Fundamentals Nursing Care Skills 2nd Edition By Ludwig Burton -Test Bank

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Fundamentals Nursing Care Skills 2nd Edition By Ludwig Burton -Test Bank Sample Test Chapter 3. Nursing Ethics and Law Multiple Choice Identify the choice that best complet... es the statement or answers the question. 1. After providing am care for his patient, the nurse forgot to put the bed in the lowest position and left one of the bed rails down. The patient got out of bed and fell. The nurse could be reported to the board of nursing for A. Assault. B. Battery. C. Negligence. D. Libel. 2. A nurse has been reported to the board of nursing for performing skills that are outside the scope of practice. The nurse should expect A. A lawsuit by the institution for malpractice. B. A hearing by the board of nursing to determine if charges are true. C. Immediate revocation of nursing license. D. Requirement to complete a minimum of 10 CEUs. 3. A nurse witnesses a coworker taking a medication ordered for a patient. The nurse’s first course of action is to A. Ask the other nurses on the unit what they would do. B. Tell the coworker that the incident will be reported the next time it happens. C. Offer to care for the nurse’s patients until the medication is no longer effective. D. Report the incident to the nurse supervisor. 4. A 17-year-old patient, injured during a football game, is in the emergency room. Prior to treatment it is the responsibility of the nurse to A. Have the stepparent sign the informed consent. B. Have the patient sign the informed consent. C. Obtain the custodial parent’s signature on the informed consent. D. Solicit the signature of the noncustodial parent on the informed consent. 5. A mentally competent patient with a terminal illness refuses to take his medications stating, “I don’t want to live like this.” The nurse will A. Ask the physician to change the patient’s medications so they can be given intravenously. B. Speak to the patient’s family about his refusal of medications so they can discuss it with him. C. Report the patient’s decision to the physician and continue to provide appropriate compassionate care. D. Explain to the patient the unwise nature of his decision and the effect that it will have on his family. 6. The nurse feels that the patient needs to be placed in a protective-restraint device to protect him from injury. In order to place a patient in restraints A. The patient must give his or her consent for restraints to be used. B. A family member must give his or her consent to use restraints. C. The nurse must have documentation that other methods have been used and failed to protect the patient. D. The patient must be alert and oriented. 7. The nurse explains to a patient that an instructional directive means A. A family member has been appointed as having power of attorney. B. A patient’s wishes must be followed in the event of a major illness. C. There is a Do-Not-Resuscitate (DNR) order for emergency personnel. D. There are written guidelines specifying care desired and under what circumstances. 8. A patient requests that the nurse copy his chart for his daughter. The nurse replies, A. “I’ll get a copy made right away. How many copies do you need?” B. “Only your lawyer can request a copy so you need to contact her.” C. “The chart belongs to the hospital, but if you give written permission, a copy can be made for you.” D. “HIPAA prevents the hospital from copying your chart, but you could speak to your physician about it.” 9. The nurse explains to coworkers that care provided for the patient is based on the Nurse Practice Act (NPA) which covers the A. Patient’s Bill of Rights. B. Rules and regulations which nurses must practice. C. American Nurses Association’s (ANA) guidelines. D. Reasons that nurses may have action taken against their licenses. 10. The patient has refused to take the medications brought in by the nurse. The nurse will chart, A. “Instructed patient that the medications will be taken now or later.” B. “Explained to patient that unless medications are taken, the physician will likely issue a discharge.” C. “Medications refused; physician notified.” D. “Physician notified that patient is uncooperative.” 11. Following a discussion with a patient about treatment options given by the primary care physician, the nurse assures the patient that the physician will support whatever decision is made. This nurse is acting as the patient’s A. Ethics board. B. Value system. C. Advocate. D. Conscience. 12. Aware that continuing education is a must in providing a high standard of patient care, the nurse will enhance her practice by A. Taking a cooking class. B. Becoming computer literate. C. Studying the history of nursing. D. Utilizing research to improve practice. Multiple Response Identify one or more choices that best complete the statement or answer the question. 