1) A nurse who organizations establises a political action committee (PAC) in their local community to address issues relating to the accessibility and affordability of healthcare resources in the community is serving in which capacity and role of the registered nurse? a)Collaborator b) Politician c) Entrepreneur d) Client advocate.
2) The registered nurse, prior to the delegation of tasks to other members of the nursing care team, evaluates the ability of staff members to perform assigned tasks for the position as based on which legal consideration? (2pts)
a) State statutes b) The American Nurses Association’s Standards of Care c) Federal law d) The American Nurses Association’s Scopes of Practice
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3) Which is most closely aligned with ethics? (2pts) a) Client rights b) Statutes c) Laws d) Morals.
4) Select the ethical term that is accurately paired with its brief description. (2pts) a) Utilitarianism: The school of ethical of thought that requires that only the means to the goal must be ethical. b) Deontology: The school of ethical of thought that requires that only the means to the goal must be ethical. c) Utilitarianism: The school of ethical of thought that requires that only the end goal must be ethical. d) Deontology: The school of ethical of thought that requires that only the end goal must be ethical.
5) What ethical principle below is accurately paired with a way that ethical principle is applied into (2pts) nursing practice? a) Fidelity: Upholding the American Nurses Association's Code b) Veracity: Fully answering the client's questions without any withholding of information c) Beneficence: Doing no harm during the course of nursing care d) Justice: Equally dividing time and other resources among a group of clients.
6) You have been asked to teach an in-service class for nurses in your facility about ethics. Which of the following should you consider during the planning of this educational activity? (2pts) a) The need to exclude case studies from the class because this would violate client privacy and confidentiality b) Some of the most commonly occurring bioethical concerns including genetic engineering into the course content c) Planning a way to evaluate the effectiveness of the class by seeing a decrease in the number of referrals to the facility’s Ethics Committee d) Establishing educational objectives for the class that reflect the methods and methodology that you will use to present the class content.
7) One of the roles of the registered nurse in terms of informed consent is to: (2pts) a) Get and witness the client’s signature on an informed consent. b) Get and witness the durable power of attorney for health care decisions’ signature on an informed consent. c) Serve as the witness to the client’s signature on an informed consent. d) None of the above.
8) Which of these choices contains the six elements necessary for malpractice? (2pts) a) Causation, foreseeability, damages to the patient, a duty that was owed to the client and this duty was breached, and direct and/or indirect harm to the client. b) Causation, foreseeability, damages to the patient, a duty that was owed to the client and this duty was breached, and a medical license. c) Causation, correlation, damages to the patient, a duty that was owed to the client and this duty was breached, and direct and/or indirect harm to the client. d) Causation, foreseeability, damages to the patient, a duty that was owed to the client and this duty was breached, and direct rather than indirect harm to the client.
9) The Patient Self Determination Act of the United States protects clients in terms of their rights to what? Select all that apply: (2pts) a) Make healthcare decisions and to have these decisions protected and communicated to others when they are no longer competent to do so. b) Privacy and to have their medical information confidential unless the client formally approve the sharing of this information with others such as family members. c) Be fully informed about all treatments in term of their benefits, risks and alternatives to them so the client can make a knowledgeable and informed decision about whether or not to agree to having it d) Make decisions about who their health care provider is without any coercion or undue influence of others including healthcare providers.
10) You are caring for a high-risk pregnant client who is in a life-threatening situation. The fetus is also at high risk for death. Clinical decisions are being made that concern you because some of these treatments and life saving measures promote the pregnant woman’s life while they significantly jeopardize the fetus’ life and viability and other decisions can preserve the fetus’s life at the expense of the pregnant woman’s life. Which role of the nurse is the priority currently? (2pts) a) Advocacy b) Case manager c) Collaborator d) Coordinator of care.
11) The nurse should intervene if the nurse notes a staff member: (2pts) a) Using a broad base of support while transferring b) Handling a wet cast with the palms of the hands c) Placing a client on the affected side following surgical repair of a retinal Detachment d) Obtaining a client's consent prior to their operative procedure after Receiving Ativan (lorazepam).
12) The nurse is preparing a staff presentation on legal and ethical issues in nursing. The nurse would be correct to include which of the following examples? a) Telling a client that you will put in a feeding tube if the client does not eat is an example of battery b) Putting a client in a geriatric chair with the lap tray in front of the client in the day room to watch television is false imprisonment c) Placing hands on a client who says "do not touch me" is an example of assault d) Telling a client with bipolar disorder who is suicidal that they have a right to refuse to take their medications is example of malpractice.
