True or False. The ‘Good Samaritan Law’ limits liability and offers legal immunity if a

True or False. The ‘Good Samaritan Law’ limits liability and offers legal immunity if a nurse helps at the scene of an accident ONLY IF the nurse remains at the scene until an ambulance arrives and remains within their scope of practice. True False A child learns that they must sit quietly during story hour in kindergarten. Despite this skill they still do not sit still for stories at home, and therefore not fully immersed in the ‘classroom’ culture. What process are they demonstrating? Dissemination Accommodation Acculturation Assimiliation A young woman is pregnant, and exposed her fetus to multiple toxins. She consents to have her fetus undergo testing to examine how exposure affects the fetus over time. Testing will not improve the fetus’s outcome and will actually expose it to some risk, the information gathered may help infants in the future. Which ethical principle is at greatest risk to the fetus? Autonomy Beneficience Fidelity Nonmaleficence A nurse works on a pediatric unit and is using a psychosocial developmental approach to childcare. In which order from the first to the last will the nurse place the developmental stages? Initiative vs guilt trust vs mistrust Industry vs inferiority Identity vs role confusion Autonomy vs shame and doubt 2, 1, 3, 5,4 2, 3, 1, 5, 4 2, 5, 1, 3,4 4,5, 3, 1,2 A nurse who is caring for a new mother thinks that the woman is not prepared to go home with her newborn after a hospital stay of only 24 hours, but hospital policy dictates that the mother be discharged. The physician agrees that the patient is safe to leave despite the nurses concerns. This nurse may be faced with which moral problem? Ethical tornness Ethical dilemma Ethical dissatisfaction Ethical distress A nurse is caring for a 15-year-old patient in the community setting. According to Erikson, which of the following should be considered as part of normal development? Maintaining intimacy Maintaining trust Maintaining identify Maintaining industry Which goal is priority when caring for a middle-aged adult? Maintain future generational relationships Reflect on life decisions and experiences Maintain a partner and immediate family relationships Maintain work relationships While working at a long-term care facility a nurse fails to alert a physician of a change in a patient’s condition for the worse. This is an example of what aspect of malpractice? Assault Damages Causation Duty A nurse is beginning to use patient-centered care and cultural competence to improve nursing care. Which step should the nurse take first? Assessing own biases and attitude Understanding organizational forces of different cultures Learning about the world view of others Develop interview skills for cultural assessment A nurse is caring for a client who was recently diagnosed with a terminal illness. The client says to the nurse “I was told this morning I have 3 to 6 months to live. I have to just keep the faith!”. Which response by the nurse is appropriate when considering the needs of this client? • “I feel terrible and am sorry for you about your terminal illness. Let me know if you need anything” “Some people express spiritual needs. Let me know if there is some way I can help you meet similar needs”. “You should get a second opinion. There may be additional medical interventions that can be offered to you”. “You have a few months left. It is important to make the most of your remaining days”. A nurse is teaching a parenting class for families with adolescents. Which health concerns and topics will the nurse include in the teaching? Depression and suicide Eating disorders Falls Violence and homicide Sexually transmitted infections Stroke prevention Menopause A confused patient who fell out of bed because side rails were not used is an example of which type of liability? Assault Battery Fidelity Negligence A spouse brings his children in to visit their mother in the hospital after she had an unexpected surgery. The nurse asks how the family is doing at home. The husband says “I figured out how to change my work schedule a bit so I can pick up the kids from school, make dinner, and do bedtime routine. We are adjusting better than I thought!” How would the nurse chart this? • Family durability is high Family resiliency is high Family durability is low Family resiliency is low Erikson identified ‘integrity vs. despair’ as the last stage of human development. Which nursing intervention would best foster this stage? Orientating the patient to new surroundings Encouraging independence and autonomy Encouraging life review and story telling Promoting engagement with peers True or False. Standard of proof is what a reasonably sound nurse would do under similar circumstances in the geographical area in which the alleged breach occurred. True False A long-term care patient with prolonged history of smoking cigarettes is being considered for a lung transplant. Which element of ethical practice is associated with fair policies and procedures guiding allocation of organs for transplant? •Fidelity Nonmaleficence Veracity Justice A health care issue often becomes an ethical dilemma because: Decisions must be made quickly, often under stressful conditions A patient’s legal rights coexist with a health professional’s obligations The choices involved do not appear to be clearly right or wrong, however a decision needs to be made Decisions must be made based on value systems of the family A nurse is working with a patient who is angry and demanding a medication. He becomes impatient and starts yelling at the nurse when the nurse tells the patient she will return with the medication in ten minutes. How will the nurse interpret this finding according to Frued? The self-conceit is functioning The ego is functioning The Id is functioning The superego is functioning A nurse is teaching a group of NEIT nursing students about complementary and alternative therapies they can incorporate into care WITHOUT the need for specialized licensing or certification. Which of the following should the nurse encourage the students to use? Select all that apply. Massage Therapy Acupuncture Meditation and Deep Breathing Biofeedback Guided Imagery Reiki and Touch Therapy If a nurse acts by withholding a medication because it might further lower the patient’s already low blood pressure, the nurse is demonstrating the principle of: Responsibility Accountability Moral behavior