1. The potential exists for a complaint of sexual harassment if the nurse states (select all that apply): A. “Would you please help me with one of my female patients? She is uncomfortable asking me to assist her to restroom.” B. “If I take the patient in Room 203 her pain medication, what are you going to do for me?” C. “When my patient’s physician arrives on the floor, let me know. I would like to make rounds with him.” D. “Could you help me with my patient? She’s very large and difficult to get up.” E. “Male nurses never carry their weight. I think they use that a female patient won’t let them catheterize them excuse so they don’t have to put in a Foley catheter.” 2. In some situations, a nurse is required by law to report findings from nurse-patient interaction and/or the nurse’s assessment. The nurse will notify the proper authorities when (select all that apply): A. A patient admits that her husband frequently hits her and has broken several bones. B. An elderly patient tells the nurse that she is afraid of her grandson. C. There are multiple bruises of varying colors on the back and abdomen of a 9 year old. D. An adolescent has a black eye. E. A patient refuses to answer the nurse’s question because his or her son will be mad. Completion Complete each statement. 1. The nurse manager discusses with staff that tort law may be applicable in certain patient situations. The five areas of tort law that apply to nurses are negligence, malpractice, assault and battery, false imprisonment, and . Chapter 3. Nursing Ethics and Law Answer Section MULTIPLE CHOICE 1. ANS: C Feedback A Assault is a threat to a person. B Battery is touching the patient or performing a treatment, etc. without the patient’s permission. C Leaving the bed in the lowest position and raising the bed rails are common standards of practice. Failure to those actions is negligence. Chapter Objective: Apply nursing ethics and laws to specific scenarios. D An example of libel is a false written statement that is untrue. PTS: 1 REF: Chapter: 3 | Page: 32 OBJ: Chapter Objective: 3- 12 KEY: Content Area: Coordinated Care | Integrated Process: Communication and Documentation | Client Need: Safe and Effective Care Environment/Coordinated Care/Legal Responsibilities | Cognitive Level: Analysis 2. ANS: B Feedback A The institution may terminate a nurse’s employment, but it is improbable that the institution will file a lawsuit B Most likely a hearing will be conducted by the board of nursing to determine if the charges reported are true Chapter Objective: Apply nursing ethics and laws to specific scenarios. C The nurse may have his or her license suspended, but the first course of action will be a hearing by the boa nursing to determine if charges are true. D Some boards of nursing may require CEUs or refresher courses that will not be the course of action. PTS: 1 REF: Chapter: 3 | Page: 35 OBJ: Chapter Objective: 3- 12 KEY: Content Area: Coordinated Care | Integrated Process: Communication and Documentation | Client Need: Safe and Effective Care Environment/Coordinated Care/Legal Responsibilities | Cognitive Level: Analysis 3. ANS: D Feedback A A nurse should never discuss the situation with coworkers. B It is the nurse’s responsibility to report the situation immediately. C Offering to provide care for the nurse’s patients temporarily and not reporting the incident immediately is an inappropriate action. D The nurse is to report the coworker’s behavior to the nurse supervisor immediately. Chapter Objective: Iden least six types of unethical behavior that as a nurse you must report. PTS: 1 REF: Chapter: 3 | Page: 32 OBJ: Chapter Objective: 3-3 KEY: Content Area: Coordinated Care | Integrated Process: Nursing Process/Implementation | Client Need: Safe and Effective Care Environment/Coordinated Care/Legal Responsibilities | Cognitive Level: Analysis 4. ANS: C Feedback A In most states, the stepparent does not have the legal authority to sign an informed consent. B An informed consent must be signed by someone 18 years or older unless he or she has been declared an emancipated minor. C Informed consent for a minor must be obtained from the parent with custody. Chapter Objective: Apply nursi ethics and laws to specific scenarios. D In most states the custodial parent, not the noncustodial parent, must sign the informed consent. PTS: 1 REF: Chapter: 3 | Page: 41 OBJ: Chapter Objective: 3- 12 KEY: Content Area: Coordinated Care | Integrated Process: Communication and Documentation | Client Need: Safe and Effective Care Environment/Coordinated Care/Informed Consent | Cognitive Level: Application 5. ANS: C Feedback A Forcing medications on a patient is a violation of the patient’s rights. It could also constitute assault and/or b charges. B Discussing the patient with his family without his permission violates HIPPA. C It is important to notify the physician of the patient’s decision and recognize the patient’s right to discontinue medications. Chapter Objective: Apply nursing ethics and laws to specific scenarios. D It is the patient’s right to refuse any form of treatment. The nurse can discuss all options with the