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NUR 108 final 2 Questions and Answers,100% CORRECT

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NUR108 final 2 Questions and Answers Which statement reflects the ethical principle of justice? Patients should be able to go to the physician of their choice. Patients should be treated equally regar... dless of socioeconomic status. submitted If a health care provider agrees to care for a patient, there is an obligation to follow through. Competent care is a patient’s right and a provider’s obligation. Which ethical principle is implicit in the statement “Provision of safe, competent care without patient harm is a healthcare provider’s duty.”? Nonmaleficence submitted Justice Veracity Autonomy Which statement made during a meeting of a hospital’s ethics committee is based on the ethical principle of autonomy? Costly treatment measures should not be prohibited for the elderly based on age. This treatment is not appropriate for this patient because the danger of destroying the liver is greater than any potential beneficial effect. The nurse agreed to be present when the patient talked to family about surgical treatment, however the nurse did not show up. Patients have a right to refuse pain medication even when they admit to having severe pain. submitted Which of the following is a contributing factor to the higher patient mortality rates in the United States as compared to other developed countries? Diversity of the population. Limited access to healthcare. submitted Population density. Aging of the population. Which step in the ethical decision-making process does the RN explore personal bias about an ethical issue? Assessment submitted Evaluation Diagnosis Planning An RN states, “I feel emotionally drained and physically sick after caring for some patients who receive aggressive treatments. It seems like we are only prolonging their dying process.” What is this RN experiencing? Cultural shock Disillusionment in nursing Work overload Moral distress submitted Which ethical principle is the nurse violating when the nurse tells a crying child, “If you don’t swallow this pill, I am going to give you a shot into your leg.”? Justice Obligation Fidelity Nonmaleficence submitted The RN is teaching the student nurse about the ANA Standards of Ethical Practice. Which statement by the student nurse indicates additional teaching is necessary regarding patient protection and impaired practice? “Assistance is available for impaired nurses from professional associations.” “Impaired nurses may return to practice after recovery.” “Nurses who report impaired colleagues risk retaliation from the institution.” submitted “Report all concerns regarding an impaired co-worker to the nursing supervisor.” A terminally ill patient who is considering withdrawal of treatment asks the RN if the family should be told. What is the next step in ethical decision making for the RN? Review the possible options of disclosure. submitted Consult with a member of the ethics committee. Identify a physician who can write the necessary prescriptions. Discuss the patient’s feelings and concerns. The RN who speaks up when a health care worker does not perform hand hygiene is upholding which ethical principle? Veracity Autonomy Justice Nonmaleficince submitted A student nurse asks an RN “What strategies are useful when faced with an ethical dilemma in professional practice?” How does the RN respond? Select all that apply. “I defer to the healthcare provider to make the correct decision.” “I focus on myself and what I would I do if faced with the issue.” “I use the nursing process to organize my thought process.” “I consult the ethics committee when the problem is complex.” “I use the Nursing Code of Ethics for guidance.” Submitted A patient with end stage heart disease is seeking a heart transplant. What ethical principle supports the eligibility criteria that reviews the patient’s history of adherence to the medical treatment plan? Veracity Distributive justice submitted Autonomy Beneficence A patient refused to receive blood products based on religious beliefs. The patient had unexpected blood loss during surgery. Which action by the healthcare team is consistent with patient autonomy? Convince the family that administering blood is the right thing to do. Give blood products in the operating room to stabilize the patient. Aggressively treat the patient with therapies that exclude blood products. submitted Encourage the family to agree to a do not resuscitate order. A patient who is considering enrolling in a clinical research trial asks the RN “What would you do?” How does the RN respond in an ethical manner? “I would agree to be enrolled because the study will also help other people.” “The study offers you a hope of a cure, it would be worth a try.” “I prefer to be treated with the medications that other people have used.” “It is a difficult decision, we will support you in whatever you chose.” submitted Which RN actions are supported by the 2015 ANA Code of Ethics? Select all that apply. Participate