Nursing 170 Module 1-Solved
- Patient rights
- Respect the client's individual needs and source of control
- Coordinate compassionate care
- Respect preference, values and beliefs
- Keep client informed
- Provide comfort and emotion support with client and family
- Continuity of care
- Minimizing risk of harm - Answers-Patient-centered care
A client is brought to the emergency department by emergency medical services (EMS)
after being hit by a care. The name of the client is unknown, and the client has
sustained a severe head injury and multiple fractures and is unconscious. An
emergency craniotomy is required. Regarding informed consent for the surgical
procedure, which is the BEST action?
a. Obtain a court order for the surgical procedure.
b. Ask the EMS team to sign the informed consent.
c. Transport the victim to the operating room for surgery.
d. Call the police to identify the client and locate family. - Answers-c. Transport the
victim to the operating room for surgery
A critically ill Hispanic client tells the nurse through an interpreter that she is Roman
Catholic and firmly believes in the rituals and traditions of the Catholic faith. Based on
the client's statement, which actions by the nurse demonstrate culturally sensitivity and
spiritual support? Select all that apply.
a. Ensure that a close kin stays with the client.
b. Make a referral for a Catholic priest to visit the client
c. Removes the crucifix from the wall in the client's room
d. Administers the sacrament of the sick to the client if death is imminent
e. Offers to provide a means for praying the rosary if the client wishes
f. Reminds the dietary department that meals served on Fridays during Lent do not
contain meat. - Answers-a. Ensure that a close kin stays with the client
b. Make a referral for a Catholic priest to visit the client
e. Offers to provide a means for praying the rosary if the client wishes
A faculty member of a nursing program is conducting an informational session for
potential nursing students. The faculty member includes the information that at the
completion of the program licensure to practice is:
a. A responsibility of the American Nurses Association
b. Granted on graduation from a nursing program
c. Approved by the National League for Nursing
,d. Required by state law - Answers-d. Required by state law
A home health care nurse is functioning as a case manager for a patient recently
discharged from the hospital. What is the primary role of the nurse when function as a
case manager?
a. Coordinator
b. Counselor
c. Provider
d. Teacher - Answers-a. Coordinator
A hospitalized client tell the nurse that an instructional directive is being prepared and
that the lawyer will be bringing the document to the hospital today for witness
signatures. The client asks the nurse for assistance win obtaining a witness to the will.
Which is the MOST APPROPRIATE response to the client?
a. "I will sign as a witness to your signature."
b. "You will need to find a witness on your own."
c. "Whoever is available at the time will sing as a witness for you."
d. "I will call the nursing supervisor to seek assistance regarding your request." -
Answers-d. "I will call the nursing supervisor to seek assistance regarding your request."
A nurse expert is call to testify in a lawsuit regarding professional nursing malpractice
primarily to testify:
a. About standards of nursing care as they apply to the facts in the case
b. With regard to laws governing the practice of nursing
c. For the prosecution
d. For the defense - Answers-a. About standards of nursing care as they apply to the
facts in the case
A nurse finds Mr. Jones wandering in the hall trying to find his room. The best
documentation would be:
a. Patient confused
b. Patient in hall unable to locate room
c. Patient appears disoriented
d. Patient seems out of touch with reality - Answers-b. Patient in hall unable to locate
room
A nurse may gather assessment data from which of the following sources: (Select all
that apply)
- Nursing experience
- Other health care team members
- Patient's roommate
,- Family
- Medical records
- Patient - Answers-- Other health care providers
- Family
- Medical records
- Patient
A nursing graduate is attending an agency orientation regarding the nursing model of
practice implemented in the health care facility. The nurse is told that the nursing model
is a team nursing approach. The nurse determines that which scenario is characteristic
of the team-base model of nursing practice?
a. Each staff member is assigned a specific task for a group of clients.
b. A staff member is assigned to determine the client's needs at home and begin
discharge planning.
c. A single RN is responsible for providing care to a group of 6 client with the aid of an
unlicensed assistive personnel (UAP).
d. An RN leads 2 licensed practical nurses (LPNs) and 3 UAPs in providing care to a
group of 12 clients. - Answers-d. An RN leads 2 licensed practice nurses (LPNs) and 3
UAPs in providing care to a group of 12 clients.
A patient asks the nurse, "What is the difference between Medicare and Medicaid?"
Which is the nurse's best response when describing the Medicaid program?
a. "A federally funded health insurance program for individuals with low incomes."
b. A United States federal health insurance program for individuals aged 65 and older."
c. "A state program requiring practitioners to be providers of care to people living below
the designated poverty level."
d. A retrospective health care reimbursement program that pay for the costs incurred by
health care agencies for the care of the indigent." - Answers-a. "A federally funded
health insurance program for individuals with low incomes."
