Issues in Nursing
A client is admitted into the mental health unit involuntarily. What course of action should the
nurse take in order to prevent legal complications?
Document that the client is a danger to himself or herself and others
Keep the client under supervision to prevent suicide attempts
File with the court within 96 hours of the client's initial detention
Detain the client for psychiatric treatment for no longer than 21 days - File with the court within
96 hours of the client's initial detention
A client says "Do not cut the thread on my wrist before sending me for surgery because the
thread is a blessing from God." Which internal variable influences the client's health belief in
this scenario
Spiritual factors
Emotional factors
Developmental stage factors
Intellectual background factor - Emotional factors
,A client says, "None of the medications will work on me because I am away from my holy land."
What course of action should the nurse take to comply with teamwork and collaboration
competency according to the Quality and Safety Education for Nurses (QSEN)?
Provide care to the client with respect to his or her diversity, values and beliefs
Approach the agency chaplain to discuss the spiritual needs of the client
Conduct thorough research on the effect of emotional distress on the client's health
Use the flow chart data to provide the best care and monitor the outcome of care processes -
Approach the agency chaplain to discuss the spiritual needs of the client
A client tells the nurse, "I keep reverting to my old habit of drinking soda, although I have
stopped drinking as much." What stage of health behavior change has the client reached? -
Action stage
A client tells the nurse, "I need help planning an exercise regimen to help manage my weight."
Which stage of health behavior change does this reflect?
Action
Preparation
Contemplation
Precontemplation - Preparation
,A 3-year-old child with eczema of the face and arms has disregarded the nurse's warnings to
"stop scratching, or else!" The nurse finds the toddler scratching so intensely that the arms are
bleeding. The nurse then ties the toddler's arms to the crib sides, saying, "I'm going to teach you
one way or another." How should the nurse's behavior be interpreted?
These actions can be construed as assault and battery.
The problem was resolved with forethought and accountability.
Skin must be protected, and the actions taken were by a reasonably prudent nurse.
The nurse had tried to reason with the toddler and expected understanding and cooperation. -
These actions can be construed as assault and battery.
A client dies during surgery, and the family members ask that the hospital not conduct autopsy
examinations. Which religion might the nurse expect this family to practice?
Islam
Hinduism
Buddhism
Christianity - Islam
A client with a mental illness in the emergency unit needs to undergo an emergency surgery.
What would be the nurse's first course of action to prevent any legal complications?
, Wait for a court order to intervene on the client's behalf.
Obtain consent from a person legally authorized to give it on the client's behalf, if available.
Obtain a court order to state that the client is incompetent to decide for himself or herself.
Request that the primary healthcare provider start the procedure without the client's consent. -
Obtain consent from a person legally authorized to give it on the client's behalf, if available
The nurse should ideally try to obtain consent from a person legally authorized to give it on the
client's behalf in case of an emergency situation. Clients with mental illnesses have the right to
refuse treatment until a court has legally determined that they are incompetent to decide for
themselves. However, in case of emergency situations, healthcare providers should not wait for
a court order. In case healthcare providers are unable to obtain consent, the primary healthcare
provider can start with the procedure to save the client's life. In such circumstances the law
accepts that the client would wish to be treated.
A client with cancer is undergoing treatment in a hospital. The nurse finds the orders from the
primary healthcare provider inappropriate. Clarification from the healthcare provider does not
resolve the nurse's doubts. Who should the nurse contact and inform next?
Risk manager
Nursing student
Supervising nurse
Nurse administrator - Supervising nurse
A client is admitted into the mental health unit involuntarily. What course of action should the
nurse take in order to prevent legal complications?
Document that the client is a danger to himself or herself and others
Keep the client under supervision to prevent suicide attempts
File with the court within 96 hours of the client's initial detention
Detain the client for psychiatric treatment for no longer than 21 days - File with the court within
96 hours of the client's initial detention
A client says "Do not cut the thread on my wrist before sending me for surgery because the
thread is a blessing from God." Which internal variable influences the client's health belief in
this scenario
Spiritual factors
Emotional factors
Developmental stage factors
Intellectual background factor - Emotional factors
,A client says, "None of the medications will work on me because I am away from my holy land."
What course of action should the nurse take to comply with teamwork and collaboration
competency according to the Quality and Safety Education for Nurses (QSEN)?
Provide care to the client with respect to his or her diversity, values and beliefs
Approach the agency chaplain to discuss the spiritual needs of the client
Conduct thorough research on the effect of emotional distress on the client's health
Use the flow chart data to provide the best care and monitor the outcome of care processes -
Approach the agency chaplain to discuss the spiritual needs of the client
A client tells the nurse, "I keep reverting to my old habit of drinking soda, although I have
stopped drinking as much." What stage of health behavior change has the client reached? -
Action stage
A client tells the nurse, "I need help planning an exercise regimen to help manage my weight."
Which stage of health behavior change does this reflect?
Action
Preparation
Contemplation
Precontemplation - Preparation
,A 3-year-old child with eczema of the face and arms has disregarded the nurse's warnings to
"stop scratching, or else!" The nurse finds the toddler scratching so intensely that the arms are
bleeding. The nurse then ties the toddler's arms to the crib sides, saying, "I'm going to teach you
one way or another." How should the nurse's behavior be interpreted?
These actions can be construed as assault and battery.
The problem was resolved with forethought and accountability.
Skin must be protected, and the actions taken were by a reasonably prudent nurse.
The nurse had tried to reason with the toddler and expected understanding and cooperation. -
These actions can be construed as assault and battery.
A client dies during surgery, and the family members ask that the hospital not conduct autopsy
examinations. Which religion might the nurse expect this family to practice?
Islam
Hinduism
Buddhism
Christianity - Islam
A client with a mental illness in the emergency unit needs to undergo an emergency surgery.
What would be the nurse's first course of action to prevent any legal complications?
, Wait for a court order to intervene on the client's behalf.
Obtain consent from a person legally authorized to give it on the client's behalf, if available.
Obtain a court order to state that the client is incompetent to decide for himself or herself.
Request that the primary healthcare provider start the procedure without the client's consent. -
Obtain consent from a person legally authorized to give it on the client's behalf, if available
The nurse should ideally try to obtain consent from a person legally authorized to give it on the
client's behalf in case of an emergency situation. Clients with mental illnesses have the right to
refuse treatment until a court has legally determined that they are incompetent to decide for
themselves. However, in case of emergency situations, healthcare providers should not wait for
a court order. In case healthcare providers are unable to obtain consent, the primary healthcare
provider can start with the procedure to save the client's life. In such circumstances the law
accepts that the client would wish to be treated.
A client with cancer is undergoing treatment in a hospital. The nurse finds the orders from the
primary healthcare provider inappropriate. Clarification from the healthcare provider does not
resolve the nurse's doubts. Who should the nurse contact and inform next?
Risk manager
Nursing student
Supervising nurse
Nurse administrator - Supervising nurse
