NURSE 420 Leadership

NURSE 420 Leadership 1. A client states: “ I do not want to be awakened for breakfast-I didn’t sleep at all last night.” What is the first action for the RN to take? a. Notify the client’s provider b. Talk with the client to work out a mutual plan c. Consult with the patient’s family to get suggestions d. Contact the dietitian 2. An elderly client who has a documented history of dementia is intermittently alert and can currently tell you her name. Who should sign the client’s informed consent for an invasive diagnostic procedure? a. The client’s husband, who is blind b. The client herself, who has an advance directive c. The client’s friend who has durable power of attorney for health care for the client d. The client’s daughter, who is competent and visiting her mother from out of state 3.An elderly client who has a documented history of dementia is intermittently alert and can currently tell you her name. Who should sign the client’s informed consent for an invasive diagnostic procedure? a. Libel b. Slander c. Assault d. negligence 4. When referring to the standard of care, which phrase best describes the meaning of a nursing standard of care? a. The belief that nurses will always behave in a wise/prudent manner. b. The directive that ensures all nurses will always act in ways that help patients get better c. The ethical principle that states that a nurse shall do no harm d. The minimal level of nursing care and expertise that is expected to be delivered to a patient. 5. Which one of the following characteristics describes a “reasonable and prudent RN? a. At least 5 years of applicable RN experience b. Specialized RN skills for the assigned nursing area c. Average RN judgment and skill level in delivering patient care d. A BSN degree 6. An RN witnesses an assistive personnel (AP) under her supervision reprimand an elderly client for spilling urine form his urinal on the bed sheets. The AP verbally threatens to put a diaper on the client if he does use the urinal more carefully next time. Which one of the following wrong doings is the AP committing? a. False imprisonment b. Assault c. Invasion of Privacy d. slander 7. An RN accidentally sticks her hand with the syringe needle after administering an IM injection to a client. Which one of the following should the nurse do first? a. Notify the charge nurse of the incident b. Go to employee health services c. Complete an incident report d. Wash hand thoroughly with soap and water.