RASMUSSEN COLLEGE NUR2058 Dimensions of Nursing Exam 2

RASMUSSEN COLLEGE NUR2058 Dimensions of Nursing Exam 2 NUR2058 NUR/2058 Dimensions of Nursing Exam 2 1. All of the following are true about the nursing code of ethics except: Provides specific answers to many ethical dilemmas 2. The nurse is assigned to see a home-bound client on a daily basis to prepare the client’s medications. The nurse fails to visit the client and does not request that another nurse visit the client. The client is later admitted to the hospital after taking the wrong dosage of medication. Which ethical concept does this situation reflect? Abandonment 3. A client is held down by the nurse and forced to have a nasogastric tube placed. Which of the following could this represent? Battery 4. When applying the nursing process, which of the following should always be addressed first? Assessment 5. How can most living organisms be classified in general systems theory? Open systems 6. Which of the following are the steps to the nursing process? Select all that apply Planning Implementation Diagnosis Evaluation Assessment 7. What type of tort may occur if a client is not allowed to leave the hospital after receiving emergency care until the bill is paid? False imprisonment 8. Which of the following is the best substitute for self-determination if an individual is no longer competent to make their own health care decisions? Advance directive 9. Does clinical reasoning and judgment require various ways of thinking in the role of a nurse? True 10. A client complains of hip pain and requests pain medication. For the nurse to apply the nursing process, what would the nurse do next? Assess the hip and ask the client about their pain 11. The client’s short term outcome was to walk in the hallway by the end of the day. The nurse reviews the client outcome, determines that it was not met, and modifies the interventions. Which phase of the nursing process is this? Evaluation 12. Which of the following phases of the nursing process determines client problems, risks, and strengths? Diagnosis 13. What is another term that can be used for professional negligence? Malpractice Malpractice is more serious than mere negligence because it indicates professional misconduct or unreasonable lack of skill in performing professional duties. 14. An example of invasion of privacy would be: Discussing Mrs. Green’s surgery in the hospital cafeteria 15. The client must have a treatment requiring an informed consent. Whose role is it to review the proposed treatment and its associated risks with the client? Physician 16. Team building, nurse retention, and patient satisfaction are all benefits of being sensitive to personality types. True 17. Why is it important for nurses to understand and use a nursing theory or model in practice? Using models or theories of nursing aids practitioners in providing their care in an organized manner. 18. Which of the following theorists authored the Model of Goal Attainment? Imogene King The King Model of Goal Attainment developed by Imogene M. King. It is also called the King Intervention Model 19. A client suffered a ruptured appendix and had to have an open appendectomy. She is post-op day 1. She is able to perform many of her activities of daily living independently, such as wash her face, brush her teeth, feed herself, and reposition. However, she requires assistance to care for her indwelling urinary catheter, Jackson-Pratt drain, and change her dressing. Which of the following describes the level of care the nurse provides according to Orem’s self-care model? Partially compensated care 20. What are the primary ethical issues involved in genetic research? Violations of confidentiality and informed consent 21. Which of the following would not be appropriate to chart? The nurse thinks the patient is rude Wrong med giving or accident report 22. Identify the four concepts that are common in most nursing theories. Client, health, environment, nursing 23. You are teaching a group of senior citizens about the importance of getting their influenza and pneumonia vaccines. What type of intervention are you providing based on Neuman’s Health Care Systems Model? Primary 24. Upon what ethical principle do supporters of assisted suicide base their support for the practice? Self-determination which includes the decision to end one’s life Autonomy is the right of self-determination, independence, and freedom. 25. Which of the following does not describe critical thinking in nursing? Avoids the use of intuition and creativity 26. Which professional nursing organization wrote the Code of Ethics for Nurses? American Nurses Association 27. This theorist states that even though you may be a novice now, with a solid educational base and many patient care experiences over time, you will one day become an expert. Benner 28. A 16-year-old boy brought to the emergency room with a gunshot wound to the head is declared brain dead. His driver’s license identifies him as an organ donor, but the hospital staff is unable to locate his family for permission to take his organs. Another client in the same hospital will die within 24 hours without a heart transplant. The tissues of both clients match sufficiently for a transplant. What is the ethical course of action in this case? Continue to attempt to locate the client’s family while preparing for the transplant. 