Lagniappe I
SBAR is a systematic communication process that facilitates the exchange of information regarding the client. This process utilizes which information?
Situation, background, assessment and recommendation
Types of questions that may be seen on the NCLEX-PN Examination include:
Multiple response
Fill in the blank
Multiple choice
As an LPN, you recognize that delegation involves which of the following?
Transferring responsibility for the performance of a task from one individual to another while retaining accountability for the outcome
The nurse threatens to place a verbally abusive patient in seclusion. The patient would be within his rights to press charges against the nurse for which of the following?
Assault
A client who is a Jehovah Witness refused a blood transfusion based on religious beliefs and practices. Which ethical principle is the nurse following when honoring this client's wishes?
The right to refuse treatment
A nurse is caring for an older adult patient with lung cancer. The daughter, who is also a nurse, asks to see the chart. What is the nurse's best response?
"I'm sorry; this information is confidential."
The nurse hears a physician say to the charge nurse that he doesn't want a particular nurse caring for his patients because "she is stupid and doesn't follow orders". The physician also writes the nurses name in the patient's medical record, stating she is not to care for any of his patients because of her "incompetence". What component(s) of defamation has the physician committed? (Select all that apply.)
Slander
Libel
A nurse has delegated several tasks to staff members. The nurse's primary responsibility after the delegation of the tasks is to:
Perform follow-up with each staff member regarding the performance of the task
The nurse working in a family practice clinic is assessing an elderly female patient and notices bruises on the patient's arms and back in different stages of healing. Which action is the most appropriate for the nurse to take?
Report the suspected abuse to the appropriate person(s)
A specific legal document that expresses the client's wishes regarding medical treatment in the event that the client becomes incapacitated and is facing end-of-life issues is call the:
Living will
The nurse is preparing to administer morphine sulfate to a client recently returned from surgery. Before giving the medication, what is the priority nursing assessment?
Checking respirations
The act of being responsible for the actions or inactions of yourself and of others in nursing is known as:
Accountability
A physician provided a telephone order for medication and lab tests to the nurse. The nurse understands there are several safegaurds to assure correct transcription of the new order. Steps to assure a proper medication order include:
Write the order as transcribed per the physician, and read it back to the physician for confirmation of accuracy
A student nurse asks, "What determines the LPNs role and responsibilities in nursing care?"
The Nurse Practice Act of the state in which the LPN is practicing
A terminally ill patient tells the nurse that she is afraid to speak up regarding her desire to end care for fear of upsetting her husband and children. Which principle in the nursing code of ethics will the nurse adhere to in order to promote the patient's cause.
Advocacy
The nurse is caring for an adult patient admitted for an appendectomy who asks the nurse not to disclose any personal health information, including a positive HIV status. The patient's mother arrives to visit and asks the nurse why her daughter has to take so many medications. Which of the following responses would be most appropriate by the nurse?
"You will need to speak with your daughter about her medications."
The nurse finds it difficult to care for a patient whose advance directive states that no extraordinary resuscitation measures should be taken. Which step may help the nurse to find resolution in this assignment?
Scrutinize her own personal values
The LSBPNE conducts hearings for which of the following reasons?
Discipline of a license
Revokation of a license
Denial of a license
Suspension of a license
Reinstatement of a revoked license
The nurse has become aware of missing narcotics in the patient care area and knows the person who is responsible for diverting the medication. Which ethical principle obligates the nurse to report the missing medications and name the nurse?
Responsibility
A nurse is reviewing a client's chart and notes that the client's DNR order has expired. The client's condition is currently very unstable. Which of the following actions should the nurse take?
Call the PCP to get the order reinstated
The LPN is having a conflict with another nurse during her night shift. She has tried to discuss the issues with the nurse with no resolution. What is the most appropriate way for the nurse to proceed?
a. Report the conflict to the nurse manager of the unit the next day
b.
The LPN is having a conflict with another nurse during her night shift. She has tried to discuss the issues with the nurse with no resolution. What is the most appropriate way for the nurse to proceed?
Report the conflict with the assigned charge nurse of the unit
The nurse who respects the patient's right to refuse treatment is following which ethical principle?
Advocacy
A nurse who has achieved the goal of getting others to do something that is believed necessary has demonstrated what skill?
Leadership
"First, do no harm" defines what ethical principle?
Nonmaleficence
Starting an IV infusion on a patient against his will may be classified as:
Battery