CEPN Final Exam Practice Questions And Correct Well Detailed Answers.

A nurse who advocates for a longer stay when a medically indigent patient is being prematurely discharged due to an inability to pay for care is applying which ethical principle? A. Justice B. Beneficence C. Autonomy D. Fidelity -Correct answersa. justice When nurses receive a patient assignment and accept reports on these patients, they are committed to providing care to those assigned to them. This is based on the ethical principle of A. beneficence. B. fidelity. C. justice. D. veracity. -Correct answersb. fidelity Taking a geriatric patient to the recreation room at a promised time is based on the belief in the ethical principle of A. autonomy B. fidelity C. justice D. veracity -Correct answersb. fidelity A school nurse teaching school-aged children about hand hygiene is an example of which ethical principle? A. Beneficence B. Justice C. Veracity D. Autonomy -Correct answersa. beneficence The current emphasis on eliminating racially based health disparities is based on which of the following ethical principles? a) Double effect b) Fidelity c) Justice d) Veracity -Correct answersc. justice Answering a terminally ill patient's questions about his or her condition honestly is based on a belief in the ethical principle of a) autonomy. b) fidelity. c) justice. d) veracity. -Correct answersd. veracity A nurse is turning a patient to prevent pressure ulcers. The patient complains that the nurse is hurting him. The nurse explains the reason for the turning schedule and asks the patient if it is ok to complete the task. Turning this patient supports the ethical principle of a) autonomy. b) fidelity. c) nonmaleficence. d) veracity. -Correct answersc. nonmaleficence Allowing a patient to refuse chemotherapy is based on a belief in the ethical principle of A.justice. B.autonomy. C.Nonmaleficence, D.death with dignity. -Correct answersb. autonomy In a clinical setting, professional ethics should override personal morals and values. 1.True 2.False -Correct answers1. true According to the nurse's Code of Ethics, the hallmark of nursing practice is A. autonomy. B. accountability. C. evidence-based practice. D. altruism. -Correct answersb. accountability Which document guides RNs in all practice settings regarding their specific responsibilities and obligations to their patients and others they serve? a)ANA's Nursing: Scope and Standards of Practice b)ANA's Code of Ethics for Nurses with Interpretive Statements c)Gilligan's stages of moral reasoning d)International Council of Nurses -Correct answersb. ANA Code of Ethics for Nurses with Interpretive Statements To use an ethical decision-making model, which step should the nurse perform first? a)Gather and examine all possible solutions. b) Identify the ethical dilemma in the case. c) Identify all parties who will be impacted by the decision. d) Gather all information important to the situation -Correct answersb. identify the ethical dilemma in the case Which of the following is an important step in preventing legal action against the nurse? A. Never make a mistake. B. Deflect blame from yourself as much as possible. C. Develop caring, therapeutic relationships with patients. D. Avoid explaining care procedures to patients. -Correct answersC. Develop caring, therapeutic relationships with patients. The nurse giving medications to a patient notes that an order for a medication is much larger than the typical dose given. The nurse looks up the medication in a pharmacology database and learns the prescribed dose is too large. Which action should the nurse take? A. Documenting the findings in the chart after giving the medication B. Calling the nursing supervisor and ask what to do next C. Calling the pharmacist to obtain the usual dosage D. Notifying the physician of these findings & verifying the order before giving the medication -Correct answersD. Notifying the physician of these findings & verifying the order before giving the medication A nursing student got a thank-you card from a patient's family and had another student take a photo of the student with the family. The student asks the nursing instructor if it would be alright to post the photo on Facebook. Which response by the instructor is best? A. "Yes, as long as you ask the family if that would be OK." B. "I think that would be OK, but you should check hospital policy." C. "No, posting pictures of patients and families on social media sites is not acceptable." D. "No, that could lead to a malpractice suit by the patient or family." -Correct answersC. "No, posting pictures of patients and families on social media sites is not acceptable." The nurse caring for a patient states, "Your blood pressure is dangerously high. Are you taking antihypertensive medicine?" The patient states, "I can't afford my medicine. I have no insurance." The nurse tells her colleague: "I feel really sorry for that patient. I wish it wasn't against policy to give her money." The nurse wants to help and posts a message on Facebook that any donations would be appreciated to help a waitress who works at the cafeteria next door to the hospital buy her medications. The nurse posts that "She was so sick last evening when she came to the ED. Pleases help and donate if you can." Did this nurseviolatedthe pts HIPPA rights -Correct answersYES A competent resident in a long-term care facility refuses an ordered antidepressant medication. The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient. This illustrates negligence by failure to •A. follow the standard of care. •B. assess and monitor a patient. •C. communicate with a patient (hiding the med). •D. document the patient's symptoms -Correct answers•C. communicate with a patient (hiding the med). Which of the following is a nursing responsibility regarding informed consent? A. Canceling the procedure if the patient has questions B. Explaining the procedure, risks, and treatment alternatives C. Serving as a witness, ensuring that the patient does not feel coerced into a decision D. Ensuring that the physician has completely explained the costs of the procedure -Correct answersC. Serving as a witness, ensuring that the patient does not feel coerced into a decision In which of the following situations should the legality of an informed consent be questioned? A. Patient with dementia; consent given by spouse B. Patient who received a pre-operative dose of Demerol and is "sleepy" when asked to give consent C. Patient who is anxious and asks many questions of the physician before