Advocacy
A nurse is about to administer medications to a patient- to demonstrate advocacy the nurse should:
- Tell them to take your pills
- State these are the same things you take at home
- Encourage patient to ask questions
- Tell them refusal is noncompliance
Encourage the client to verbalize questions
What is an example of autonomy?
- Treat patient with nonpharmacological interventions
- Give the patient the choice to take pain medication
- Administer pain medication
- Promise to return with pain medication
B- Give patient choice to take pain medication
A nurse is teaching about exercise, what intervention elicits accountability?
- Tell individuals to exercise daily
- Have individuals share exercise log with identified support person
- Inform class to exercise for at least 30 minutes
B- Have individuals share exercise log with identified support person
What statement indicates understanding about delegation training?
- There are 4 rights of delegation
- The nurse manager is responsible for all delegating
- I am responsible for ensuring delegated tasks are completed
C- I am responsible for ensuring delegated tasks are completed
Joining a professional organization is an example of?
- Risk management
- Professional commitment
- Quality Improvement
B- Professional commitment
You are teaching a diabetic who wants to change insurance, but the current provider is not part of that managed care program you should tell them?
- If you change you will need to get another provider
- Policies don't allow for preexisting conditions
- The government might not cover all the costs of treatment
A- If you change you will need to get another provider
A nurse is taking care of a patient who has surgery in the morning. They don't understand the procedure. As an advocate, the nurse is concerned because:
- The man is old and may not live
- The family needs to approve
- The client has a right to informed consent
C- Has a right to informed consent
What is accurate about the Code of Ethics (COE)?
- Does not apply to student nurses
- Includes licensure criteria
- Includes professional expectations
C- Includes professional expectations
The Board of nursing is responsible for?
- Determining competencies
- Establishing protocols for care
- Regulating and monitoring laws set by Nurse Practice Act
C- Regulating and monitoring laws set by Nurse Practice Act
What is an advantage of the EHR that you would teach a new nurse?
- Decrease care coordination
- Increase duplicate tests
- There is a portal that allows clients to communicate with healthcare team
C- there is a portal to communicate with healthcare team
What action is unprofessional behavior by the nurse?
- Witnessing a consent
- Explaining the steps of the surgical procedure
- Verifying voluntary consent
B- Explaining the steps of the surgical procedure
A nurse is caring for a patient with a referral for case management- what is case management responsible for?
- Doing dressing changes at home
- Arrange for home health services
- Provide education about medication
B - Arrange for home health services
When advocating for a patient the first step is:
- Evaluate outcomes
- Determine client needs
- Verify goals
- Communicate with healthcare team
B- Determine the client needs
A client with down syndrome has parents who are declining a procedure. What is important to assess?
- Mood and affect of client
- Spirituality
- Their developmental status
C- their developmental status
The purpose of delegating is?
- Permitting an individual to meet a goal on your behalf
- Decreasing healthcare costs
- Promote discharge teaching activities
A- Permitting an individual to meet a goal on your behalf
A nurse is teaching about documentation- topics to include are:
- Providers can co-sign nurses notes
- Its ok to document care you watch someone else do
- Allows healthcare team to document care
C- Allows healthcare team to document care
One of the reasons for nursing shortage is?
- People are not living as long
- Young population is growing significantly
- A large number of nurses are expected to retire by 2030
C- A large number of nurses are expected to retire by 2030
Critical Pathways allow for?
- A guide for health promotion
- Individual providers to develop plans of care
- Better client outcomes at lower costs
C- Better client outcomes at lower costs
A nurse suspects a coworker is under the influence; they should:
- Contact the state board of nursing
- Notify supervisor of concerns
- Counsel the co-worker on why this is dangerous
B- notify the supervisor
A patient with cancer wants to stop treatment and go home- what ethical principle does the nurse use to support this?
- Beneficence
- Autonomy
- Justice
B- autonomy
You are caring for a patient who fell- you should document what?
- Incident report was completed
- Risk management was notified
- Provider was notified
C- Provider was notified
What indicates proper response about class about sun protection?
- Use sunblock with the lowest number
- Avoid sitting in sun between 10am- 3pm
- Infants can be in the sun and will not burn
B- avoid sitting in the sun between 10am-3pm
After a medication error, the nurse reports it- this represents what component of professionalism?
- Fairness
- Accountability
- Confidence
B- Accountability
You are teaching about reducing cost- what statement indicates understanding?
- I should encourage patients to get annual flu shot
- To minimize care only empty colostomy when totally full
- Delegate all sterile dressing changes to CNA
A- I should encourage patients to get annual flu shot
Advocating for environmental health, what patient report would be concerning:
- No community centers in neighborhood
- Contaminated water at home
- No bike paths in community
B- Contaminated water at home
A nurse is caring for a family who disagrees on the best way to treat the patient the nurse should report this to:
- QI committee
- Hospital administrator
- Hospital ethics committee
C- Hospital ethics committee
You are teaching about avoiding environmental influences for asthma and allergies- these include?
- Radon
- Mold
- Hepatitis B
B - Mold
A nurse is planning a class on hypertension- a good reference to use is?
- Facility protocol for hypertensive crisis
- Care pathway for a stroke
- Clinical practice guideline for management of hypertension
C- Clinical practice guideline for management of hypertension
A nurse assesses if pain medication was effective—this represents what component of professionalism?
- Confidence
- Advocacy
- Responsibility
C- Responsibility
A patient reports they don't take medications due to costs- the nurse should?
- Tell them to take them every other day
- Tell them that's unacceptable
- Ask if they need resources to assist
C- Ask if they need resources to assist