Nursing Concepts Exam 3 Practice Questions and answers with verified solutions.

A primary care provider's orders indicate that a surgical consent form needs to be signed. Since the nurse was not present when the primary care provider discussed the surgical procedure, which statement best illustrates the nurse fulfilling the role of the client advocate? "What were you told about the procedure that you're going to have?" Although the client refused the procedure, the nurse insisted and inserted a nasogastric tube in the right nostril. The nurse has committed which of the following? Battery Brainpower Read More The nurse's partner/spouse undergoes exploratory surgery at the hospital where the nurse is employed. Which of the following practices is most appropriate? Access to the chart requires a signed release form from the client An ethical issue arises involving the nurse's assigned client. One of the most important responsibilities in managing this client care situation would be which of the following? Be able to defend the morality of one's own actions Which of the following situations most clearly demonstrates that the nurse is violating the underlying principles associated with professional nursing ethics? When asked about the purpose of a medication, a nurse colleague responds, "Oh, I never look them up. I just give what is prescribed." Following a motor vehicle accident, the parents refuse to permit withdrawal of life support from the child who has no apparent brain function. Although the nurse believes the child should be allowed to die and organ donation be considered, the nurse supports their decision. Which moral principle provides the basis for the nurse's actions? Respect for autonomy Which of the following statements would be most helpful when a nurse is assisting clients in clarifying their values? "Some people might have made a different decision. What led you to make your decision?" After recovering from her hip replacement, an older adult client wants to go home. The family wants the client to go to a nursing home. If the nurse were acting as a client advocate, the nurse would do which of the following? Help the client and family communicate their views to each other A client reports feeling hungry but does not eat when food is served. Using critical thinking skills, the nurse's priority action would be to Assess why the client is not eating the food provided In the decision-making process, the nurse sets and weighs the criteria, examines alternatives, and performs which of the following before implementing the plan? Determines the logical course of action should intervening problems arise The nursing student is receiving the mid-term clinical evaluation from the instructor. The instructor advises the student to increase teamwork, helping other team members when they have free time. The student demonstrates critical thinking with which of the following responses? "Can you tell me what things I'm doing that lead you to feel I am not acting as a team player?" The student nurse is caring for a client whose condition suddenly deteriorates. The client becomes short of breath and then stops breathing and pulse ceases. The nurse prioritizes actions by performing which of the following actions first? Call for help The nurse leader informs the staff of a local emergency and instructs them to stay at the hospital to prepare for major casualties. The staff display high levels of anxiety and disorganization. The most appropriate leadership style at this time is which of the following? Authoritarian Which of the following approaches best illustrates transformational leadership The leader stimulates group interest in establishing unit goals that contribute to the agency mission Which of the following examples is reflective of a nurse manager with accountability but not authority? The manager evaluates the unit staff but cannot promote or terminate staff The nurse takes a staff position working in a magnet hospital that has established committees to meet unit needs such as the Standards and Practice Committee, the Staff Education Committee, and the Quality Assurance Committee. The nurse anticipates this facility will promote what type of leadership style? Democratic A client who was informed of a cancer diagnosis assures the nurse he is fine. Which of the following is the most indicative physical evidence to the nurse of the client's stress? Hyperventilation Immediately after the parents of a hospitalized child are informed that the child has leukemia, the father responds by continuing his usual work schedule, rarely visiting, and asking when the child can return to school. Of the following, which is the least likely to be an appropriate nursing diagnosis at this time? Caregiver role strain An 82 year old man has been told by his primary provider that it is no longer safe for him to drive a car. Which statement by the client would indicate beginning of positive adaption to the loss? "Well, at least I have friends and family who can take me places" The student nurse is preparing to take final examination. What level of anxiety will improve the student's performance on the exam? Mild anxiety