patient, bu a patient that his decision is unwise is inappropriate. PTS: 1 REF: Chapter: 3 | Page: 33 OBJ: Chapter Objective: 3- 12 KEY: Content Area: Coordinated Care | Integrated Process: Nursing Process/Implementation | Client Need: Safe and Effective Care Environment/Coordinated Care/Client Rights | Cognitive Level: Analysis 6. ANS: C Feedback A If the patient is able to give consent, it is not likely that there is a need for restraints. B Although family members may give their consent for restraints to be used in the event that a patient may ca injury to self, it is not required. Unless other methods have been tried and failed, these have been documented in the nurse’s notes, and th C physician has ordered restraints, they may not be used. Chapter Objective: Explain ways to make your nurs entries in the patient’s chart so that the chart would serve you well in a court of law. D If a patient is alert and oriented, there is no need for restraints. PTS: 1 REF: Chapter: 3 | Page: 36 OBJ: Chapter Objective: 3- 10 KEY: Content Area: Safety and Infection Control | Integrated Process: Communication and Documentation | Client Need: Safe and Effective Care Environment/Safety and Infection Control/Restraints and Safety Devices | Cognitive Level: Application 7. ANS: D Feedback A A patient’s wishes are followed only when there is an advance directive and the patient has become incapa B Not all instructional directives require power of attorney. C An instructional directive may or may not address DNR; a doctor’s order is required in any event. An instructional directive has written guidelines explaining what type of care a patient wants and under what D circumstances if a person is unable to make his or her own decisions. Chapter Objective: Compare a proxy directive to an instructional directive. PTS: 1 REF: Chapter: 3 | Page: 42 OBJ: Chapter Objective: 3- 11 KEY: Content Area: Coordinated Care | Integrated Process: Teaching and Learning | Client Need: Safe and Effective Care Environment/Coordinated Care/Advance Directives | Cognitive Level: Application 8. ANS: C Feedback A The chart is the property of the hospital, and written permission is required for the chart to be copied. B With signed permission, the chart may be copied, most generally to a lawyer, another medical institution, or insurance company. C With signed permission by the patient, a copy of most of the chart can be made. Chapter Objective: Describ in which you could violate HIPAA regulations within a hospital or clinic setting. D HIPAA (Health Insurance Portability and Accountability Act) states that with signed permission, the chart can copied. PTS: 1 REF: Chapter: 3 | Page: 35 OBJ: Chapter Objective: 3-4 KEY: Content Area: Coordinated Care | Integrated Process: Teaching and Learning | Client Need: Safe and Effective Care Environment/Coordinated Care/Client Rights | Cognitive Level: Analysis 9. ANS: B Feedback A The Patient’s Bill of Rights was adopted by the American Hospital Association but may or may not be includ NPA. B An NPA writes and enforces rules and regulations dictating boundaries within which nurses must practice. C Objective: Read your state’s Nurse Practice Act in its entirety. C Guidelines of the ANA enhance the standards of nursing care. D Identifying reasons that a nurse may have action taken against his or her license is not all-inclusive of a stat NPA. PTS: 1 REF: Chapter: 3 | Page: 35 OBJ: Chapter Objective: 3-6 KEY: Content Area: Coordinated Care | Integrated Process: Teaching and Learning | Client Need: Safe and Effective Care Environment/Coordinated Care/Staff Education | Cognitive Level: Application 10. ANS: C Feedback A Telling or charting that a patient will take medications is inappropriate and constitutes assault. B Charting the statement indicates that the nurse forced or coerced the patient to take medications. C When making any entry into a patient’s chart, only the facts should be charted. Chapter Objective: Explain w make your nursing entries in the patient’s chart so that the chart would serve you well in a court of law. D Charting that the patient is uncooperative is the nurse’s opinion and isn’t appropriate on a legal document. PTS: 1 REF: Chapter: 3 | Page: 41 OBJ: Chapter Objective: 3- 10 KEY: Content Area: Coordinated Care | Integrated Process: Communication and Documentation | Client Need: Safe and Effective Care Environment/Coordinated Care/Legal Responsibilities | Cognitive Level: Analysis 11. ANS: C Feedback A An ethics board explores what action to take in a dilemma. B A value system is each person’s belief of something’s worth. C The nurse’s role as an advocate is to respect and support a patient’s decision regarding treatment, regardle the nurse’s personal feelings. Chapter Objective: Explain what it means to advocate for a patient. D Conscience is a person’s sense of right and wrong. The nurse would be acting on his or her own conscienc the patient’s conscience. PTS: 1 REF: Chapter: 3 | Page: 32 OBJ: Chapter Objective: 3-2 KEY: Content Area: Coordinated