Foundations 310 Practice Exam A

Foundations 310 Practice Exam A A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the following actions should the nurse take regarding informed consent? -obtain the clients consent -witness the client's signature -explain the risks and benefits of the procedure -explain the procedure to the client if they do not understand -witness the client's signature (It is the nurse's responsibility to witness the client's signing of the consent form, and to verify that the client is consenting voluntarily and appears to be competent to do so.) A nurse is discussing the norming stage of the group development process with a student nurse. Which of the following statements by the student indicates an understanding of the discussion? -"This stage involves constructive efforts on the part of the group members." -"This stage is when testing occurs to identify boundaries of interpersonal behaviors." -"Consensus evolves in this stage." -"Resistance is evident as subgroups for in this stage." -"Consensus occurs in this stage." (Consensus occurs and cooperation develops during the norming stage of the group development process.) A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take? -tell the client to blow her nose gently before the instillation -assist the client to a side-lying position -hold the dropper 2 cm (1 in) above the naris -instruct the client to stay in the same position for 2 min -tell the client to blow her nose gently before the instillation (Prior to instillation, the nurse should instruct the client to blow her nose gently. This action will help remove any secretions or crusts that could interfere with the distribution and absorption of the medication.) A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? -"Information about a client can be disclosed to family members at any time." -"HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form." -"A client's address would be an example of personally identifiable information." -"HIPAA is a federal law, not a state law." -"Information about a client can be disclosed to family members at any time." (This statement reflects a need for further teaching. Privacy relates to the client's rights over the use and disclosure of his or her own personal health information.) A nurse has completed an informed consent form with a client. The client states, "I have changed my mind and do not want to have the procedure done." Which of the following actions should the nurse take?