in scientific inquiry to advance nursing practice. Collaborate with others to promote health initiatives. Accept accountability for delegation of nursing activities. Advocate for patient rights. Address patient needs as the priority before personal duties. Submitted A teenager with a chronic disease disagrees with their parents regarding aggressive or palliative care treatment options. Which is the best response by the RN? “In my experience, aggressive care has the best results.” “The ethics committee can assist with the decision-making process.” submitted “Your parents are ultimately responsible for making this decision.” “It is best to rely on the decision by your healthcare provider.” A patient with no health care directives is admitted to the hospital with a devastating stroke. The family asks the RN about options regarding resuscitation efforts. What is the RN’s best initial response? “Gather your family to make the best decision.” “What do you think the patient would want done?” “Do you want to discuss all possible outcomes?” “It is too early to make this decision.” unanswered The RN is returning to work after placing a family member in Hospice care. Which response should the RN use when a terminally ill client asks, “Should I sign a do not resuscitate order?” “I would choose not to be resuscitated, too.” “If you would like to seek spiritual counseling, I can call pastoral care.” “I just put my mother in Hospice care with a do not resuscitate order.” “This is a difficult situation; what are your views on end of life care?” submitted A patient receiving home care is prescribed an analgesic medication that is twice the dose recommended by the manufacturer. Before administering the initial dose of the medication, what is the best response by the RN? Inform the patient the dose might be lethal and cannot be administered. Use nursing judgment and give half of the dose prescribed by the health care provider. Contact the prescribing provider for clarification of the dose. submitted Administer the dose as prescribed because it has been dispensed by a pharmacist. Which element of health care reform provides the greatest opportunity to reduce health care costs? Electronic health record Organization accreditation Experience rating systems Insurance recission unanswered Which statement by the RN demonstrates an understanding of the benefit of The Joint Commission hospital accreditation? “Accreditation provides a competitive edge in the healthcare marketplace.” “Accreditation validates efforts on improving the workplace environment.” submitted “Accreditation signifies the organization will be the best choice for clients to receive care.” “Accreditation certifies increased staffing levels on the nursing units.” What information does the RN include when explaining to a nursing student the advantages of being employed at a magnet hospital? The preferred leadership style in a magnet hospital is authoritative. Magnet hospitals undergo an external review to document standards of nursing excellence. submitted Magnet hospitals have better benefit packages than non-magnet hospitals. Non-magnet hospitals always have low patient satisfaction scores. Which collaborative has the mission to work with federal and state agencies to strengthen policies and practices with the outcome of making people healthier? Quality and Safety Education for Nurses American Association of Retired People Healthy People 2020 submitted The Institute of Medicine A patient awaiting surgery states “I chose the hospital for my surgery because it received high ratings on the internet.” What is the most appropriate response by the RN? “Tell me about the internet source you used for decision making.” submitted “Social media sites are a good source of information about local hospitals.” “Make sure you always choose a recently updated website for this information.” “The internet is what I use to check hospital ratings.” Which nurse would best assist a patient diagnosed with breast cancer requiring radiation and chemotherapy? Nurse navigator submitted Forensic nurse Client safety nurse Nurse researcher The hospital is planning to implement a new bar code system for medication administration. Which statement describes the role of the RN to decrease medical errors? “Training sessions should be optional for experienced nurses.” “A bar code system will eliminate the need for the RN to review medications.” “I will learn to bypass the system during patient care emergencies.” “I will ask to participate on the committee for bar code system design.” submitted The RN is caring for an older adult patient admitted with frequent falls at home. Which initial strategy is most effective to improve patient outcomes? Coordination of care with an interdisciplinary team. submitted Frequent hospitalizations help to manage illness effectively. Maintain bedrest with close supervision. Prepare for transfer to skilled nursing facility. The RN is participating in a community forum on Health Care reform and is asked to comment on the projected impact of the Affordable Care Act