Competency A student nurse employed as a certified nursing assistant (CNA) may perform care: Expected of a nurse at that level Identified in the hospital’s CNA job description Requiring technical rather than professional skills As learned in Nursing school Which of the following are major health concerns for the 1 to 3 year old child? Select all that apply. Sexually transmitted infections Sleeping on their belly Drowning Motor Vehicle Accidents Poisoning Low Apgar Scores A nurse follows the “ethics of care” when working with patients. Which action will the nurse take? Uses only intellectual principles to determine what is best for the patient Becomes the patient’s advocate based on the patient’s wishes Ignores unequal family relationships since that is a personal matter for the family Makes decisions for the patient solely using analytical principles A nurse takes the history of a middle-age patient in a health clinic. Which information indicates that the patient has achieved generativity? Worries about his aging parents and their health Volunteers in a preschool classroom Reports no regrets with life choices Is on his second marriage (response not displayed) A nurse performs CPR on a 92 year old with brittle bones and breaks a rib during the procedure, which then punctures a lung. The patient recovers completely without any problems and sues the nurse for malpractice, due to pain and suffering. Which key point will the prosecution attempt to prove against the nurse? The older patient with brittle bones might sustain fractures when chest compressions are done The CPR was done incorrectly The patient would have died if nothing was done The patient was resuscitated according to facility policy The most important factor in providing nursing care to patients in a specific ethnic group is: Allowing the patient environmental control Considering biological variation Time orientation and routine Open and frequent communication A female nursing student in the final term of nursing school is overheard by a nursing faculty member telling another student that she got to insert a nasogastric tube in the emergency department while working as a nursing assistant. Which advice is best for the nursing faculty member to give to the nursing student? “Just be careful when you are doing new procedures and make sure you are following directions of the nurse” “Review your procedures before you go to work. Then you will be prepared to do them if you have the chance” “You are not allowed to perform any procedures other than those in your job description even with the nurse’s permission” “The nurse should not have allowed you to insert the nasogastric tube because something bad could have happened” A nurse is reviewing safety precautions with a group of young adults at a community health fair. Which of the following recommendations should the nurse include to address common health risk for this age group? Select all that apply. Installing a carbon monoxide detector Installing bath rails and grab bars in bathrooms Testing house paint to prevent lead poisoning Removing throw rugs from the home Wearing a helmet while skiing Securing firearms in a safe location False Imprisonment Assault Abandonment Negligence Battery Invasion of Privacy The nurse values autonomy above all other principles. Which patient assignment will the nurse find most difficult to accept? Middle-aged father of three with an advanced directive declining life support A family elder who is making decisions for a young-adult female member Older-adult patient who requires dialysis Teenager who is in labor and requesting epidural anesthesia A nurse accidentally makes a medication error, without the other nurses on the unit knowing. According to Frued, which part of the personality guides this nurse to initiate reporting the event to his supervisor? Id Libido Superego Ego A nurse is caring for a competent adult client who tells the nurse that he going to leave the hospital against medical advice. The nurse believes that this is not in the client’s best interest and wants him to stay longer. She prepares to administer a PRN sedative medication the client has not requested to make him sleepy. She will put this in with his afternoon medications, hoping he doesnt notice. Which of the following types of torts is the nurse about to commit? False Imprisonment Justice Assault Responsibility A nurse is working with a patient. When the nurse asks about family members, the patient states that it includes “my spouse, children, grandmother, and aunt and uncle”. How will the nurse describe this type of family? Generational extended Alternative Nuclear True or False. In-depth self-examination of one’s own background and bias is considered cultural knowledge. True False The nurse, caring for a patient in hospice, notes that while the patient is getting adequate care, the caregiver is not sleeping well. The nurse also assesses the need for better family nutrition and meal assistance. The nurse discusses these needs with the patient and family, and develops a plan of care with them using community resources. Which approach is the nurse using? Family as a context Family as a patient Family as a caregiver Family as a system During their break, a nurse is eating lunch in the cafeteria and chatting with coworkers. The nurse discusses a patient that they are caring for who has a sexually transmitted disease and gossips about the patient’s presumed sexual activity. What tort may the nurse be guilty of? Slander Fraud Assault Libel A nurse is caring for a 32-year-old adult after a hysterectomy. Which action by the nurse will be a priority when considering normal development? Encourage involvement of peers and work friends Promote volunteer work in the hospital Allow involvement of a partner and her children Always offer nonpharmacological interventions for pain before pharmacological A nurse is caring for a client who is about to undergo an elective surgical procedure at a local hospital. The nurse should take which of the following actions regarding informed consent? Select All That Apply. Make sure the surgeon obtained the client’s consent Describe the consequences for the client of choosing not to have surgery The nurse would not take any of these actions as they are outside the scope of the nurse’s role Educate the client about alternative treatment to having the surgery Witness the client’s signature on the consent form

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