13) Which phrase best describe the science of nursing? (2pts) a) The knowledge base for care. b) The skilled application of knowledge. c) Hands-on care, such as giving a bath d) Respect for each inidividual patient.
14) Which nurse in history is credited with establishing nursing education? a) Clara Barton b) Florence Nightingale c) Laninia Dock d) Lillian Wald.
15) What historic event in the 20th century led to an increased emphasis on nursing and broadened the role of nurses? a) Religious reform b) Crimean War c) Vietnam War d) World War II.
16) Which of the following phrases describe one of the purposes of the ANA's Nursing's Social Policy Statement? (2pts) a) To describe the nurse as a dependent caregiver b) To regulate nursing research c) To describe nursing's values and social responsability d) To provide standars for nursing educational programs.
17) A school nurse is teaching a class of junior-high students about the effects of smoking. This educational program will meet which of the aims of nursing? (2pts) a) Promoting health b) Restoring health c) Facilitating coping with disability or death. d) Preventing illness.
18) Which of the following nursing degrees prepares a nurse for advanced practice as a clinical specialist or nurse practitioner? (2pts) a) BSN b) ADN c) Master's d) LPN.
19) What is the purpose of the ANA's Scope and Standards of Practice? (2pts) a) To regulate the practice of nursing. b) To define the activities that are special and unique to nursing c) To establish nursing as an independent and free-standing profession. d) To describe the ethical responsibility of nurses.
20) What type of authority regulates the practice of nursing? (2pts) a) Institutional policies b) Federal guidelines and regulations c) State nurse practice acts d) International standards and codes.
21) Who are the largest group of healthcare providers in the United States? (2pts) a) Registered nurses b) Physicians c) Physical therapist d) Social workers.
22) Which of the following phrases best defines culture? (2pts) a) Categories are based on specific physical characteristics b) Ashared system of beliefs, values, and behaviors c) One's values are replaced by the values of the dominant cultures d) A dominant group within a society.
23) The American Association of Colleges of Nursing identified five values that epitomize the caring (2pts) professional nurse. Which of these is best described as acting in accordance with an appropriate code of ethics and accepted standards a) Human dignity b) Social Justice c) Autonomy d) Altruism e) Integrity.
24) A professional nurse with a commitment to social justice is most apt to: a) Plan care in partnership with patients b) Promote universal access to healthcare c) Provide honest information to patients and the public d) Document care accurately and honestly.
25) A home health nurse who performs a careful safety assessment of the home of frail elderly (2pts) patient to prevent harm to the patient is acting in accord with which of the principles of bioethics? a) Autonomy b) Beneficence c) Nonmaleficence d) Fidelity e) Justice.
26) When a state attorney decides to charge a nurse with manslaughter for allegedly administering (2pts) a lethal medication order, this is an example of what type law? a) Criminal law b) Civil law c) Private law d) Public law .
27) If you wanted to find a list of the violations that can result in disciplinary actions against a nurse, you should read which of following? (2pts) a) Code of Ethics for Nurses b) Nurse Practice Act c) American Journal of Nursing d) Nurse's Bill of Rights.
28) Which type of healthcare facility employs the largest percentage of 28) RN's? a) Long-term care b) Ambulatory care c) Physicians offices d) Hospitals .
29) When reviewing information about the growth of healthcare service, which area would the nurse expect to end as the most rapidly growing area? (2pts) a) Hospitals b) Home care c) Parish nursing d) Nursing.
30) Which healthcare provider is a major source of health assessment and health education for children? (2pts) a) Nurse Practitioner b) Hospital emergency department c) School nurse d) Community center.
31) Which one of the following statements is a requirement for Medicine home healthcare reimbursement? (2pts) a) The caregiver must live with the patient b) The patient must be essentially homebound. c) The patient must require intravenous therapy d) The caregivers must be able to provide all physical care.
9) The Patient Self Determination Act of the United States protects clients in terms of their rights to what? Select all that apply: (2pts) a) Make healthcare decisions and to have these decisions protected and communicated to others when they are no longer competent to do so. b) Privacy and to have their medical information confidential unless the client formally approve the sharing of this information with others such as family members. c) Be fully informed about all treatments in term of their benefits, risks and alternatives to them so the client can make a knowledgeable and informed decision about whether or not to agree to having it d) Make decisions about who their health care provider is without any coercion or undue influence of others including healthcare providers.
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