Challenge Questions
An LPN notices that a patient's respiratory rate has increased from 18/min to 30/min. The patient appears anxious.
What should the nurse do first?
What is recognize the change from baseline and assess the patient further.
This nursing pioneer founded the American Red Cross and demonstrated the importance of nursing during disasters.
Who is Clara Barton?
A nurse is discussing a patient's diagnosis with a friend in a public cafeteria. The friend does not know the patient. What is the primary concern with the nurse's behavior?
What is a HIPAA/privacy violation
This state law defines the legal scope of nursing practice and establishes licensure requirements.
What is the Nurse Practice Act
Which level of prevention includes vaccinations?
What is primary prevention
An RN asks an LPN to perform a procedure. The LPN believes the procedure is outside the LPN's legal scope of practice. The RN states:
“Don't worry. I told you to do it, so I'll take responsibility.”
1. Which concepts should guide the LPN's decision? Select all that apply.
2. Which action should the LPN take?
What is:
1= Scope of practice, Nurse Practice Act, & Accountability
2=Stop and seek guidance before performing a task outside the LPN's scope.
She is known as the founder of modern nursing and improved sanitation, organized nursing care, used statistics, and promoted formal nursing education.
Who is Florence Nightingale?
A patient refuses a recommended treatment after receiving information about the risks and benefits. The nurse respects the patient's decision. What ethical principle is demonstrated?
What is autonomy
An LPN is asked to perform a procedure that is outside the LPN's scope of practice. The charge nurse says, "Just do it, I need your help."
What should the LPN do?
What is do not perform the procedure. Stop and seek guidance because the LPN is accountable for practicing within their legal scope.
Medicare is primarily a federal program for which population?
What is Adults 65 and older and certain younger individuals with disabilities
An LPN is caring for a patient whose respiratory rate was previously 18/min. During rounds, the LPN notes the following:
1. Which findings should the LPN recognize as cues requiring further attention?
2. Which action should the LPN take first?
3. After action is taken, which finding best indicates the nurse should continue evaluating the patient's response?
What is:
1= Respiratory rate of 30/min, Change from the patient's baseline, & Patient appears anxious
2 = Further assess the patient and communicate the change appropriately.
3= The patient's condition improves from baseline.
This pioneer is associated with public health nursing and founded the Henry Street Settlement.
Who is Lillian Wald?
This ethical principle means being honest and truthful with patients, families, and coworkers.
What is veracity
A nurse fails to provide care that meets the accepted standard of care, and the patient is injured as a result. What type of legal concept may apply?
What is a tort
A tort is a civil wrong that can occur when an action or failure to act causes harm to a patient.
Medicaid is a joint federal-state program primarily serving what population?
What is Individuals and families with low income.
A patient recently experienced a stroke and is participating in physical and occupational therapy to improve function and independence.
1. Which level of prevention is being demonstrated?
2. Which interventions are examples of tertiary prevention?
What is:
1= Tertiary prevention
2= Rehabilitation after an injury, Chronic disease management, &/or Support programs that help manage disease
This nurse was the first African American licensed nurse in the United States.
Who is Mary Eliza Mahoney?
A nurse discovers that a patient's dignity is being compromised and speaks up to protect the patient's rights and preferences. What professional responsibility is being demonstrated?
What is advocacy
A nurse fails to meet the standard of care and the patient is harmed. What type of tort may have occurred?
What is malpractice/negligence
A patient has had a stroke and is receiving physical therapy to regain function and improve their ability to perform daily activities. Which level of prevention is being demonstrated?
What is tertiary prevention
Tertiary prevention = Manage disease and restore function. Ex: rehabilitation and chronic disease management.
An LPN is caring for a patient who has had a blood pressure of approximately 128/76 mmHg during the previous assessments. During rounds, the LPN obtains the following findings:
1. Which findings should the LPN recognize as cues requiring further attention?
2.Which action should the LPN take first?
3. What are some appropriate interventions?
What is:
1 = Blood pressure of 88/54 mmHg, Pulse:108/min, dizziness, Change in condition
2= Further assess the patient and take appropriate action for the change in condition.
3= Ensure patient safety, further assess, Position appropriately, notify RN/Provider, monitor
This pioneer advocated for improved treatment of people with mental illness and helped recruit nurses during the Civil War.
Who is Dorothea Dix?
A nurse gives compassionate care and takes actions that promote the patient's well-being and are in the patient's best interest. Which ethical principle is the nurse demonstrating?
What is beneficence
Beneficence = Do good/act in the patient's best interest.
A nurse deliberately threatens a patient with physical harm but never touches the patient. What intentional tort could apply?
What is assault
A patient is discharged with new medications but has no transportation to follow-up appointments. What should the nurse recognize?
What is a barrier to safe continuity of care that needs to be addressed before discharge.