Care | Integrated Process: Communication and Documentation | Client Need: Safe and Effective Care Environment/Coordinated Care/Advocacy | Cognitive Level: Application 12. ANS: D Feedback A Taking a cooking class will not enhance nursing knowledge. B Improving computer literacy may or may not enhance a nurse’s ability to provide patient care. C While the history of nursing is important, it is not pertinent for enhancing nursing knowledge. High standards of care can be maintained when a nurse utilizes nursing research or other medical research D improve care. Chapter Objective: Identify at least five ways to keep your nursing practice up to date after graduating. PTS: 1 REF: Chapter: 3 | Page: 40 OBJ: Chapter Objective: 3-9 KEY: Content Area: Coordinated Care | Integrated Process: Caring | Client Need: Safe and Effective Care Environment/Coordinated Care/Performance Improvement | Cognitive Level: Analysis MULTIPLE RESPONSE 1. ANS: B, E Feedback: Asking what someone else will do for you, particularly between male and female nurses, can create a sexual innuendo; and the accusation that male nurses don’t carry their weight targets one gender and can result in complaints of sexual harassment. Seeking assistance with patients and stating a wish to make rounds with a physician do not constitute sexual harassment. Chapter Objective: Name five areas of tort law that apply to the nurse. PTS: 1 REF: Chapter: 3 | Page: 38 OBJ: Chapter Objective: 3-8 KEY: Content Area: Coordinated Care | Integrated Process: Communication and Documentation | Client Need: Safe and Effective Care Environment | Cognitive Level: Analysis 2. ANS: A, B, C, E Feedback: A nurse is required to report cases of admitted and suspected abuse, such as when an elderly patient states that she is fearful of another, there are varying degrees in colors of bruising in a minor, and an elderly patient refuses to discuss a subject with the nurse because of her son’s response. Spousal abuse involves adults, and while the nurse should communicate this information to the physician, the nurse is not required to report it. An adolescent with a black eye in the absence of acknowledgement of abuse or any other injuries would not result in suspicion of abuse. Chapter Objective: Apply nursing ethics and laws to specific scenarios. PTS: 1 REF: Chapter: 3 | Page: 30 OBJ: Chapter Objective: 3- 12 KEY: Content Area: Coordinated Care | Integrated Process: Caring | Client Need: Safe and Effective Care Environment/Coordinated Care/Legal Responsibilities | Cognitive Level: Analysis COMPLETION 1. ANS: sexual harassment Feedback: The three areas of tort law that directly affect nurses and their practice are assault and battery, false imprisonment, and sexual harassment. Chapter Objective: Name five areas of tort law that apply to the nurse. PTS: 1 REF: Chapter: 3 | Page: 36 OBJ: Chapter Objective: 3-8 KEY: Content Area: Coordinated Care | Integrated Process: Teaching and Learning | Client Need: Safe and Effective Care Environment/Coordinated Care/Staff Education | Cognitive Level: Knowledge Chapter 4. The Nursing Process and Decision Making Multiple Choice Identify the choice that best completes the statement or answers the question. 1. When educating a class of nursing students about the nursing process, the nursing instructor teaches that the nursing process is a A. Decision-making framework used by nurses to determine the needs of patients. B. Decision-making framework used by social workers when discharging patients. C. Decision-making framework used by nursing assistants when caring for patients. D. Decision-making framework used by physicians to determine the needs of patients. 2. When reviewing the nursing diagnoses in a student nurse’s written care plan, the nursing instructor recognizes that additional teaching is warranted when the student nurse includes a nursing diagnosis of: A. “Pain related to abdominal incision.” B. “Altered sensory perception related to surgery.” C. “Chronic fatigue syndrome related to poor diet.” D. “Altered nutrition related to nausea and vomiting.” 3. The nurse encourages the student nurse to practice using skillful reasoning and logical thought to determine the merits of a belief or action. This approach best describes A. Critical thinking. B. Sensory overload. C. Concrete thinking. D. Logical reasoning. 4. The nurse receives an order from the physician for an anticoagulant to be administered to a patient who has a deep vein thrombosis. The nurse recognizes that the patient has a critical international normalized ratio (INR) level. The nurse should A. Redraw the INR level. B. Call the lab for clarification. C. Inform the physician of the INR level. D. Administer the anticoagulant in 1 hour. 5. While caring for a newly admitted patient, the nurse interviews the patient to obtain a health history, performs a head-to-toe assessment, and reviews laboratory and diagnostic tests. This step in the nursing process is called A. Planning. B. Evaluation. C. Assessment. D. Implementation. 