A patient is asked to participate in a medical research study. The nurse describes to the
patient and family members how the patient is protected by the:
1. Code of Ethics
2. Informed Consent
3. Nurse Practice Act
4. Constitution of the United States - Answers-b. Informed consent
A patient is discharged from the hospital 3 days after abdominal surgery because of the
influence of Diagnostic Related Groups (DRGs). What should the nurse performing the
discharge teaching be most concerned about?
a. Providing for continuity of care
b. Ordering equipment to be used in the home
, c. Accepting discharge by the patient and family
d. Ensuring hospital reimbursement for services rendered - Answers-a. Providing for
continuity of care
A patient is scheduled to have surgery, and informed consent is to be obtained. Place
these steps in the order in which they should be performed.
a. The patient is willing to sign the consent voluntarily
b. The patient signs the consent in the presence of the nurse
c. The nurse determines that the patient is alert and competent to give consent
d. The practitioner informs the patient of the risks and benefits of the procedure -
Answers-d, c, a, b
A patient is to return from the operating room to a semiprivate room. Before the transfer,
the nurse should ensure that the patient's roommate is:
a. Emotionally stable
b. Able to communicate
c. In the bed by the window
d. Physiologically compatible - Answers-d. Physiologically compatible
A patient is told that preauthorization is required before surgery can be performed. The
patient asks the nurse, "What does preauthorization mean?" What is the nurse's best
response?
a. "Third-party payer have approved the surgery and the facility will be reimbursed for
the costs."
b. "The preoperative checklist has been completed and verified by a nurse."
c. "Required preoperative diagnostic tests have been performed."
d. "You have signed the legal consent form for the surgery." - Answers-a. "Third-party
payer have approved the surgery and the facility will be reimbursed for the costs."
A patient receiving a special diet is given a meal tray that does not contain food
requested by the patient. What should the nurse do? Place these interventions in order
of priority.
a. Check the diet manual
b. Verify the practitioner's diet order
c. Schedule a conference with the dietitian
d. Explore with the practitioner the possibility of including this food preference in the diet
- Answers-b, a, c, d
A patient with an infection receives medical intervention and nursing care in a hospital
setting. Which level health care service has been provided in this situation?
a. Emergency
- Patient rights
- Respect the client's individual needs and source of control
- Coordinate compassionate care
- Respect preference, values and beliefs
- Keep client informed
- Provide comfort and emotion support with client and family
- Continuity of care
- Minimizing risk of harm - Answers-Patient-centered care
A client is brought to the emergency department by emergency medical services (EMS)
after being hit by a care. The name of the client is unknown, and the client has
sustained a severe head injury and multiple fractures and is unconscious. An
emergency craniotomy is required. Regarding informed consent for the surgical
procedure, which is the BEST action?
a. Obtain a court order for the surgical procedure.
b. Ask the EMS team to sign the informed consent.
c. Transport the victim to the operating room for surgery.
d. Call the police to identify the client and locate family. - Answers-c. Transport the
victim to the operating room for surgery
A critically ill Hispanic client tells the nurse through an interpreter that she is Roman
Catholic and firmly believes in the rituals and traditions of the Catholic faith. Based on
the client's statement, which actions by the nurse demonstrate culturally sensitivity and
spiritual support? Select all that apply.
a. Ensure that a close kin stays with the client.
b. Make a referral for a Catholic priest to visit the client
c. Removes the crucifix from the wall in the client's room
d. Administers the sacrament of the sick to the client if death is imminent
e. Offers to provide a means for praying the rosary if the client wishes
f. Reminds the dietary department that meals served on Fridays during Lent do not
contain meat. - Answers-a. Ensure that a close kin stays with the client
b. Make a referral for a Catholic priest to visit the client
e. Offers to provide a means for praying the rosary if the client wishes
A faculty member of a nursing program is conducting an informational session for
potential nursing students. The faculty member includes the information that at the
completion of the program licensure to practice is:
a. A responsibility of the American Nurses Association
b. Granted on graduation from a nursing program
c. Approved by the National League for Nursing
,d. Required by state law - Answers-d. Required by state law
A home health care nurse is functioning as a case manager for a patient recently
discharged from the hospital. What is the primary role of the nurse when function as a
case manager?
a. Coordinator
b. Counselor
c. Provider
d. Teacher - Answers-a. Coordinator
A hospitalized client tell the nurse that an instructional directive is being prepared and
that the lawyer will be bringing the document to the hospital today for witness
signatures. The client asks the nurse for assistance win obtaining a witness to the will.
