CEPN Final Exam Questions And Answers Guaranteed Pass 100% Verified.

Which of the following is not considered a Quality and Safety Education for Nurses (QSEN) competency? A)Patient/family centered care B)Teamwork and collaboration C)Safety D)Root-cause analysis - Correct Answers D Nurses, physicians, and social workers finalize the plan of care and coordinate discharge for a homeless person who will need wound care and follow up over the next 4 weeks. Each member contributes based on his or her area of expertise but also recognize other members' strengths. Which of the QSEN competencies are being demonstrated? A. Quality improvement B. Evidence-based practice C. Teamwork and collaboration D. Need for continuing education - Correct Answers C In order to create a "Culture of Safety" what does an organization need? A)A punitive system for the healthcare workers guilty of committing the medical error. B)Senior level of management involvement only. C)Patient involvement is encouraged. D)Safety must be an organizational priority with appropriate education and training of employees. - Correct AnswersC A hospital standard states, "All intravenous (IV) sites must be rotated every 72 hours." The nurse who assesses and records variations from this standard is fulfilling which role of nursing? A. Infection control B. Quality Management C. Coordinator D. Counselor - Correct AnswersB Which of the following is a characteristic of the patient-centered care model of nursing care delivery? 1)It is easily explained to patients because it is based on traditional models of nursing care. 2)Communication among team members is not required to make the model work. 3)A multidisciplinary team emphasizes continuum of care and focuses on the patient's right to individualized care. 4)It decreases the number of registered nurses required to provide care. - Correct Answers3 What should you do "when things go wrong?" 1)Tell the patient and family what occurred but always make sure the hospital lawyer is present. 2)Keep in mind that if you admit the error and apologize the patient and family have grounds for a law suit. 3)It is important to not visit the patient and family too often because they may become suspicious of your motives. 4)Disclose the error as soon as possible, apologize, and make sure to communicate with the patient and family more, not less. - Correct Answers4 What is the primary function of the National Council of State Boards of Nursing (NCSBN)? A. Overseeing decisions made by state boards of nursing B. Developing the NCLEX-RN" and NCLEX-PN" licensing examinations C. Administering the NCLEX examination at testing centers D. Overseeing granting licensure by endorsement - Correct AnswersB •Who sets minimum 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 The Patient Self-Determination Act of 1991 provides for? - Correct AnswersAdvance directives (durable power of attorney for healthcare & living wills) Which of the following is a nursing responsibility regarding informed consent? - Correct AnswersServing as a witness, ensuring that the patient does not feel coerced into a decision Which of the following actions is acceptable as an exception to a nurse's obligation regarding confidentiality? A. Reporting certain diseases 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 The RN delegates changing a indwelling urinary catheter to a licensed practical/vocational nurse (LPN/LVN). 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 ultimately responsible for acts he or 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 Which of the following actions is acceptable as an exception to a nurse's obligation regarding confidentiality? A. Reporting certain diseases 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 For a malpractice law suite, essential characteristics of negligence must be present. Which of the following constitute these essential characteristics? (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,B,C,D 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 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 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. D. document. - Correct AnswersC Which patient rights are guaranteed by HIPPA? A. Patients are asked to sign a release of responsibility if their health care records inadvertently become a matter of public record. B. Patients sign a release protecting the health care provider and insurance company against computer file theft. C. Patients are protected against medical records being indiscriminately shared. D. Patients may receive a complete copy of their medical records at considerable cost to the patient. - Correct AnswersC The nurse giving medications to a pediatric patient notes that an order for a medication is considerably larger than the usual dose. The nurse looks up the medication in a pharmacology book and finds 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 before giving the medication - Correct AnswersD 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 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)Code of Ethics for Nurses with Interpretive Statements c)Gilligan's stages of moral reasoning d)International Council of Nurses - Correct Answersb 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 In a clinical setting, professional ethics should override personal morals and values. 1.True 2.False - Correct AnswersTrue 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 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. This is an example of the ethical principle of a) autonomy. b) fidelity. c) nonmaleficence. d) veracity. - Correct AnswersC 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 The current emphasis on eliminating racially based health disparities is based on which of the following ethical principles? a) Double effect