CEPN - final exam Spring '22 real prep exam questions and well detailed answers 100% explained.

What is the function of the National Council of State Boards of Nursing (NCSBN)? - Correct Answers Developing the NCLEX-RN" licensing examinations •Who sets educational standards for nursing licensure? - Correct Answers State Boards of Nursing (SBN) A graduate with a BSN from an accredited nursing program in Pittsburgh and took the NCLEX-RN licensure exam in Philly (where he lives) and passed. He is licensed to practice as a registered nurse in PA. Next, he moves to California to start a new job. How can he get a license to practice nursing in California? - Correct Answers Apply for licensure by endorsement and pay a registration fee to receive a California nursing license. The RN delegates changing a indwelling urinary catheter to a licensed practical/vocational nurse (LPN/LVN). Then, the patient developed a urinary tract infection. Which of the following statements is true? - Correct Answers The RN is responsible for acts they delegates. Which of the following is an acceptable reason for breaking a patient's confidentiality? - Correct Answers Reporting certain diseases and/or abuse/neglect to public health authority Which of the following constitute the essential characteristics for a malpractice lawsuit due to negligence? - Correct Answers--The nurse assumed the responsibility for the patient's care. --The nurse is found to have failed to meet the standard of care. --The harm to the patient must be shown to have been caused by the failure to meet the standard of care. --Harm to an individual has occurred. NOT: The nurse's action involves acts of commission. In which of the following situations should the legality of an informed consent be questioned? - Correct Answers Patient who received a pre-operative dose of Demerol and is "sleepy" when asked to give consent Which of the following is a nursing responsibility regarding informed consent? - Correct Answers Serving as a witness, ensuring that the patient does not feel coerced into a decision A competent resident in a long-term care facility refuses an ordered antidepressant medication. The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient. This illustrates negligence by failure to _______. - Correct Answers communicate with a patient (hiding the med). Which patient rights is guaranteed by HIPPA? - Correct Answers Patients are protected against medical records being indiscriminately shared. A nursing student got a thank-you card from a patient's family and had another student take a photo of the student with the family. The student asks the nursing instructor if it would be alright to post the photo on Facebook. Which response by the instructor is best? - Correct Answers "No, posting pictures of patients and families on social media sites is not acceptable." A child is tested for genetic abnormalities. After the test results are delivered from the laboratory, a representative of the parents' medical insurance company calls the nurse's station and asks for the results of the tests. The nurse's best response to this request is to.... - Correct Answers Refuse to give the information, and remind the caller about HIPPA protections. The nurse giving medications to a patient notes that an order for a medication is much larger than the typical dose given. The nurse looks up the medication in a pharmacology database and learns the prescribed dose is too large. Which action should the nurse take? - Correct Answers Notifying the physician of these findings & verifying the order before giving the medication. Which of the following is an important step in preventing legal action against the nurse? - Correct Answers Develop caring, therapeutic relationships with patients. To use an ethical decision-making model, which step should the nurse perform first? - Correct Answers Identify the ethical dilemma in the case. Which document guides RNs in all practice settings regarding their specific responsibilities and obligations to their patients and others they serve? - Correct Answers ANA's Code of Ethics for Nurses with Interpretive Statements According to the nurse's Code of Ethics, the hallmark of nursing practice is - Correct Answers autonomy In a clinical setting, professional ethics should override personal morals and values. - Correct AnswersTrue Allowing a patient to refuse chemotherapy is based on a belief in the ethical principle of - Correct Answersautonomy A nurse is turning a patient to prevent pressure ulcers. The patient complains that the nurse is hurting him. The nurse explains the reason for the turning schedule and asks the patient if it is ok to complete the task. Turning this patient supports the ethical principle of - Correct Answersnonmaleficence Answering a terminally ill patient's questions about his or her condition honestly is based on a belief in the ethical principle of - Correct Answersveracity The current emphasis on eliminating racially based health disparities is based on which of the following ethical principles? - Correct Answersjustice A school nurse teaching school-aged children about hand hygiene is an example of which ethical principle? - Correct AnswersBeneficence Taking a geriatric patient to the recreation room at a promised time is based on the belief