Issues in Nursing Complete
guide
Which action of a nursing student regarding The Joint
Commission recommendations for creating a safe, welcoming
environment for lesbian, gay, bisexual, transgender, and
queer/questioning (LGBTQ) patients needs revision?
Posting a patient's bill of rights and nondiscrimination
policies visibly Arranging exclusive waiting rooms for
LGBTQ patients and their families Providing information
on special health care concerns for LGBTQ patients
Avoiding assumptions about any patient's sexual
orientation and gender identity - correct answer-
Arranging exclusive waiting rooms for LGBTQ patients and
their families As per the recommendation of The Joint
Commission, the nursing student should make all waiting
rooms inclusive of LGBTQ patients and families, not
special separate ones. This can be done by posting Safe
Zone, rainbow, or pink triangle signs. As a best practice
for patient safety and quality care, the nursing student
should post the patient's bill of rights and
nondiscrimination policies in a visible place. The
nursing student should have adequate information on
special health care concerns for LGBTQ patients and
provide the same whenever required. The nursing student
should never make assumptions about a patient's sexual
orientation and gender identity. A nursing student is
listing key points about ethics and values. Which point
listed by the nurse indicates a need for more education?
,"A nurse's point of view offers a unique voice in the
resolution of ethical dilemmas." "Professional nursing
promotes accountability, responsibility, advocacy, and
confidentiality." "The American Nurses Association (ANA)
code of ethics ensures that the code remains constant."
"Standards ethics in healthcare consist of autonomy,
beneficence, nonmaleficence, justice, and fidelity." -
correct answer- "The American Nurses Association (ANA)
code of ethics ensures that the code remains constant."
The American Nurses Association (ANA) code of ethics
reviews and revises the code regularly to reflect changes
in practice. The basic principles of the ANA code (such
as responsibility, accountability, advocacy, and
confidentiality) remain constant. A nurse's point of view
offers a unique voice in the resolution of ethical
dilemmas by including knowledge based upon clinical and
psychosocial observations. Professional nursing promotes
accountability, responsibility, advocacy, and
confidentiality. Standards ethics in healthcare consist
of autonomy, beneficence, nonmaleficence, justice, and
fidelity. A client with a mental illness in the emergency
unit needs to undergo an emergency surgery. What would be
the nurse's first course of action to prevent any legal
complications? Wait for a court order to intervene on the
client's behalf. Obtain consent from a person legally
authorized to give it on the client's behalf, if
available. Obtain a court order to state that the client
is incompetent to decide for himself or herself. Request
that the primary healthcare provider start the procedure
without the client's consent. - correct answer- Obtain
consent from a person legally authorized to give it on
the client's behalf, if available The nurse should
ideally try to obtain consent from a person legally
authorized to give it on the client's behalf in case of
,an emergency situation. Clients with mental illnesses
have the right to refuse treatment until a court has
legally determined that they are incompetent to decide
for themselves. However, in case of emergency situations,
healthcare providers should not wait for a court order.
In case healthcare providers are unable to obtain consent,
the primary healthcare provider can start with the
procedure to save the client's life. In such
circumstances the law accepts that the client would wish
to be treated. Which terminology system should the nurse
use to enter nursing diagnoses, interventions, and
outcomes in electronic health records? Omaha system
Perioperative Nursing Data Set (PNDS) Nursing
Interventions Classification (NIC) North American Nursing
Diagnosis Association (NANDA) International - correct
answer- Perioperative Nursing Data Set (PNDS) The nurse
should use clear a coding scheme while recording data in
electronic health records because it helps to prevent
confusion and ambiguity. The PNDS provides codes for
nursing diagnoses, interventions, and outcomes of
treatment. The Omaha system provides codes for problem
classification, intervention, and a problem rating scale
for outcomes. NIC provides codes only for interventions.
NANDA International provides codes only for nursing
diagnoses. A nurse who promotes freedom of choice for
clients in decision-making best supports which principle?
Justice Autonomy Beneficence Paternalism - correct
answer- Autonomy A nurse instructs a client who eats a
lot of candy to stop eating sweets in order to avoid high
blood sugar levels. What reaction might the nurse expect
if the client is in the contemplation stage "That will
never happen. I've been eating candy for a long time."
"I've been avoiding candy but can't help myself when I
see it at the store." "I've been able to cut down on how
, much candy I eat for the last 8 months." "I understand
that candy isn't good for my health, but I can't stay
away from it." - correct answer- "I understand that candy
isn't good for my health, but I can't stay away from it."
he nurse is collecting case reports that can be analyzed
using the failure mode effective analysis (FMEA) tool.
Which case files should the nurse collect? A patient is
in a coma due to severe hemolytic transfusion reaction. A
patient with depression committed suicide by falling off
the terrace of the hospital. A patient had a retained
foreign body left during surgery which was removed
immediately. A patient who was in wheelchair was rescued
from falling in the corridor of the hospital. A patient
developed a urinary tract infection after 4 days of
continuous catheterization. - correct answer- A patient
had a retained foreign body left during surgery which was
removed immediately. A patient who was in wheelchair was
rescued from falling in the corridor of the hospital. A
patient developed a urinary tract infection after 4 days
of continuous catheterization. The nurse needs to collect
health care data for all employees at a multi-specialty
hospital for research purposes. Which type of health
information technology would the nurse access to obtain
the needed information? Electronic health record (EHR)
Electronic medical record (EMR) Clinical information
systems (CIS) Regional Health Information Organization
health record (RHIO) - correct answer- Electronic health
records are the official health records of an individual,
which can be exchanged between facilities and health care
agencies. Electronic medical records are primarily
prepared and maintained within a healthcare provider's
facility; they are not shared between facilities.