signing consent D. Patient who expresses concern about the cost of the procedure before signing consent -Correct answersB. Patient who received a pre-operative dose of Demerol and is "sleepy" when asked to give consent Which of the following constitute the essential characteristics for a malpractice lawsuit due to negligence? (Select all that apply.) A. The nurse assumed the responsibility for the patient's care. B. The nurse is found to have failed to meet the standard of care. C. The harm to the patient must be shown to have been caused by the failure to meet the standard of care. D. Harm to an individual has occurred. E. The nurse's action involves acts of commission -Correct answersA. The nurse assumed the responsibility for the patient's care. B. The nurse is found to have failed to meet the standard of care. C. The harm to the patient must be shown to have been caused by the failure to meet the standard of care. D. Harm to an individual has occurred. Which of the following is an acceptable reason for breaking a patient's confidentiality? A. Reporting certain diseases and/or abuse/neglect to public health authority B. Discussing a patient's care with someone who does not know the patient C. Leaving printouts of lab reports on the desk in the physicians' lounge as a convenience D. Discussing a patient's condition in a public place as long as the patient's name is not mentioned -Correct answersA. Reporting certain diseases and/or abuse/neglect to public health authority The RN delegates changing a indwelling urinary catheter to a licensed practical/vocational nurse (LPN/LVN). Then, the patient developed a urinary tract infection. Which of the following statements is true? 1.The LPN/LVN is guilty of malpractice. 2.The RN is responsible for acts he/ she delegates. 3.The hospital cannot be held responsible for the acts of its employees. 4.A malpractice suit cannot be brought as no harm came to the patient. -Correct answers2. The RN is responsible for acts he/she delegates •A graduate with a BSN from an accredited nursing program in Pittsburgh and took the NCLEX-RN licensure exam in Philly (where he lives) and pass - He is licensed to practice as a registered nurse in PA. •Next, he moves to California to start a new job. • How can he get a license to practice nursing in California? Next Slide. Which answer is correct? A. Register and take the NCLEX-RN exam in California in order to become licensed in that state. B. Apply for licensure by endorsement and pay a registration fee to receive a California nursing license. C. You do not have to get a license in California since you have a valid Pennsylvania license that allows you to practice in the United States. D. Work for six months in California before applying for a CA RN license. -Correct answersB. Apply for licensure by endorsement and pay a registration fee to receive a California nursing license. •Who sets educational standards for nursing licensure? 1.National Council Licensure Examination (NCLEX) 2.Nursing Licensure Boards (NLB) 3.Nursing Regulatory Boards (NRB) 4.State Boards of Nursing (SBN) -Correct answers4. State Boards of Nursing (SBN) What is the function of theNational Council of State Boards of Nursing (NCSBN)? A. Overseeing decisions made by state boards of nursing B. Developing the NCLEX-RN" licensing examinations C. Administering the NCLEX examination at testing centers D. Overseeing granting licensure by endorsement -Correct answersB. Developing the NCLEX-RN" licensing examinations A patient demonstrates obvious regression in the ability to perform self-care during the working phase. Which response by the nurse is most appropriate? A. Frustration because the patient does not appear to be motivated to achieve goals B. Persistence in demonstrating the importance of achieving goals C. Patience and understanding because regression is a defense mechanism D. Ignoring it because the nurse realizes the patient is exhibiting childlike behavior -Correct answersC. Patience and understanding because regression is a defense mechanism The nurse plans to teach a patient about the care of her mastectomy site. The nurse finds the patient crying. The best response by the nurse is, A. "It is time to discuss how to care for the surgical site." B. "You seem upset. You should start looking forward to going home and being a wife and mother again." C. "I see you are upset. Is there something on your mind you'd like to talk about?" D. "Dr. Abrams said you can go home tomorrow, and we need to talk about the care of your surgical site." -Correct answersC. "I see you are upset. Is there something on your mind you'd like to talk about?" ´A patient states, "The thing that scares me the most about surgery is the spinal anesthesia. I'm afraid it'll leave me paralyzed." ´The nurse responds, "Everything will be fine. The anesthesiologists are very skilled in administering spinal anesthesia." ´The nurse's response is an example of a communication breakdown known as..... A. failing to see the uniqueness of the individual. B. failing to recognize levels of meaning. C. using value statements. D. using false assurance. -Correct answersD. using false assurance. In which of the following examples is the nurse demonstrating empathy for the postoperative mastectomy patient? A. "With today's advanced reconstruction techniques, you'll quickly forget you ever had surgery." B. "You'll be back to your busy routine sooner than you think." C. "This must be a very difficult time for you." D. "I know how you feel; I also had breast cancer." -Correct answersC. "This must be a very difficult time for you." A new mother says, "My baby is being kept in the nursery. I'm really worried about him. I'm also worried that the separation will interfere with breastfeeding." The most appropriate response by the nurse is, A. "Well, that's not my territory. You'll have to deal with the nursery staff about breastfeeding." B. "As a nurse on this unit, I can assure you that we will do all we can to help you." C. "I can see you're upset about this, but to be honest with you, I'm a new nurse here, and I'm not sure how I can help you." D. "I can see this is a problem for you. I will go to the nursery and see if I can get some answers for you." -Correct answersD. "I can see this is a problem for you. I will go to the nursery and see if I can get some answers for you." Within nurse-patient communication, the use of silence can A. block further therapeutic communication. B. allow the patient to not feel pressured to provide information. C. demonstrate trust.