in the ethical principle of - Correct Answersfidelity When nurses receive a patient assignment and accept reports on these patients, they are committed to providing care to those assigned to them. This is based on the ethical principle of - Correct Answersfidelity A nurse who advocates for a longer stay when a medically indigent patient is being prematurely discharged due to an inability to pay for care is applying which ethical principle? - Correct AnswersJustice Hospice care is indicated for... - Correct AnswersIndividuals who no longer want treatment or whose illness has stopped responding to treatment Which of the following is true of palliative care? - Correct AnswersPeople are eligible to receive palliative care for as long as they have a life threatening or life limiting illness Collaboration among health care professionals most importantly results in - Correct Answerspositive patient outcomes Which of the following is an important outcome of the "orientation" phase of the nurse-pt relationship? - Correct Answerstrust Which behaviors help patients to develop trust? - Correct Answersconveying acceptance of the patient in with a nonjudgmental attitude Which of the following best illustrates nonjudgmental acceptance of the patient? - Correct AnswersDemonstrating caring behavior in spite of negative feelings Which questions will help the nurse plan culturally congruent care? - Correct Answers--"What do smiles, nods, and hand gestures mean?" --"How should I address you?" --"What do you like to eat when you are sick?" --"Who is involved in making decisions about health care?" (in family etc.) An English-speaking nurse showed a non-English-speaking Asian patient how the bottle of povidone-iodine was to be used in cleansing a surgical area. The patient smiled, nodded throughout the instructions, and did not respond when asked if he had any questions. When the nurse left the room, the patient drank the bottle of povidone-iodine. Which action would be most effective in preventing this error? - Correct AnswersUsing a medical interpreter to give the preoperative instructions A newly diagnosed diabetic Pt states "I have very definite likes and dislikes when it comes to food. Am I going to have to eat only certain foods, or will I have some choice?" The nurse responds, "I will request a dietary consultation to include your preferences and still come up with a good diet for controlling your diabetes. If you want, you can start thinking about or writing a list of your likes and dislikes. What phase of the nurse-patient relationship is this? - Correct AnswersWorking phase A patient is being discharged from the hospital. Which statement by the nurse is appropriate for the termination phase of the nurse-patient relationship? - Correct Answers"You must be happy to go home. Over the past 3 days, you have learned how to inject insulin and how to make appropriate food choices. Remember that you have the unit telephone number if you have any questions." The nurse and patient may experience sadness during the termination phase. How can the nurse help the patient be successful in the termination phase of the nurse-patient relationship? - Correct AnswersEmphasizing the achievements the patient has made, including the ability for self-care Which is true of verbal and non-verbal communication? - Correct AnswersNon-verbal communication is usually a more reliable message. Which of the following could be considered congruent communication? - Correct Answers"The nurse manager sits with you in the nurse's lounge and asks, "Is there anything you would like to talk about?" A 4-year-old child is going to have an abdominal x-ray examination. The child asks, "Why do they have to do this? Will it hurt?" Which of the following is the most appropriate response by the nurse? - Correct Answers"You will go to the x-ray department so they can take pictures of your tummy to find out why you have a tummy ache. The bed you lie on may be cool, but you will have a blanket to keep you warm. The test will not hurt." A nurse is irrigating pressure ulcers on a patient's coccyx. When the patient asks how they are healing, the nurse grimaces and says, "Oh, they're doing just fine." This is - Correct Answersincongruence between verbal and nonverbal messages. Which of the following are examples of open-ended questions? - Correct Answers--"How are you?" --"How do you feel about staying with your daughter?" --"What would you like to discuss today while we take a walk?" Within nurse-patient communication, the use of silence can - Correct Answersallow the patient to not feel pressured to provide information. A new mother says, "My baby is being kept in the nursery. I'm really worried about him. I'm also worried that the separation will interfere with breastfeeding." The most appropriate response by the nurse is, - Correct Answers"I can see this is a problem for you. I will go to the nursery and see if I can get some answers for you." In which of the following examples is the nurse demonstrating empathy for the postoperative mastectomy patient? - Correct Answers"This must be a very difficult time for you." A patient states, "The thing that scares me the most about surgery is the spinal anesthesia. I'm afraid it'll leave me paralyzed." The nurse responds, "Everything will be fine. T