for the profession of nursing. Which elements would the RN include in the response? Select all that apply. Greater need for RNs to care for an increased number of persons seeking health care. Increased use of Advanced Practice Nurses in the acute care and primary care settings. Heightened demand for RNs in specialty fields such as informatics and case management. Bolster the power of the American Nurses Association as a result of requirement for employment. Development and implementation of new nursing roles. submitted A student nurse asks the RN “Is there anything special to consider when teaching prevention strategies to the older adult?” What is the best response by the RN? “Older adults are less likely to be interested in learning new things.” “The chronically ill older adult may have limitations that require special teaching methods.” submitted “Older adults tend not to be motivated and don’t make lifestyle changes.” “The nursing educational plan is the same for all adults regardless of age.” An older adult patient with a newly diagnosed illness tells the RN, “It looks like I need to make peace with God.” What is the RN’s best initial response? “The clergy is much better trained to address your concerns.” “Do you want me to pray with you?” “I can contact your family and friends who can support you during this time.” “Are you distressed about your condition?” submitted What is an advantage of the telehealth technology? Minimizes liability issues for the caregiver. Requires minimal preparation for health providers and patients. Allows healthcare providers to treat patients from distant sites. submitted Private health care insurance fully covers costs. What is a benefit of the Affordable Care Act? Increases administrative costs for insurance companies. Decreases Medicaid payments to primary care physicians. Financially rewards technology driven acute hospital based services. Eliminates co-pays for preventative services. submitted Which action by a health care worker demonstrates a potential violation of patient privacy information when using a computerized medical record? Using institutional communication devices for work related issues. Using a privacy filter on computers that can be seen by others. Posting a personal computer password in the nursing station. submitted Logging out of the computer screen when finished with documentation. A patient requires a transfer to a long-term nursing care facility after an extended acute care hospitalization. Which member of the health care team would best assist the patient and family with the process? Nurse manager Nurse care coordinator submitted Bedside nurse Client safety nurse What does the RN anticipate as a societal health care need in the future?. Expansion of acute care capacity. Growth in the aging population. submitted Increase use of task orientated nurses. Paternalistic approach to the plan of care. Which statement demonstrates the purpose of The Joint Commission (TJC)? Develops program outcomes for quality nursing education. Creates a national agenda to eliminate health disparities. Identifies elements to attract and retain professional nurses. Endorses an organization that provides high-quality service. submitted Which statement by the RN demonstrates cultural sensitivity? “I ask each patient about practices to promote wellness.” submitted “I learned to speak another language.” “I am familiar with many different cultures.” “I treat people as I would want to be treated.” The RN is providing care for a hospitalized patient who states, “I will never be able to manage my medications and appointments with all of these doctors. How will I ever do this?” Which nurse role should the RN collaborate with to help the patient? Nurse navigator submitted Forensic psychiatric nurse Nurse coder Nurse safety officer Which task can the RN delegate to an Assistive Personnel (AP)? Showing a patient how to empty a wound drainage device. Checking a patient’s ankles for swelling after sitting in a chair. Obtaining a blood pressure on a patient experiencing dizziness. Measuring oral intake and output for a geriatric patient. submitted A student nurse asks the RN about the legal authority to delegate tasks. Which statement describes why RNs have the legal right to delegate? Employment by an institution approved for operation by the state provides legal authority to delegate. RNs are licensed and governed by a statutory practice act which allows legal delegation. Completion of a specialized program of professional study allows the RN to legally delegate. American Nurses’ Association Standards of Practice allow legal delegation by the RN. Submitted An assistive personnel (AP) says “I am not sure I calculated the intake and output correctly, but I know the nurse is always responsible.” Which is an appropriate response by the RN to the AP? “You are working under the RN’s license when you accept responsibility for this task.” “The RN does not need to supervise tasks that are within the AP job description.” submitted [Show More]

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