Legal Issues
QI/EBP
health care systems/delivery
Advocacy/accountability
stress & coping/grief & loss
100
At the beginning of the shift on the postpartum unit, a charge nurse notices that the licensed practical nurse (LPN) she's working with is acting inappropriately and smells of alcohol. When the charge nurse confronts the LPN, the LPN apologizes and promises that she'll never report to work in this condition again. Which step should the charge nurse take next?
What is notify the shift supervisor and rearrange the client care assignment.
100
A nurse is caring for a patient who has complications related to type 2 diabetes mellitus. The nurse researches new procedures to care for foot ulcers when developing a plan of care for this patients. Which QSEN competency does this action represent?
What is Quality Improvement
100
Prior to the patient's discharge from an acute care facility, the nursing case manager has the nursing staff, patient, patient's family, physical therapist, and home health nurse meet. The purpose of this is to
What is Prepare the patient for home care
100
The nurse is caring for a terminally ill child. The parents of the child have decided to remove their child from life support. This decision that has met with much opposition from other nurses on the unit. What is an action by the nurse that best displays the role of advocate?
What is respecting the parents' decision
100
A young couple gave birth to a premature infant with serious respiratory problems who has been in the neonatal intensive care unit for the last 3 months. The couple has a 22--month-old son at home. What diagnosis would be most appropriate based on the following assessment data: chronic fatigue, decreased energy, guilt about neglecting son at home, shortness of temper with one another, and apprehension about continued ability to go on this way?
What is caregiver role strain
200
An elderly client has been admitted to the medical-surgical unit from the postanesthesia care unit. While the nurse is off the floor, the client falls out of bed and fractures his right leg and right wrist. The nurse finding him states, "The side rails were down and the bed was in the high position." The client's family files legal charges against the nurse and the hospital. Which charge most accurately reflects the nurse's actions?
What is negligence
200
A staff nurse is participating in the unit's quality improvement program by serving on the unit committee. The unit is considering increasing its RN staff because studies have shown that it decreases infection rates. The nurse knows that decreased infection rates will lead to:
What is a decreased cost of care
200
A rehabilitation facility is an example of what type of healthcare setting?
What is tertiary care
200
A nurse is volunteering at a local free clinic. By providing patient care to an inadequately insured population the nurse is demonstrating which value of patient advocacy?
What is the nurse has the responsibility to ensure the patient has access to health care services
200
A nurse interviews an 82-year old resident of a long-term care facility who says that she has never gotten over the death of her son 20 years ago. She reports that her life fell apart after that and she never again felt like herself or was able to enjoy life. What type of grief is this woman experiencing?
What is dysfunctional
300
A voluntary client in a facility decides to leave the unit before treatment is complete. To detain the client, the nurse refuses to return the client's personal effects. This action is an example of:
What is false imprisonment
300
The nurse is caring for a patient on a medical-surgical unit. The nurse gave a medication to the patient at the wrong time. No harm came to the patient as a result of the nurse's error. The risk management team will:
What is attempt to implement policy changes to prevent future errors.
300
An employer establishes a physical exercise area in the workplace and encourages all employees to use it. This is an example of which level of health promotion?
What is Primary prevention
300
A charge nurse notices that a co-worker who is assigned to patient care has come to work with a black eye. The charge nurse is aware that the nurse lives with her boyfriend, who has caused problems in the past. The charge nurse should:
What is discuss the situation with the nurse in a private setting.
300
A home health care nurse has been visiting a patient with AIDS who says, "I'm no longer afraid of dying. I think I've made my peace with everyone, and I'm actually ready to move on." This reflects the patient's progress to which stage of death and dying?
What is acceptance
400
After the surgeon's meeting with a client to obtain the client's informed consent for a modified radical mastectomy, the client asks the nurse many questions about breast reconstruction that the nurse finds difficult to answer. The nurse should:
What is inform the surgeon that the client has questions about reconstruction before she signs the consent.
400
The nurse is preparing a patient with diabetes for surgery. The patient is scheduled to have the right arm amputated due to a severe wound infection. The nurse marks the arm that is to be amputated. Before beginning the surgical procedure the nurse participates in a "time out" procedure. This procedu7re is done to avoid a possible sentinel event, such as:
What is the removal of the patient's left arm
400
A nurse who provides care on a post-surgical unit is performing discharge teaching as a component of her effort to ensure continuity of care. Which of the following is the primary goal of continuity of care?
What is Ensuring a smooth and safe transition between different healthcare settings.
400
A nurse would like to implement an evidence-based practice change that will influence patient care on the medical-surgical unit. The nurse works with the nurse manager and other members of leadership to write a new policy and produce education for the staff and patients. The nurse is practicing which of the standards of professional performance?
What is collaboration
400
As a client's level of anxiety increases to a debilitating degree, the nurse should expect what as a psychomotor behavior indicating a panic level of anxiety?
What is suicide attempts or violence
500
The daughter of an alert and oriented elderly client asks what her father's most recent blood glucose level was. What is the nurse's best response?
What is explain that this information cannot be disclosed without the client's permission.
500
A patient in the clinic is being asked to participate in a research project. The patient asks why the nursing research project is necessary since research on this subject has already been published by the American Medical Association. The nurse explains to the patient that a goal of nursing research is to:
What is validate nursing care, not medical care
500
A nurse is completing a home visit to an older adult receiving regular dressing changes for treatment of a venous ulcer. As a provider of home healthcare, the nurse recognizes that the primary goal of this practice is:
What is To maximize the independence and health of clients.
500
A nurse educator is conducting a continuing education in-service for the nurses in a pediatric intensive care unit. A staff nurse practicing on the unit considers attending the in-service an important aspect of being a professional nurse because:
What is research and new technology demand that the nurse stay current
500
A client is undergoing a bone marrow aspiration and biopsy. What is the best way for the nurse to help the client and two upset family members handle anxiety during the procedure?
What is Encourage the client to take slow, deep breaths to relax.
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