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WorksheetsManagement And Ethical Nivel 1
Total questions: 16
Worksheet time: 48mins
A nurse on the night shift enters the medication room and inadvertently discovers a colleague with a tourniquet wrapped around their upper arm, ready to inject a clear liquid into their antecubital area. Which initial action should the nurse take?
Call security and have the colleague restrained
Call the police and file charges against the colleague
Call the nursing supervisor
Lock the colleague in the medication room until help is at hand
A nurse is caring for a client who is considering becoming an organ donor. Which action by the nurse best facilitates the organ donation process?
Providing the client with information about organ donation and addressing any questions or concerns they may have.
Advising the client to sign an organ donor card and carry it with them at all times.
Scheduling the client for immediate organ donation surgery upon expressing interest.
Assisting the client in completing advance directives specifying their wish for organ donation.
A medication error has occurred in the medical ward. After a thorough investigation was performed, the nurse manager posts a memorandum regarding changes in medication administration to be implemented immediately. The nurses on the unit recognized this management style as:
Autocratic
Democratic
Participative
Laissez-faire
The nurse is caring for a client who reports having a durable power of attorney. The nurse understands that this type of advance directive
legally designates their spouse or significant other, allowing them to have a voice in health care treatment options as the client ages.
designates an individual by the client to assist in medical decision-making who also becomes responsible for all of the client's medical bills.
legally designates an individual to make medical decisions when the client can no longer do so.
is a specific designation specifying who can receive and discuss the client's privileged healthcare information
A client has just been diagnosed with a terminal illness. She decides to execute a living will in the unit and asks the nurse to be the witness of the will. What is the most appropriate response by the nurse?
“I’m sorry, but under the law, we’re not allowed to witness living wills.”
“Let me call the doctor. Maybe he can witness it for you.”
“Your family are the only people that can serve as witnesses.”
“Let me call the hospital attorney; he needs to be present when you sign your will.”
The nurse is in an elevator and observes two staff members discussing a client's condition. The nurse understands that this conversation may potentially violate which ethical principle?
Beneficence
Confidentiality
Autonomy
Veracity
The nurse is providing care for a patient recently transferred from the post-anesthesia care unit [PACU]. The chart indicates that the patient was medicated for pain 1 hour ago, yet the patient reports that he is experiencing extreme pain. He is not due for further medication until another 2 hours. How might the nurse intervene as a patient advocate?
Contact the physician regarding the need for more effective pain management.
Assist the patient to use non-pharmacological pain management strategies.
Explain to the patient that giving the pain medication too soon can be dangerous.
Provide a quiet environment to help the patient rest and cope with his pain level.
The nurse is caring for a client who is asking about advanced directives. Many documents fall under the category of an advanced directive. The nurse knows that one of the most common legal papers is called 'Durable Power of Attorney for Health Care' and works to:
Review a person’s personal preferences for medical care in the future.
Authorize another person to make medical decisions for a person if they become unable to on their own.
Assign a legal authority in making medical decisions while honoring the spoken word of the family.
Define what care should be administered or withheld by health care professionals, no matter which medical facility the patient finds themselves in.
"The nurse is providing a handoff report to a nurse in the critical care unit. The nurse states that it would be helpful for the primary healthcare provider (PHCP) to refer the client to a support group upon discharge. This statement represents which part of the ISBAR handoff report?"
Situation
Background
Assessment
Recommendation
You are caring for a 33-year-old male client at the end of life. This married client has two children; the son is 14-years-old and the daughter is 8-years-old. Both of these children are being prepared for their father’s imminent death. Which consideration should be incorporated into your explanations of death with these children?
Children before the age of 12 view death as terrifying so the nurse should not discuss death with these young children.
Children before the age of 12 do not have any perspectives about death, its meaning, and its finality or lack thereof.
The cognitive development of young children impacts their understanding of death.
The cognitive development of young children before 12 has no impact on their understanding of death.
The nurse provides total client care for assigned clients for twelve hours. The nurse is using which care delivery model?
team nursing
case management
total client care
primary nursing
The primary and ultimate purpose of reporting incidents, accidents, medical errors, and sentinel events is to:
Prevent client injuries
Comply with regulations
Determine the cause
Correct mistakes
The nurse cares for an unconscious client with a dissecting aortic aneurysm that needs urgent surgery. The client's family cannot be tracked. The nurse's priority action is:
Send the client to surgery.
Call the hospital lawyer.
Search for all the client's contacts who can provide informed consent.
Notify the nursing supervisor on-call and request their permission to waive informed consent.
While preparing to change the dressing of a female patient with end-stage renal disease, the nurse notices that the patient's son is silently holding her hand and praying. Which of the following should be the nurse’s initial action?
Continue preparing for the procedure in the room.
Notify the chaplain.
Leave the room quietly and come back after 15 minutes to change the client’s dressing.
Ask the son if he wants the nurse to join in prayer.
The nurse has received a telephone prescription from the primary healthcare provider (PHCP) for citalopram 10 mg PO daily. Which action is the nurse's priority while taking the telephone order?
Verify that the medication is in stock
Read back the prescription to the PHCP
Inform the client of the new prescription
Transmit the prescription to the pharmacy
A nurse is caring for a client who speaks a language different from the healthcare team. Which action by the nurse best ensures effective communication with the client?
Using family members as interpreters.
Utilizing a professional interpreter provided by the healthcare facility.
Attempting to communicate using basic words and gestures.
Referring the client to a language class for healthcare professionals.
