chap4
26. The nurse researcher is aware that the type of variable that can be manipulated in a study is which type of variable?
A) Dependent
B) Independent
C) Quantitative
D) Qualitative
Ans: B
Feedback:
The independent variable is presumed to have an effect on the dependent variable. It may be manipulated if the researcher is doing an experimental study; in a nonexperimental study, it is assumed to have occurred naturally before or during the study.
26. A nurse states to the client that the nurse will keep the client free of pain. However, the client’s family wishes to try a treatment to prolong the client’s life that may necessitate withholding pain medication. This factor will cause an ethical dilemma for the nurse in relation to which ethical principle?
A) Fidelity
B) Veracity
C) Justice
D) Autonomy
Ans: A
Feedback:
Fidelity means being faithful to one's commitments and promises.
29. In the development of a literature review, the most effective source of information for nursing research is which of the following?
A) New England Journal of Medicine
B) Cumulative Index to Nursing and Allied Health Literature
C) Journal of Nursing Research
D) American Journal of Nursing
Ans: B
Feedback:
Indexes such as the Cumulative Index to Nursing and Allied Health Literature, International Nursing Index, Index Medicus, Nursing Studies Index, MedLine, and Nursing Research Index are valuable in locating nursing-based literature and research studies.
28. A postanesthesia care nurse is reporting about a client to the intensive care unit nurse in the elevator. There are staff members and visitors in the elevator. The postanesthesia care nurse is doing what?
A) Implementing therapeutic communication
B) Interacting to maintain coordination of care
C) Breaching the client's confidentiality
D) Maintaining the continuity of care
Ans: C
Feedback:
The principle of confidentiality requires that information about a client be kept private. Discussing clients outside the clinical setting, telling friends or family about clients, or even discussing clients in the elevator with other workers violates client confidentiality and must be avoided.
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28. In what historical time period, did evidence-based practice become an important component of the delivery of nursing care?
A) The early 1900s
B) The years following World War II
C) The 1970s and 1980s
D) The early 2000s
Ans: D
Feedback:
In the early years of the 21st century, a heightened focus on evidence-based practice has developed, which relies on research findings to support nursing practice.
30. A baccalaureate-prepared nurse is applying for a nurse practitioner position. The nurse is ...
A) well educated and can perform these duties.
B) able to practice as a nurse practitioner.
C) educated to practice only with pediatric patients.
D) practicing beyond scope according to licensure.
Ans: D
Feedback:
A nurse without an advanced practice license is not able to practice beyond their scope in accordance with the Nurse Practice Act.
32. The nurse is preparing to administer a medication ordered by the surgeon in a dose much higher than is recommended. What action should the nurse take?
A) Call the surgeon to clarify the order.
B) Administer the medication as ordered and chart the high dose.
C) Administer the medication and stay with the client to observe for adverse reactions.
D) Administer the medication in the usual dosage.
Ans: A
Feedback:
Under current nurse practice laws, nurses are responsible for their own actions regardless of the provider's written order. If an order is ambiguous or inappropriate, the nurse must clarify the medication order with the prescribing healthcare provider. If the nurse is dissatisfied with the provider's response and still believes that the order is incorrect or unsafe, a supervisor must be notified.
27. When the nurse informs a client's employer of his autoimmune deficiency disease, the nurse is committing the tort of:
A) breach of contract.
B) assault.
C) invasion of privacy.
D) battery.
Ans: C
Feedback:
Nurses have access to information recorded in the medical record, information shared or observed through care or interactions with friends and family, and through access to the client's body. A loss of privacy occurs if others inappropriately use their access to a person.
27. Why is it important for the findings of a research study to be disseminated? Select all that apply.
A) So that clinical application can occur
B) To allow the nurse researcher to receive notoriety for the findings
C) In order for research replication by other nurses to take place
D) Because graduate-level nurses must conduct a specific number of research studies to maintain nursing licensure
E) To strengthen and validate conclusions by similar findings in more than one research study
Ans: A, C, E
Feedback:
The study and its findings must be dispersed in order to validate the findings through clinical practice and through replication of the study; hopefully, these actions produce similar findings. There is not a specified number of studies required for graduate-level nurses to conduct, and the nurse researcher should never conduct a study for the purpose of being recognized.
29. A nurse fails to administer a medication that prevents seizures, and the client has a seizure. The nurse is in violation of the Nurse Practice Act. What type of law is the nurse in violation of?
A) Criminal
B) Federal
C) Civil
D) Supreme
Ans: C
Feedback:
Malpractice cases are generally civil litigation cases that involve nurses.
31. When the nurse inserts an ordered urinary catheter into the client's urethra after the client has refused the procedure, and then the client suffers an injury, the client may sue the nurse for which type of tort?
A) Battery
B) Assault
C) Invasion of privacy
D) Dereliction of duty
Ans: A
Feedback:
Battery is the actual carrying out of such threat (unlawful touching of a person's body). A nurse may be sued for battery if there is failure to obtain consent for a procedure.