Clinical information systems consist of the information
technology that provides the best tools for achieving
guide
Which action of a nursing student regarding The Joint
Commission recommendations for creating a safe, welcoming
environment for lesbian, gay, bisexual, transgender, and
queer/questioning (LGBTQ) patients needs revision?
Posting a patient's bill of rights and nondiscrimination
policies visibly Arranging exclusive waiting rooms for
LGBTQ patients and their families Providing information
on special health care concerns for LGBTQ patients
Avoiding assumptions about any patient's sexual
orientation and gender identity - correct answer-
Arranging exclusive waiting rooms for LGBTQ patients and
their families As per the recommendation of The Joint
Commission, the nursing student should make all waiting
rooms inclusive of LGBTQ patients and families, not
special separate ones. This can be done by posting Safe
Zone, rainbow, or pink triangle signs. As a best practice
for patient safety and quality care, the nursing student
should post the patient's bill of rights and
nondiscrimination policies in a visible place. The
nursing student should have adequate information on
special health care concerns for LGBTQ patients and
provide the same whenever required. The nursing student
should never make assumptions about a patient's sexual
orientation and gender identity. A nursing student is
listing key points about ethics and values. Which point
listed by the nurse indicates a need for more education?
,"A nurse's point of view offers a unique voice in the
resolution of ethical dilemmas." "Professional nursing
promotes accountability, responsibility, advocacy, and
confidentiality." "The American Nurses Association (ANA)
code of ethics ensures that the code remains constant."
"Standards ethics in healthcare consist of autonomy,
beneficence, nonmaleficence, justice, and fidelity." -
correct answer- "The American Nurses Association (ANA)
code of ethics ensures that the code remains constant."
The American Nurses Association (ANA) code of ethics
reviews and revises the code regularly to reflect changes
in practice. The basic principles of the ANA code (such
as responsibility, accountability, advocacy, and
confidentiality) remain constant. A nurse's point of view
offers a unique voice in the resolution of ethical
dilemmas by including knowledge based upon clinical and
psychosocial observations. Professional nursing promotes
accountability, responsibility, advocacy, and
confidentiality. Standards ethics in healthcare consist
of autonomy, beneficence, nonmaleficence, justice, and
fidelity. A client with a mental illness in the emergency
unit needs to undergo an emergency surgery. What would be
the nurse's first course of action to prevent any legal
complications? Wait for a court order to intervene on the
client's behalf. Obtain consent from a person legally
authorized to give it on the client's behalf, if
available. Obtain a court order to state that the client
is incompetent to decide for himself or herself. Request
that the primary healthcare provider start the procedure
without the client's consent. - correct answer- Obtain
consent from a person legally authorized to give it on
the client's behalf, if available The nurse should
ideally try to obtain consent from a person legally
authorized to give it on the client's behalf in case of
,an emergency situation. Clients with mental illnesses
have the right to refuse treatment until a court has
legally determined that they are incompetent to decide
for themselves. However, in case of emergency situations,
healthcare providers should not wait for a court order.
In case healthcare providers are unable to obtain consent,
the primary healthcare provider can start with the
procedure to save the client's life. In such
circumstances the law accepts that the client would wish
to be treated. Which terminology system should the nurse
use to enter nursing diagnoses, interventions, and
outcomes in electronic health records? Omaha system
Perioperative Nursing Data Set (PNDS) Nursing
Interventions Classification (NIC) North American Nursing
Diagnosis Association (NANDA) International - correct
answer- Perioperative Nursing Data Set (PNDS) The nurse
should use clear a coding scheme while recording data in
electronic health records because it helps to prevent
confusion and ambiguity. The PNDS provides codes for
nursing diagnoses, interventions, and outcomes of
treatment. The Omaha system provides codes for problem
classification, intervention, and a problem rating scale
for outcomes. NIC provides codes only for interventions.
NANDA International provides codes only for nursing
diagnoses. A nurse who promotes freedom of choice for
clients in decision-making best supports which principle?
Justice Autonomy Beneficence Paternalism - correct
answer- Autonomy A nurse instructs a client who eats a
lot of candy to stop eating sweets in order to avoid high
blood sugar levels. What reaction might the nurse expect
if the client is in the contemplation stage "That will
never happen. I've been eating candy for a long time."
"I've been avoiding candy but can't help myself when I
see it at the store." "I've been able to cut down on how
, much candy I eat for the last 8 months." "I understand
that candy isn't good for my health, but I can't stay
away from it." - correct answer- "I understand that candy
isn't good for my health, but I can't stay away from it."
he nurse is collecting case reports that can be analyzed
using the failure mode effective analysis (FMEA) tool.
Which case files should the nurse collect? A patient is
in a coma due to severe hemolytic transfusion reaction. A
patient with depression committed suicide by falling off
the terrace of the hospital. A patient had a retained
foreign body left during surgery which was removed
immediately. A patient who was in wheelchair was rescued
from falling in the corridor of the hospital. A patient
developed a urinary tract infection after 4 days of
continuous catheterization. - correct answer- A patient
had a retained foreign body left during surgery which was
removed immediately. A patient who was in wheelchair was
rescued from falling in the corridor of the hospital. A
patient developed a urinary tract infection after 4 days
of continuous catheterization. The nurse needs to collect
health care data for all employees at a multi-specialty
hospital for research purposes. Which type of health
information technology would the nurse access to obtain
the needed information? Electronic health record (EHR)
Electronic medical record (EMR) Clinical information
systems (CIS) Regional Health Information Organization
health record (RHIO) - correct answer- Electronic health
records are the official health records of an individual,
which can be exchanged between facilities and health care
agencies. Electronic medical records are primarily
prepared and maintained within a healthcare provider's
facility; they are not shared between facilities.
Clinical information systems consist of the information
technology that provides the best tools for achieving
