Complete Solutions
16) A nurse is serving as a preceptor to a newly licensed nurse
and is explaining the role of the nurse as advocate. Which of the
following situations illustrates the advocacy role? Select all that
apply
A. Verifying that a client understands what is done during a
cardiac catherization.
B. Discussing treatment options for a terminal diagnosis.
C. Informing members of the healthcare team that a client has do
not resuscitate status.
D. Reporting that a health team member on the previous shift
did not provide care as prescribed.
E. Assisting a client to make a decision about his care based on
the nurses recommendations. Correct Answer A. Verifying
that a client understands what is done during a cardiac
catherization.
C. Informing members of the healthcare team that a client has do
not resuscitate status.
D. Reporting that a health team member on the previous shift
did not provide care as prescribed.
17) A nurse manager is providing information to the nurses on
the unit about ensuring client rights. Which of the following
regulations outlines the rights of individuals in healthcare
settings?
A. American Nurses Association code of ethics.
B. HIPAA.
,C. Patient self determination act.
D. Patient care partnership. Correct Answer D. Patient care
partnership.
Document that addresses clients rights when receiving care.
ANA code of ethics provides nurses with a set of standards for
nursing practice.
HIPAA Insurance client privacy and confidentiality.
The patient self-determination act is a federal legislation that
requires that all client admitted to healthcare facility be asked
whether they have advanced directives.
18) A newly licensed nurse is preparing to insert an IV catheter
in a client. Which of the following sources should a nurse to use
to review the procedure in standard at which it should be
performed?
A. Website.
B. Institutional policy and procedure manual. C. More
experienced nurse.
D. State nurse practice act. Correct Answer B. Institutional
policy and procedure manual.
19) A nurse is reviewing a client's healthcare record and
discovers that the client's do not resuscitate (DNR) prescription
has expired. The clients condition is not stable. Which of the
following actions should the nurse take?
A. Assume that the client does not want to be resuscitated, and
take no action if she experiences cardiac arrest.
, B. Write a note on the front of the provider prescription sheet
asking the DNR be re-prescribed.
C. Anticipate that CPR will be instituted if the client goes into
cardiopulmonary arrest.
D. Call the provider to determine whether the prescription
should be immediately reinstated. Correct Answer D. Call the
provider to determine whether the prescription should be
immediately reinstated.
Action to take to be sure that the client's wishes are carried out.
20) A nurse is caring for a toddler who is being treated in the
emergency department following a head concussion from a fall.
History reveals the toddler lives at home with only her mother.
The mother's discharge instructions include waking the child
every hour to assess for indications of a possible head injury. In
which of the following situations should a nurse intervene in
attempt to prevent discharge?
A. The mother states she does not have insurance or money for a
follow up visit.
B. The child states her head hurts and she wants to go home.
C. The nurse smells alcohol on the mother's breath.
D. The mother verbalizes fear about taking the child home and
requests she be kept overnight. Correct Answer C. The nurse
smells alcohol on the mother's breath.
It will be unsafe to discharge a toddler who requires hourly
monitoring with a mother who might be chemically impaired.