Which is the MOST APPROPRIATE response to the client?
a. "I will sign as a witness to your signature."
b. "You will need to find a witness on your own."
c. "Whoever is available at the time will sing as a witness for you."
d. "I will call the nursing supervisor to seek assistance regarding your request." -
Answers-d. "I will call the nursing supervisor to seek assistance regarding your request."
A nurse expert is call to testify in a lawsuit regarding professional nursing malpractice
primarily to testify:
a. About standards of nursing care as they apply to the facts in the case
b. With regard to laws governing the practice of nursing
c. For the prosecution
d. For the defense - Answers-a. About standards of nursing care as they apply to the
facts in the case
A nurse finds Mr. Jones wandering in the hall trying to find his room. The best
documentation would be:
a. Patient confused
b. Patient in hall unable to locate room
c. Patient appears disoriented
d. Patient seems out of touch with reality - Answers-b. Patient in hall unable to locate
room
A nurse may gather assessment data from which of the following sources: (Select all
that apply)
- Nursing experience
- Other health care team members
- Patient's roommate
,- Family
- Medical records
- Patient - Answers-- Other health care providers
- Family
- Medical records
- Patient
A nursing graduate is attending an agency orientation regarding the nursing model of
practice implemented in the health care facility. The nurse is told that the nursing model
is a team nursing approach. The nurse determines that which scenario is characteristic
of the team-base model of nursing practice?
a. Each staff member is assigned a specific task for a group of clients.
b. A staff member is assigned to determine the client's needs at home and begin
discharge planning.
c. A single RN is responsible for providing care to a group of 6 client with the aid of an
unlicensed assistive personnel (UAP).
d. An RN leads 2 licensed practical nurses (LPNs) and 3 UAPs in providing care to a
group of 12 clients. - Answers-d. An RN leads 2 licensed practice nurses (LPNs) and 3
UAPs in providing care to a group of 12 clients.
A patient asks the nurse, "What is the difference between Medicare and Medicaid?"
Which is the nurse's best response when describing the Medicaid program?
a. "A federally funded health insurance program for individuals with low incomes."
b. A United States federal health insurance program for individuals aged 65 and older."
c. "A state program requiring practitioners to be providers of care to people living below
the designated poverty level."
d. A retrospective health care reimbursement program that pay for the costs incurred by
health care agencies for the care of the indigent." - Answers-a. "A federally funded
health insurance program for individuals with low incomes."
A patient is asked to participate in a medical research study. The nurse describes to the
patient and family members how the patient is protected by the:
1. Code of Ethics
2. Informed Consent
3. Nurse Practice Act
4. Constitution of the United States - Answers-b. Informed consent
A patient is discharged from the hospital 3 days after abdominal surgery because of the
influence of Diagnostic Related Groups (DRGs). What should the nurse performing the
discharge teaching be most concerned about?
a. Providing for continuity of care
b. Ordering equipment to be used in the home
, c. Accepting discharge by the patient and family
d. Ensuring hospital reimbursement for services rendered - Answers-a. Providing for
continuity of care
A patient is scheduled to have surgery, and informed consent is to be obtained. Place
these steps in the order in which they should be performed.
a. The patient is willing to sign the consent voluntarily
b. The patient signs the consent in the presence of the nurse
c. The nurse determines that the patient is alert and competent to give consent
d. The practitioner informs the patient of the risks and benefits of the procedure -
Answers-d, c, a, b
A patient is to return from the operating room to a semiprivate room. Before the transfer,
the nurse should ensure that the patient's roommate is:
a. Emotionally stable
b. Able to communicate
c. In the bed by the window
d. Physiologically compatible - Answers-d. Physiologically compatible
A patient is told that preauthorization is required before surgery can be performed. The
patient asks the nurse, "What does preauthorization mean?" What is the nurse's best
response?
a. "Third-party payer have approved the surgery and the facility will be reimbursed for
the costs."
b. "The preoperative checklist has been completed and verified by a nurse."
c. "Required preoperative diagnostic tests have been performed."
d. "You have signed the legal consent form for the surgery." - Answers-a. "Third-party
payer have approved the surgery and the facility will be reimbursed for the costs."
A patient receiving a special diet is given a meal tray that does not contain food
requested by the patient. What should the nurse do? Place these interventions in order
of priority.
a. Check the diet manual
b. Verify the practitioner's diet order
c. Schedule a conference with the dietitian
d. Explore with the practitioner the possibility of including this food preference in the diet
- Answers-b, a, c, d
A patient with an infection receives medical intervention and nursing care in a hospital
setting. Which level health care service has been provided in this situation?
a. Emergency
