Show:
What'd you say?
Decisions Decisions
Consents
The Board
Not so Sunny Breaches
100
A night nurse and a day nurse are doing walking rounds at the beginning of the day shift. The oncoming nurse finds the wrong IV solution infusing. This is where the nurse should document an incident report was completed.
What is no where?
100
An 88 y/o woman is refusing dialysis and states she just wants to die.Her son tells her she has to have dialysis, she has no choice. Which statement evidences autonomy? a. Have you been declared her legal guardian? b. I think you should dowhat your son wants, he knows best. c. would you like to talk with the physician again before making this decision? d. Your mother has the right to decide if she wants dialysis.
What is Your mother has the right to decide if she wants dialysis.
100
The UAP working in long-term care places a resident in a geri-chair with a locking lap tray. This is what the nurse considers questionable.
What is the locking lap tray?
100
The governor gives them the right to license nurses?
What is State Board of Nursing
100
A patient complains of abd. pain and the nurse takes does not take the pain seriously. The physician later assesses and orders a CT that finds peritonitis. This is the type of negligence shown.
What is failure to assess?
200
A child enters the ED with a bruise on the left torso and right clavicle. The mother states the child fell off the bike, but the nurse concludes the injuries are not consistent with a fall. This is the nurse's next step.
What is ask the child about how they got hurt without the parent, then talk with the parent to check for inconsistencies.
200
An ER nurse sees a co worker drunk at the night club. What actions should they take?
What is none, they are both off duty.
200
The patient on a telemetry unit is trying to leave the hospital AMA. What would be the nurses first action? a. Notify security to hold the patient b. Have the patient sign AMA forms c. Encourage the patient to ventilate thier concerns d. Ask the significant other to talkwith the patient
What is Have the patient sign AMA forms
200
This situation would warrent notifying the State Board of Nursing. a. The nurse leaves the unit after receiving 3 admissions in the last 2 hours b. The nurse fails to document the patient's PRN pain medication c. The nurse does not stay with the patient for 15 minutes after initiating a blood transfusion d. The nurse is having an affair with a doctor on the unit
What is The nurse leaves the unit after receiving 3 admissions in the last 2 hours
200
a patient has pallor and a decreasing blood pressure. The nurse documents these finds and continues to monitor. Later the nurse manager learns of the situation and knows this type of negligence has occurred.
What is failure to communicate?
300
A nurse overheard two nurses talking on an elevator about a client having surgery with HIV. This is the nurses first response.
What is inform them they are breaching confidentiality?
300
A nurse overhears an unit clerk telling someone in the cafeteria that a well known actor is on their unit. Which action should the nurse take? a. Immediately report the incident to the manager b. Notify the HIPPA officer c. Tell both employees this is a breach of confidentiality d. Take no action since no names were given
What is Tell both employees this is a breach of confidentiality
300
During the night the a patient scheduled for surgery in the morning for colon cancer tells the nurse they really do not want to have surgery, but "they are making me do it." What is the best response to support the patient's autonomy? a. You are worried about having surgery inthe morning. b. It is you choice to have surgery. No one can make you. c. Who is insisting you have surgery in the morning? d. If you don't have the surgery you may die of colon cancer.
What is It is you choice to have surgery. No one can make you
300
The purpose of the State Board of Nursing
What is to protect the public interest in the provision of nursing care?
300
A nurse doesn't adhere to the medication policy and the patient receives a potentially lethal dose of medicine. The risk management department is notified because this could be a case of what?
What is malpractice
400
The patient's wife overhears the surgeon stating the patient is "a lush and will just drink his way through this liver too." This is the possible tort the patient can bring against the physician.
What is slander?
400
A patient with a right hemiparesis calls for assistance to the bathroom. The nurse completes a couple of tasks on the way. The patient goes impatient and attempts to go by themself and falls. The mnager uses which statement to discuss the ethical prinicple with the nurse? a. This incident directly challenges your veracity with patients b. This incident indicates that you have a lack of respect for your patients c. This incident shows youhave failed to act in a manner consistent with beneficence d. This incident shows you have little regard toward fidelity to your patients
What is This incident shows youhave failed to act in a manner consistent with beneficence
400
An 85 y/o patient breaks the humerus in a fall. Friends bring them in to the emergency department. The patient is disoriented and requires surgery. The nurse is aware this is how the surgeon should proceed.
What is obtain telephone consent from next-of-kin?
400
A reportable action by thenurse to the State Board of Nursing: a. Reports to the charge nurse she is leaving in the middle of the shift b. Administers the wrong medication to a patient who codes c. Dating a patient released from the unit last week d. Deliberately makes false entries into a patient chart
What is Deliberately makes false entries into a patient chart?
400
Two nurses discuss the care of a patient in the staff locker room. One of thenurses mentions the room number. A third nurse working on another unit speaksto these nurses about this legal implication.
What is Breach of confidentiality
500
The nurse overhears the UAP telling the patient to lay still or we'll have to tie youdown. The nurse knows this is an example of this intentional tort;
What is assault?
500
The patient tells the nurse they do not think their physician is listening to them. He is unresponsive to their pain. What would be the best response? a. You have the right to a second opinion b. Your worried you doctor is not competent? c. Have you dicsussed yourconcerns with your doctor? d. I'll have the charge nurse come speak with you
What is You have the right to a second opinion
500
The nurse must obtain surgical consent for the following clients who are scheduled for surgery. This client would not be able to consent to surgery: a. 65 y/l who cannot read or write b. 30 y/o who does not understand English c. 16 y/o with a fractured ankle d. 80 y/o who is not oriented to the day
What is 16 y/o with a fractured ankle
500
The State Board of Nursing disciplines a nurse with a public reprimand. This action means this
What is the nurse may practice, but has an infraction on their nursing license?
500
A nurse reporting to work has an odor of alcohol and an unsteady gait. This is the next step the charge nurse should take.
What is relieve the nurse of work duties?