Professional Identity
A nurse consistently demonstrates honesty, accountability, respect, and responsibility when providing patient care. These behaviors best reflect which concept?
A. Professional identity
B. Clinical reasoning
C. Delegation
D. Evidence-based practice
A. Professional identity
Which ethical principle means respecting a patient's right to make their own decisions?
A. Nonmaleficence
B. Veracity
C. Autonomy
D. Fidelity
C. Autonomy
What type of communication involves using open-ended questions, active listening, and reflection to help patients express themselves?
A. Nontherapeutic communication
B. Regular talking
C. Therapeutic communication
D. Aggressing speaking
C. Therapeutic communication
What is the purpose of nursing documentation?
To provide a written account of patient information, assessments, interventions, and responses for the healthcare team.
What is the first step of the NCSBN Clinical Judgment Measurement Model?
Recognize Clues
A new nurse is learning how to function professionally within the healthcare setting. Which actions demonstrate professional accountability? Select all that apply
A. Taking responsibility for mistakes and reporting them appropriately
B. Documenting care that was not completed to avoid getting in trouble
C. Recognizing personal limitations and asking for assistance
D. Following the standards of nursing practice
E. Blaming another staff member when a patient care task is missed
A. Taking responsibility for mistakes and reporting them appropriately
C. Recognizing personal limitations and asking for assistance
D. Following the standards of nursing practice
Match the ethical principles:
doing good = ?
doing no harm = ?
fairness = ?
telling the truth = ?
Beneficence, nonmaleficence, justice, and veracity
Which communication techniques should nurses avoid? (SATA)
A. False reassurance
B. Active listening
C. Giving unwanted advice
D. Changing the subject
E. Open-ended questions
A, C, D
What type of documentation assumes normal findings and completed care unless an abnormal finding or exception is documented?
A. Data, Action, Response
B. Subjective, Objective, Assessment, Pain (SOAP)
C. MAR
D. Charting by Exception
D. Charting by Exception
What are the steps of the Clinical Judgment Measurement Model? (SATA)
A. Recognize Cues
B. Evaluate Outcomes
C. Generate Solutions
D. Take Action
E. Generate Priority Problems
F. Analyze Cues
G. Prioritize Hypotheses
A, B, C, D, F, G
A nurse realizes they are unfamiliar with a procedure a patient needs. Rather than attempting it independently, the nurse recognizes their limitation and seeks guidance from an experienced nurse.
Which aspect of professional nursing responsibility is the nurse demonstrating, and why is it important for patient safety?
Some answers:
1. Accountability: The nurse recognizes their own limitations and takes responsibility for providing safe patient care.
2. Professional responsibility: The nurse understands that they should only perform procedures they are competent and qualified to perform.
3. Patient safety: Asking for guidance helps prevent errors, complications, and potential harm to the patient.
4. Lifelong learning: The nurse demonstrates a willingness to learn and improve their nursing skills.
A patient refuses a recommended treatment after receiving information about the risks and benefits. Which ethical principle supports respecting this decision?
Autonomy. A capable patient has the right to make informed decisions.
A nurse needs to communicate a patient's change in condition to the healthcare provider. What structured communication tool should the nurse use?
SBAR: Situation, Background, Assessment, Recommendation.
Which documentation characteristics are important? (SATA)
A. Factual
B. Accurate
C. Complete
D. Based on assumptions
E. Confidential
A. B. C. E
A patient's blood pressure increases from 130/82 to 178/94. The nurse connects this finding with other assessment information to determine what may be happening. Which CJMM step is this?
Analyze Cues.
A nurse notices that a coworker has documented that a patient's medication was administered, but the nurse knows the medication was never given. What is the nurse's best response?
A. Ignore the situation because it is the coworker's responsibility.
B. Confront the coworker in front of the patient.
C. Follow appropriate reporting procedures and address the inaccurate documentation.
D. Change the coworker's documentation without notifying anyone.
C. Follow appropriate reporting procedures and address the inaccurate documentation.
A nurse promises to return with pain medication and follows through. Which ethical principle is demonstrated?
A. Justice
B. Fidelity
C. Nonmaleficence
D. Utility
B. Fidelity
A nurse says, "I'm concerned about this patient's condition. I'm uncomfortable with the current plan. This is a safety issue." What communication tool is being used?
A. SBAR
B. Teach-back Method
C. EHR & Portals
D. CUS
A nurse documents that a dressing change was completed before actually performing it. What is wrong with this documentation?
Inaccurate and falsified
A patient has a temperature of 101.8°F, respiratory rate of 28, oxygen saturation of 89%, productive cough, and fatigue. What is the highest-priority nursing problem?
A. Impaired Gas Exchange
B. Impaired Mobility
C. Respiratory Distress
D. Fall Risk
A nursing student is pressured by a classmate to document an assessment that was never completed. What two professional values should guide the student's response?
Integrity and accountability. The student should refuse to falsify documentation and report the situation appropriately.
A nurse faces an ethical conflict between respecting a patient's wishes and protecting the patient from harm. What should the nurse consider before deciding what to do? Select all that apply
A. Patient Preferences
B. Decision-making capacity
C. Clinical facts
D. Benefits and harms
E. Professional responsibilities
F. Laws and policies
All of them. A, B, C, D, E, F
A patient has a hearing impairment. Name two ways the nurse can improve communication.
Reduce background noise, speak slowly and clearly, use a sign-language interpreter when needed, and/or communicate in writing.
A nurse notices that a patient's chart contains inaccurate information. Why is correcting or reporting inaccurate documentation important?
It prevents unsafe care decisions, improves communication among the healthcare team, and protects patient safety and professional integrity.
A patient with suspected pneumonia has an oxygen saturation of 89% and a respiratory rate of 28. Identify three priority nursing interventions and explain why they are important
Apply oxygen as prescribed, position the patient in High Fowler's, and monitor/reassess respiratory status and oxygen saturation. These interventions support oxygenation and help identify worsening respiratory compromise.