A nurse is preparing to witness informed consent for a client who is preoperative. The client
asks the nurse, "Are there other options besides surgery?" Which of the following responses
should the nurse make?
"It is time to sign the consent so your treatment can begin."
"I would not have this type of surgery if I were you."
"Have you discussed other treatments with your provider?"
"I can inform the surgeon you do not want the surgery." - ANSWER Have you discussed
other treatments with your provider?
A nurse on a quality control committee is evaluating the results of recently implemented
measures designed to reduce client medications errors. Which of the following methods
should the nurse use to evaluate the success of the changes?
Establish a benchmark to identify a standard of performance.
Compare the number of medication errors before and after the action was implemented.
Provide the staff with a questionnaire to quantify staff satisfaction with the changes.
Conduct a study about the time and money costs of implementing the change. -
ANSWER Compare the number of medication errors before and after the action was
implemented
A nurse intercepts a messenger at the nurses' station who has a flower delivery for a client
on the unit. As the nurse accepts the flowers, the messenger says, "I know Ms. Welch from
the neighborhood. What happened to her?" Which of the following responses should the
nurse make?
1
, "You know it's not appropriate for you to ask me that."
"It's my responsibility to remind you that we have to respect our clients' privacy."
"It's a minor injury. I'm sure you'll see her back in the neighborhood soon."
"Oh, what lovely flowers. She will enjoy these." - ANSWER It's my responsibility to
remind you that we have to respect our clients' privacy
A nurse is on a pediatric unit caring for 4 clients. The nurse should recommend an
interdisciplinary client care conference for which client?
A client who was diagnosed with cystic fibrosis and has a distended abdomen.
A client who is 10 hr postoperative from an appendectomy.
A client who is 6 hr postoperative from a tonsillectomy.
A client who was diagnosed with acute diarrhea from the Norovirus. - ANSWER Cystic
fibrosis patient
A nurse is caring for an adolescent who has a history of violent behavior and has asked the
nurse to keep information about desires of killing classmates and a teacher confidential.
Which response by the nurse is appropriate?
"Because you are a minor, I have to share any information that I feel is important with your
parents."
"I cannot promise that. I must share this information with other members of the team who
are responsible for planning your care."
"I will not violate our nurse-client relationship. The information we discuss will remain
confidential between us."
"I can see that you trust me, but you should share those feelings with your psychiatrist, not
me." - ANSWER "I cannot promise that. I must share this information with other
members of the team who are responsible for planning your care."
A charge nurse is making assignments for nursing personnel who will be caring for clients
during the oncoming shift. Which of the following factors should the charge nurse consider?
The most experienced nurse receives the more complex clients
Personal comfort level in making the assignments
2
asks the nurse, "Are there other options besides surgery?" Which of the following responses
should the nurse make?
"It is time to sign the consent so your treatment can begin."
"I would not have this type of surgery if I were you."
"Have you discussed other treatments with your provider?"
"I can inform the surgeon you do not want the surgery." - ANSWER Have you discussed
other treatments with your provider?
A nurse on a quality control committee is evaluating the results of recently implemented
measures designed to reduce client medications errors. Which of the following methods
should the nurse use to evaluate the success of the changes?
Establish a benchmark to identify a standard of performance.
Compare the number of medication errors before and after the action was implemented.
Provide the staff with a questionnaire to quantify staff satisfaction with the changes.
Conduct a study about the time and money costs of implementing the change. -
ANSWER Compare the number of medication errors before and after the action was
implemented
A nurse intercepts a messenger at the nurses' station who has a flower delivery for a client
on the unit. As the nurse accepts the flowers, the messenger says, "I know Ms. Welch from
the neighborhood. What happened to her?" Which of the following responses should the
nurse make?
1
, "You know it's not appropriate for you to ask me that."
"It's my responsibility to remind you that we have to respect our clients' privacy."
"It's a minor injury. I'm sure you'll see her back in the neighborhood soon."
"Oh, what lovely flowers. She will enjoy these." - ANSWER It's my responsibility to
remind you that we have to respect our clients' privacy
A nurse is on a pediatric unit caring for 4 clients. The nurse should recommend an
interdisciplinary client care conference for which client?
A client who was diagnosed with cystic fibrosis and has a distended abdomen.
A client who is 10 hr postoperative from an appendectomy.
A client who is 6 hr postoperative from a tonsillectomy.
A client who was diagnosed with acute diarrhea from the Norovirus. - ANSWER Cystic
fibrosis patient
A nurse is caring for an adolescent who has a history of violent behavior and has asked the
nurse to keep information about desires of killing classmates and a teacher confidential.
Which response by the nurse is appropriate?
"Because you are a minor, I have to share any information that I feel is important with your
parents."
"I cannot promise that. I must share this information with other members of the team who
are responsible for planning your care."
"I will not violate our nurse-client relationship. The information we discuss will remain
confidential between us."
"I can see that you trust me, but you should share those feelings with your psychiatrist, not
me." - ANSWER "I cannot promise that. I must share this information with other
members of the team who are responsible for planning your care."
A charge nurse is making assignments for nursing personnel who will be caring for clients
during the oncoming shift. Which of the following factors should the charge nurse consider?
The most experienced nurse receives the more complex clients
Personal comfort level in making the assignments
2