6. When caring for a patient who complains of abdominal pain, the nurse determines that analgesics must be given to manage the patient’s pain. This step in the nursing process is called A. Planning. B. Diagnosis. C. Assessment. D. Implementation. 7. The nurse is caring for a patient who has a hip spica cast. The nurse monitors the patient for pain, pallor, parasthesia, pulselessness, and paralysis. When the patient complains of pain, the nurse administers analgesics. When the nurse medicates the pain, he or she is performing the step in the nursing process that is called A. Planning. B. Evaluation. C. Assessment. D. Implementation. 8. The nurse is caring for a patient with a diagnosis of asthma who is experiencing increased dyspnea. The nurse notifies the respiratory therapist who administers a nebulizer treatment. After the treatment, the patient continues to experience dyspnea. The nurse reflects on treatment to determine if the goal of relief from dyspnea has been accomplished. When the nurse determines if the goal has been met, he or she is performing the step in the nursing process that is called A. Planning. B. Diagnosis. C. Evaluation. D. Implementation. 9. The nurse has just finished completing an admission assessment of a newly admitted patient. Next the nurse should A. Implement the plan of care. B. Plan the nursing interventions. C. Formulate a nursing diagnosis. D. Evaluate the effects of interventions. 10. The nurse receives a patient who was a direct admission. The nurse initially completes an assessment on the patient and gathers a health history. The nurse determines the top-priority nursing diagnosis. Next the nurse should A. Implement the plan of care. B. Plan the nursing interventions. C. Implement the nursing interventions. D. Evaluate the effects of interventions. 11. The nurse admits a patient and selects the priority nursing diagnosis of acute pain. The nurse plans to administer analgesics as needed. When the patient complains of pain, the nurse medicates the patient. Next the nurse should A. Assess the patient’s lab values. B. Create a new nursing diagnosis. C. Administer an additional analgesic. D. Evaluate the effects of the analgesic. 12. A patient arrives to the nursing unit as a direct admit. First the nurse should A. Assess the patient. B. Ambulate the patient. C. Create a nursing diagnosis. D. Evaluate the patient’s nursing goals. 13. When the nurse gathers information through signs and symptoms and obtains the patient history, he or she is performing the step in the nursing process that is called A. Planning. B. Diagnosis. C. Assessment. D. Implementation. 14. When the nurse formulates nursing diagnoses through analysis of the assessment information, he or she is performing the step in the nursing process that is called A. Planning. B. Diagnosis. C. Assessment. D. Implementation. 15. When the nurse determines priorities and what nursing actions should be performed to help resolve or manage each patient problem, he or she is performing the step in the nursing process that is called A. Planning. B. Diagnosis. C. Assessment. D. Implementation. 16. When the nurse takes actions to resolve a patient’s problems, he or she is performing the step in the nursing process that is called A. Planning. B. Diagnosis. C. Assessment. D. Implementation. 17. When the nurse reflects on the interventions that he or she has performed and decides if they have brought the patient closer to achieving the goals and outcomes set in the planning step, he or she is performing the step in the nursing process that is called A. Planning. B. Diagnosis. C. Evaluation. D. Implementation. 18. The registered nurse (RN) supervises the licensed practical nurse (LPN/LVN). The RN recognizes that the most appropriate task to delegate to the LPN/LVN is A. Formulating a nursing diagnosis. B. Performing an initial admission assessment. C. Obtaining a patient’s morning weight. D. Administering an intramuscular analgesic. 19. The registered nurse (RN) is supervising the licensed practical nurse (LPN). The RN would intervene if the LPN was A. Formulating a nursing diagnosis. B. Administering subcutaneous insulin. C. Culturing a patient’s wound drainage. D. Obtaining a patient’s morning weight. 20. The registered nurse (RN) is supervising the licensed practical nurse (LPN). The RN would intervene if the LPN was A. Writing medication orders. B. Obtaining a urine culture. C. Checking a patient’s blood sugar. D. Administering a transdermal patch. 21. The registered nurse (RN) recognizes that there are three components to the assessment of patients when he or she gathers information about their problems and needs. These three components are A. Interviewing, problem solving, and prioritizing. B. Interviewing, assessment, and creating a list of nursing diagnoses. C. Interviewing, assessment, and reviewing laboratory and diagnostic tests. D. Interviewing, setting goals for the patient, and implementing those goals. [Show More]

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