A nurse is caring for a client when they individual goals to fins a mutually satisfying
erroneously administer a medication dosage that solution to the conflict. The goal becomes what is
is greater than the amount prescribed. Which of best overall, rather than what each individual
the following ethical principles is the nurse wants or thinks is best.
demonstrating when they notify the provider of
the medication error? - - Veracity.
A nurse in an acute care facility is caring for a
Holds that one should tell the truth. client who is leaving against medical advice
(AMA). Which of the following actions should the
nurse take? SATA - - Request the client
A nurse is performing morning rounds for a client sign an AMA form.
and finds the client's bedtime medication sitting Notify the provider of client's intent.
at the bedside in a medication cup. Which of the Advise the client about the dangers of leaving.
following actions should the nurse take? - -
Document the missed medication administration A signed AMA form can assist with a
in the client's medical record. counterclaim of negligence.
The nurse should immediately notify the provider
It is the responsibility of the nurse to record the of the clients intent to leave AMA.
facts of the missed medication administration in The nurse should discuss the potential dangers
the clients medical record. of leaving AMA, such as complications of the
clients medical condition.
A nurse is providing teaching to a client's adult
child regarding the clients discharge to home A charge nurse is conducting an in-service on
with hospice care. Which of the following advocacy for a group of newly licensed nurses.
statements by the client's adult child indicates an Which of the following examples should the
understanding of the teaching? - - The charge nurse include in the teaching as a
hospice team will provide services for the entire demonstration of client advocacy? SATA - -
family, not just my father. A nurse reports a procedure was completed
incorrectly by another nurse to the charge nurse.
Hospice services are provided by a team of A nurse arranges for an interpreter for a client
health care professionals and nonprofessional who speaks a different language.
that offer a full range of services, supporting both
the client and family through the dying process. The nurse should report improper completion of a
procedure to the charge nurse and complete an
incident report describing the incident. Reporting
A nurse manager is scheduling a meeting to to the charge nurse is an act of client advocacy,
address a conflict between staff members and a which allows the charge nurse to further monitor
client's family. In the meeting, staff and family the clients condition and prevent negative
members will identify common goals and express outcomes.
their concerns. Which of the following conflict Requesting an interpreter for a client who speaks
resolution strategies is the nurse manger a different language than the nurse. An
implementing? - - Collaboration interpreter will facilitate understanding of the
teaching and allow the client to communicate
Collaboration involves both parties agreeing to their needs to the nurse.
work towards a common goal rather than
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, VATI RN Leadership and Management Test with Answers
incident.
A nurse manger is working with a team to resolve
an ethical dilemma. Which of the following steps Evidence based practice indicate the nurse
should the team take to make an informed manager should first provide a verbal waring to
decision? - - Identify and state the nature the nurse as the initial step of the progressive
of the ethical dilemma. disciplinary process. This allows the nurse
List actions to take based on a list of alternatives. manager to meet with the nurse privately to
Decide to select one alternative. address the behavior and explain why this
Communicate the justification for the decision. conduct is unacceptable. If the remaining steps of
the progressive disciple process become
necessary, the nurse manager will give written
A nurse suspects a client is developing opioid reprimand, then a suspension, and finally the
use disorder and reduces the clients dosage of nurse manger will terminate the nurse if the
pain medication by 50% without a prescription behavior does not change.
from the provider. The nurse checks on the client
1hr later and sees the client sitting up in a chair.
The client tells the nurse, "I am in too much pain A nurse is admitting a client who has heart failure
to reach the nurse call button." The nurse is and speaks a different language than the nurse.
liable for which of the following legal violations? - Which of the following actions should the nurse
- Gross negligence take when communicating with the client using an
interpreter? - - Observe the clients
Gross negligence is an extreme breach of care nonverbal expressions.
with an intentional, reckless disregard of
consequences. The nurse's actions were Body language and nonverbal expressions can
intentional and reckless, in opposition of the assist the nurse to determine the client
provider's prescription, and placed the client at understanding of the information.
risk for pain and injury.
A nurse manager is considering changing the
A nurse is providing teaching for a client about policy for administering medications to clients on
advance directives. Which of the following client a unit. Which of the following actions should the
statements indicates an understanding of the nurse manager take first? - - Determine the
teaching? - - My health care proxy will unit staff's perception of the need for change.
make my health care decisions when I am no
longer able. The first action using the nursing process is
assessment. By determining the unit staff's
The client should discuss her health care wishes perception of the need for change, the nurse
with the health care proxy while she is able. manager will be able to implement effective
change.
A nurse manger is providing disciplinary action
for a staff nurse who is claiming 1hr of overtime A nurse is developing a plan of care for a client
every day for the past month to complete who has chronic kidney disease. The client gives
computer documentation. Which of the following the nurse copies of his advance directives which
actions should the nurse manager take first? - state that he does not want to begin dialysis.
- Speak with the nurse regarding the Which of the following actions should the nurse
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