When deciding what course of action to follow, the nurse has a duty to always keep the patient safe A LVN learns that a facility licensing law requires that a registered nurse always perform a specific task related to admission of new patients. The LVN understands that this means he or she
The nurse would fulfill his duty to the patient if the nurse A. advises the patient of the situation and proceeds only with the patient's consent. B. informs the physician of his concern and requests clarification of the order.
The nurse must agree to accept the assignment as there is no valid reason to ever refuse an assignment. B. The nurse must go home immediately, as her duty to any of the patient (s) starts only after taking report.
A nurse is attracted to a patient and insists on being assigned to care for this patient every shift she works. As a result there are reports of the nurse not completing other assignments. In this example the nurse A. is merely demonstrating caring behaviors.
A nurse quits his job, and submits a written notice at the end of his shift, telling his supervisor that he will not be back at work the following morning. The supervisor tells the nurse he has to complete the entire month's schedule or he will be committing "patient abandonment," and will be reported to the BON. This is
A nurse providing nursing services to a young child in a home setting asks the parent to bring the child to the nurse's home for nursing care. The nurse asks the parent to keep this arrangement confidential. This could be considered
A LVN learns that a facility licensing law requires that a registered nurse always perform a specific task related to admission of new patients. The LVN understands that this means he or she
A nurse is terminated and reported to the BON for committing repeated practice errors. As required in the NPA, the CNO also sends the case to the Incident Based Peer Review (IBPR) Committee because:
A nurse assesses a patient, makes a medical diagnosis of "hypertension," and determines which specific anti-hypertensi ve medication (including dose, route, and frequency) is appropriate for this patient. The nurse then writes a prescription for an anti-hypertensive medication and instructs the patient to have it filled at a pharmacy of her choice.
D. Yes , the nurse is protected from negative employment action for reporting a situation that exposed the client to substantial risk of harm. This is known as "whistleblower protections."
A nurse may not be reported to the BON, may not have his or her license sanctioned by the BON, and may not be suspended or terminated from his or her employment for either appropriately invoking Safe Harbor or for advising another nurse of their right to invoke Safe Harbor. These are
Rationale: To avoid pitfalls related to not involving clients in their own care, the nurse should observe client behaviors for cues about preferences. Informing clients about the daily schedule of care and orienting clients and families to the hospital routine do not provide information about client preferences.
The nurse is an advanced beginner within Benner's skill acquisition model of clinical judgement. Which characteristic describes the nurse? (SATA)
Goals that are client-centered describe a single, specific action that the client will accomplish. Outcomes measure the effectiveness of nursing actions.
The nurse is caring for a pregnant client who wants a healthcare provider to let her make all the decisions. Which decision making model is the client looking for?
The nurse develops a nursing diagnosis of Self-Care Deficit related to the client's inability to perform activities of daily living (ADLs) due to left-sided weakness secondary to cerebrovascular accident. Which component of the nursing diagnosis wasnoted? (Select all that apply.)
The proficient nurse notices that unconscious client has a heart rate of 42 bpm. Which action should the nurse perform?
it cannot be implemented by all nurses.
The nurse provides total care for the client who is comatose since the client cannot meet all of her needs.
The licensed practical/vocational nurse is caring for a group of clients. The nurse applies multiple nursing theories when delivering nursing care to a group of clients seen in the clinic. Which is an example of applying Betty Neuman's health systems model?
A nurse is caring for a client with a urinary tract infection. The client is anemic and has a#N#hemoglobin count of 8 mg/dl. Taking into consideration that the client is from a Mediterranean#N#country, what should the nurse's most appropriate action be?
A nurse who works in a large, urban hospital provides care for a diverse client population. When
A nurse explains to an obese client that the rapid weight loss during the first week after initiating a diet is because of fluid loss. The weight of extracellular body fluid is approximately 20% of the total body weight of an average individual.
The registered nurse (RN) delegated a task to a licensed practical nurse (LPN). The LPN completed the task effectively. Which statement made by the RN is appropriate feedback?
A nurse manager receives a complaint from a client that a particular staff member had been rude when providing care. The nurse, rather than punishing the staff member, listens to his or her side of the story and then talks to the client to clarify the misunderstanding.
The registered nurse oversees five unlicensed nursing personnel (UNP), and each UNP cares for five clients, so the registered nurse in effect has responsibility for five UNPs and 25 clients. What do these numbers of subordinate and clients indicate?
The unlicensed nursing personnel (UNP) is delegated tasks related to client care. What is the correct order of steps the registered nurse (RN) should follow when deciding to delegate the work to the UNP?
A nurse manager in a cancer care facility finds that the nursing care team is demotivated due to consecutive deaths of two terminally ill cancer clients. Which action of the nurse manager would help renew the team's energy?
The nurse manager assigned 5 visits per day to a home health nurse, but the weekly average of the home health nurse is 4.8 visits per day. What reason does the nurse manager expect is the cause for this discrepancy? The nurse is teaching breathing exercises to a client who underwent surgery.