NUR-218 Contemporary Nursing: Chapters 1-4 & 6-8
Questions With Complete Solutions
A client who insists on leaving the hospital against medical
advice (AMA) after being properly advised signs the necessary
form. In order to avoid legal consequences regarding the client's
decision, the nurse should:
a. objectively document all the details of the situation
thoroughly but concisely in the client's medical record.
b. notify the nursing supervisor of the client's decision and that
all reasonable efforts were made to dissuade the client from
leaving.
c. have a member of the security staff escort the client off the
facility's property and into their private vehicle or public
transportation.
d. with the client's permission notify a contact person that the
client is leaving the hospital against medical advice. Correct
Answers a. objectively document all the details of the situation
thoroughly but concisely in the client's medical record.
Almost all health care facilities have an AMA form that patients
are asked to sign when they decide to refuse or discontinue
ordered therapy or intend to leave the facility. The value of the
document in countering a claim of negligence should the patient
or family later sue will depend in great part on the quality of the
,nurse's charting. Although the other options may be correct
procedures, they are not directed toward protecting the nurse
legally.REF: p. 154
A new nurse manager is concerned about the workforce
diversity in the unit. A staff survey is created to assess the
opinion of those who work on the unit about their perceptions.
Which of the following questions should be added to the survey?
a. Do you find the income potential adequate for the nurse on
the unit?
b. Do you find the work to be routine and boring?
c. Do you experience a lack of professional autonomy while
working on the unit?
d. Do you have the perception that nursing is a female
profession? Correct Answers d. Do you have the perception that
nursing is a female profession?
Nursing continues to be viewed as a female profession although
the number of males entering the profession is steadily
increasing. The public views nursing as an interesting and
meaningful profession that provides good job security but does
not provide job independence. The perception of job
independence affects both male and females equally.REF: pp.
29-30
,A novice nurse reading a research article should first concentrate
on which sections of the article?
a. Abstract and discussion
b. Study design and methods
c. Future implications and acknowledgment
d. Introduction and results Correct Answers a. Abstract and
discussion
The abstract section of the article gives an overview of the
study, and the discussion section offers suggestions for nursing
practice based on the findings of the research study. These two
sections often are the easiest for the novice to interpret. The
remaining sections can be confusing, and consulting a CNR to
help interpret results is suggested.REF: p. 98-99
A nurse manager recognizes which of the following as an
example of a desirable practice-based competency outcome for a
recently licensed registered nurse? The novice nurse:
a. demonstrates excellent communication and interpersonal
skills.
b. meets orientation expectations 1 week ahead of schedule.
, c. has no absences during the required probationary employment
period.
d. asks for a work schedule that supports enrollment in an
advanced nursing program. Correct Answers b. meets
orientation expectations 1 week ahead of schedule.
The outcomes of practice-based competency relate to clinical
practice. Demonstrating the ability to achieve the goals of the
facility's orientation program 1 week ahead of schedule shows
clinical expertise and professional confidence, both reflective of
practice-based competency. An excellent attendance record and
an interest in earning an advanced nursing degree reflect
professionalism, and although effective communication and
interpersonal skills are desirable, they are not considered among
the necessary clinical care skills.REF: p. 43
A nursing class is divided into four teams. The teams are asked
to make recommendations for resolving concerns that have a
negative impact on the learning environment. Which of the
following interventions should be implemented?
a. Presenting information using a variety of methods so that all
learning styles will be addressed.
b. Requiring that electronic devices be turned off when entering
a classroom or other learning environment.
c. Presenting information on the proper use of social media by
nursing students as it impacts client confidentiality.
Questions With Complete Solutions
A client who insists on leaving the hospital against medical
advice (AMA) after being properly advised signs the necessary
form. In order to avoid legal consequences regarding the client's
decision, the nurse should:
a. objectively document all the details of the situation
thoroughly but concisely in the client's medical record.
b. notify the nursing supervisor of the client's decision and that
all reasonable efforts were made to dissuade the client from
leaving.
c. have a member of the security staff escort the client off the
facility's property and into their private vehicle or public
transportation.
d. with the client's permission notify a contact person that the
client is leaving the hospital against medical advice. Correct
Answers a. objectively document all the details of the situation
thoroughly but concisely in the client's medical record.
Almost all health care facilities have an AMA form that patients
are asked to sign when they decide to refuse or discontinue
ordered therapy or intend to leave the facility. The value of the
document in countering a claim of negligence should the patient
or family later sue will depend in great part on the quality of the
,nurse's charting. Although the other options may be correct
procedures, they are not directed toward protecting the nurse
legally.REF: p. 154
A new nurse manager is concerned about the workforce
diversity in the unit. A staff survey is created to assess the
opinion of those who work on the unit about their perceptions.
Which of the following questions should be added to the survey?
a. Do you find the income potential adequate for the nurse on
the unit?
b. Do you find the work to be routine and boring?
c. Do you experience a lack of professional autonomy while
working on the unit?
d. Do you have the perception that nursing is a female
profession? Correct Answers d. Do you have the perception that
nursing is a female profession?
Nursing continues to be viewed as a female profession although
the number of males entering the profession is steadily
increasing. The public views nursing as an interesting and
meaningful profession that provides good job security but does
not provide job independence. The perception of job
independence affects both male and females equally.REF: pp.
29-30
,A novice nurse reading a research article should first concentrate
on which sections of the article?
a. Abstract and discussion
b. Study design and methods
c. Future implications and acknowledgment
d. Introduction and results Correct Answers a. Abstract and
discussion
The abstract section of the article gives an overview of the
study, and the discussion section offers suggestions for nursing
practice based on the findings of the research study. These two
sections often are the easiest for the novice to interpret. The
remaining sections can be confusing, and consulting a CNR to
help interpret results is suggested.REF: p. 98-99
A nurse manager recognizes which of the following as an
example of a desirable practice-based competency outcome for a
recently licensed registered nurse? The novice nurse:
a. demonstrates excellent communication and interpersonal
skills.
b. meets orientation expectations 1 week ahead of schedule.
, c. has no absences during the required probationary employment
period.
d. asks for a work schedule that supports enrollment in an
advanced nursing program. Correct Answers b. meets
orientation expectations 1 week ahead of schedule.
The outcomes of practice-based competency relate to clinical
practice. Demonstrating the ability to achieve the goals of the
facility's orientation program 1 week ahead of schedule shows
clinical expertise and professional confidence, both reflective of
practice-based competency. An excellent attendance record and
an interest in earning an advanced nursing degree reflect
professionalism, and although effective communication and
interpersonal skills are desirable, they are not considered among
the necessary clinical care skills.REF: p. 43
A nursing class is divided into four teams. The teams are asked
to make recommendations for resolving concerns that have a
negative impact on the learning environment. Which of the
following interventions should be implemented?
a. Presenting information using a variety of methods so that all
learning styles will be addressed.
b. Requiring that electronic devices be turned off when entering
a classroom or other learning environment.
c. Presenting information on the proper use of social media by
nursing students as it impacts client confidentiality.