29. Identify the situation in which a nurse would likely be charged with negligence. Leaving the side rails down on a bed of a confused client Failing to lower bed and clients falls 30. Which situation is the nurse allowed to breech a client’s right of confidentiality? A 32-year-old comes to the emergency room for care after being raped in a parking lot Suicide (plans) or harm others 31. Critical thinking can also be referred to as common sense. False Is critical thinking simply common sense, something that can’t be taught? The answer is “No.” 32. The requirement that health-care providers do no harm to their clients is known as: Non-maleficence Non-maleficence is the requirement that health-care providers do no harm to their clients, either intentionally or unintentionally 33. Identify the statement that is most accurate concerning middle range nursing theories. They form the foundation for the current evidenced-based practice movement A middle-range theory is a set of relatively concrete concepts or propositions that lie between a minor working hypothesis found in everyday nursing research and a well-developed major nursing theory, like those previously discussed 34. Which of the following is the appropriate order in Benner’s stages of knowledge? Novice, Advanced beginner, Competent, Proficient, and Expert Novices, Advanced beginners, Competent, Proficient, Expert 35. The nurse is caring for a client who is a kinesthetic learner. How would the nurse best approach teaching the client how to self-inject insulin before discharge? Provide the patient with a practice syringe and vial Doers (Kinesthetic Learners) Learn best by moving, doing, experiencing, or experimenting. For example, you'd rather play with a syringe and inject a dummy before reading the procedure. 36. What is the practice of allowing a client to die without the use of any extraordinary measures? Passive euthanasia occurs when the patient dies because the medical professionals either don't do something necessary to keep the patient alive, or when they stop doing something that is keeping the patient alive Dignity 37. A 9-month-old baby who is developmentally delayed is tested for genetic abnormalities. After the results are back from the laboratory, a representative from the client’s medical insurance company calls the nurses’ station on the phone and asks for the results of the tests. How can the nurse best respond to this request? Refuse to give the information over the phone. 38. What study advice would you provide to a visual learner? In skills labs, don’t go first, begin by observing the skill. 39. The ethical principle which requires the health-care provider to tell the truth and not to deceive or mislead clients is known as: Veracity: the principle of truthfulness. It requires the health-care provider to tell the truth and not to intentionally deceive or mislead clients 40. Under which category are nursing licensure laws included? Civil Laws 41. What is the underlying legal concept that protects health-care professionals under the Good Samaritan Act? Implied consent 42. A client complains of pain to the nurse. The nurse medicates the client as prescribed, but then fails to follow up and make sure the patient is no longer in pain. Which of the following ethical principles has the nurse failed to demonstrate? Fidelity 43. Which of the following demonstrates the planning phase of the nursing process? The nurse specifies short and long term outcomes for the client 44. A nurse is providing a back rub to a client just after administering a pain medication to help decrease the client's pain. Which phase of the nursing process is this nurse demonstrating? Implementation 45. An 18 -month-old infant is brought into the emergency room with several recent cigarette burns on his chest and legs. What is the nurse’s legal responsibility in this case? Notify the attending physician or the emergency room supervisor Report. Nurses duty to report to a specified state agency 46. Which of the following “rights” are based on a moral principle? Ethical rights An example of an ethical right in the United States is the belief in universal access to health care Ethical rights (also called moral rights) are based on a moral or ethical principle. Ethical rights usually do not need to have the power of law to be enforced. In reality, ethical rights are often privileges allotted to certain individuals or groups of individuals Welfare rights (also called legal rights), Ethical rights (also called moral rights), Option rights are rights that are based on a fundamental belief in the dignity and freedom of humans 47. A client is in a coma and unable to make health-care decisions. Who should sign the informed consent for a non-emergent, scheduled surgery? Designated durable power of attorney for health care Doctor or family member 48. The processes used in ethical decision making include all of the following except: Voting on the best course of action The principles include autonomy, justice, fidelity, beneficence, non-maleficence, veracity, standard of best interest, and obligations. 49. Theory can be defined in nursing as which of the following? An attempt to identify a relationship that helps explain an observable phenomenon Is defined as 'a creative and rigorous structuring of ideas that project a tentative, purposeful, and systematic view of phenomena'. Through systematic inquiry, whether in nursing research or practice, nurses are able to develop knowledge relevant to improving the care of patients. 50. The term tort refers to a violation of the civil law? True A tort, in common law jurisdictions, is a civil wrong[1] that unfairly causes someone else to suffer loss or harm resulting in legal liability for the person who commits the tortious act. A tort is generally defined as a wrongful act committed against a person or his or her property independently of a contract. A person who commits a tort is called the tortfeasor and is liable for actions, including a direct violation of a person's legal rights or a violation of a standard of care that causes injury to a person. Torts are classified as unintentional, intentional, or quasi-intentional. Side Notes The process of making ethical decisions requires: • Commitment: The desire to do the right thing regardless of the cost • Consciousness: The awareness to act consistently and apply moral convictions to daily behavior • Competency: The ability to collect and evaluate information, develop alternatives, and foresee potential consequences and risks -In the ethical decision-making process, identify the steps that can exchange places depending on the circumstances? Determining the facts; identifying the ethical issues