the contemplation stage, the client considers a change within the next 6 months. In the
precontemplation stage, the client does not intend to make changes within the next 6 months.
In the action stage, the client is actively engaged in strategies to change behavior. This stage
lasts up to 6 months. When sustained change is noticed over time and begins 6 months after
action has started and continues indefinitely, the client has reached the maintenance stage.
A nurse is caring for a client with pain after surgery. The nurse takes the blood pressure and
pulse rate of the client and asks the client to rate the level of pain on the pain scale. The nurse
then notifies the primary healthcare provider. Which standard of practice does the nurse
perform?
A. Planning
B. Diagnosis
C. Assessment
D. Implementation - ANS :C. Assessment
When a nurse collects comprehensive data relevant to the client's health or the situation, it is
considered assessment. In the given scenario, the nurse is assessing the client to minimize pain.
Planning refers to instances when a nurse develops a plan to attain expected outcomes.
Diagnosis refers to instances when the nurse analyzes the assessment data to determine the
diagnoses or issues. Implementation refers to instances when the nurse implements the
identified plan.
A primary healthcare provider notes that all conventional treatment procedures have proved to
be ineffective in managing a client's disorder. The primary healthcare provider decides to try an
experimental treatment. The nurse ensures that the client has understood the implications of
the new treatment plan thoroughly and then signs the client's consent form as a witness. Which
basic healthcare ethic does the nurse follow in this situation?
A. Justice
B. Autonomy
C. Beneficence
D. Nonmaleficence - ANS :B. Autonomy
Autonomy refers to the commitment to include clients in decisions about all aspects of care as a
way of acknowledging and protecting their independence. In the given situation, the nurse
ensures that the client has thoroughly understood the new treatment plan before gaining
written consent. This ensures that the client is involved in the decision-making process
appropriately. Justice refers to fairness. The given situation does not deal with fairness.
Beneficence refers to taking positive actions to help others. This involves keeping the interests
of the client before self-interest. Nonmaleficence is the avoidance of harm or hurt. Weighing
the pros and cons of the new treatment plan would involve nonmaleficence.
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