A nurse inserts a nasogastric tube even though the patient refused the procedure.  The nurse told the patient, "This tube is necessary in order for you to feel better."  In spite of the nurse's good intentions, for what offense is the nurse liable? 

1) an unintentional tort

2) assalt

3) invasion of privacy

4) battery

4) Battery

What is the primary purpose of the Patient Self-Determination Act?

1) to allow patients to make informed decisions about lifesaving or life-prolonging actions

2) to inform patients about what types of care are available if they become incapacitated

3) to eduacate older adults about choices available if they become critically ill

4) to ensure that family memebers agree on the treatments given for a family member who is terminally ill

1) to allow patients to make informed decisions about lifesaving or life-prolonging actions

After recieving treatment for a hip injury, and older adult pt is recommended for transfer to a long-term care facility.  The pt refuses to be transferred.  Which action taken by the nurse best illustrates the use of ethical decision-making skills?

1) persuades the pt to agree to the transfer, since the pt as demonstrated the inability to care for herself at times

2) gather additional info about the pts situation, reviews possible alternatives, and discusses options with the MD

3) discusses the situation with the MD and sks the MD to rescind the decision about the transfer

4) discuss the decision with the pts family and ask them to talk to the Md further

2) gather additional info about the pts situation, reviews possible alternatives, and discusses options with the MD

Which organization has a political action committee (PAC) that supports specific candidates for public office?

1) American Nurses Association (ANA)

2) International Council of Nurses (ICN)

3) National Council of State Boards of Nursing (NCSBN)

4) National League for Nursing (NLN)

1) American Nurses Association (ANA)

Which action by the nurse is an appropriate example of cost containment?

1) removing unnecessary furniture from a patient's room

2) imstructing a patient to reuse a safety razor

3) ordering large quantities of a new medication

4) minimizing the use of disposable equipment

4) minimizing the use of disposable equipment

Which entry in a pts chart provides the most objective data?

1) The pt is cheerful.

2) The pt is frusterated.

3) The pt is lonely.

4) The pt is tearful.

4) The pt is tearful.

What impact has continuing education had on nursing? (Select all that apply.)

1) nurses are more accountable for clinical competence

2) fewer nurses are maintaining their liscense

3) more inactive nurses have returned to active employment

4) the incidence of burnout in nurses has decreased

5) more nurses have attained expertise in a specialized area of care

1) nurses are more accountable for clinical competence

5) more nurses have attained expertise in a specialized area of care

Which assignment pattern is an example of primary nursing?

1) the NA bathes the assigned pts and the RN provides all treatments

2) the LPN administers medications to the assigned pts while the RN makes assessments and attends MD rounds

3) the RN gives complete care to the assigned pts and directs their care for the entire hospitalization

4) the RN works with the LPN to provide care to the assigned pts

3) the RN gives complete care to the assigned pts and directs their care for the entire hospitalization

Which pt would be best suited to use the services of a day care center?

1) 6 year old pt who has undergone an appendectomy

2) 35 year old pt that is being screened for TB

3) 40 year old pt that has DM

4) 80 year old pt with Alzheimer's

4) 80 year old pt with Alzheimer's

At the request of the family of a 78n year old pt, the MD does NOT inform the pt about the medical dx.  Which action by the nurse would be most appropriate?

1) ensure that the family's request is fulfilled

2) refer any questions that the pt may have about the dx to the MD

3) discuss the pt's right to know about the dx with the MD

4) if the pt requests info, then inform the pt about the dx

3) discuss the pt's right to know about the dx with the MD

Which functions would a graduate of an ASN program be prepared to assume? (Select all that apply.)

1) managing a nursing unit in an acute care setting

2) leading a team composed of RNs and LPNs

3) caring for a pt who requires ventilator care in the home

4) providing care in an acute care setting for a group of pts who have just had surgery

3) caring for a pt who requires ventilator care in the home

4) providing care in an acute care setting for a group of pts who have just had surgery

Which historical event focused attention on the need for hospitals, surgeons, and nurses in the United States?

1) Civil War

2) Depression

3) Industrial Revolution

4) Revolutionary War

1) Civil War

What is the purpose of the ANA Standards of Clinical Nursing Practice?

1) to provide guidelines for nursing education

2) to establish requirements for nursing licensure

3) to improve the practice of nursing

4) to promote unity within the nursing profession

3) to improve the practice of nursing

Why should nurses participate in campaigns of writing letters to legislators about helathcare issues?

1) nurses have exclusive knowledge of matters relating to nursing care

2) nurses' opinions are highly regaurded by legislators

3) nurses have valuable expertise in a specific aspect of healthcare

4) nursing licensure is dependent upon active communication between nurses and elected representatives

3) nurses have valuable expertise in a specific aspect of healthcare

Which organization is responsible for maintaining quality in nursing education programs?

1) The Joint Commision

2) American Nurses Association

3) National League for Nursing Accrediting Commission

4) National Council of State Boards of Nursing

3) National League for Nursing Accrediting Commission

A staff nurse is confronting the issue of euthanasia and seeks the nurse manager's guidance.  Through discussion, the manager allows the staff nurse to decide on the course of action.  The manager is using which process to foster ethical nursing practice?

1) appeal to conscience

2) modeling

3) reflecting

4) values clarification

4) values clarification

The nurse gives 2 pills instead of the ordered 1 pill.  The MD is notified.  The pt is carefully monitored and no untoward effects happen.  Can the pt sue the nurse for malpractice?

1) Yes, because foreseeability is present

2) Yes, because a breach of duty exists

3) No, because the pt was not harmed

4) No, because the nurse notified the MD

3) No, because the pt was not harmed

Mildred Montag is recognized for having made which important contribution to nursing education?

1) She developed a uniform educational model for professional nursing

2) She provided the framework for the establishment of associate degree programs

3) She clearly identified the distinctions between professional and technical education

4) She succeeded in securing major federal funding for nursing education projects

2) She provided the framework for the establishment of associate degree programs

A pt is hospitalized with severe HTN.  During the hospitalization, a RN monitors care for the pt and consults with the MD and appropriate staff to arrange for home care upon discharge.  The RN also visits the pt after d/c to ensure that all needs are being met. This situation is an example of which method of nursing care delivery?

1) managed care

2) case management

3) primary nursing

4) team nursing

2) case management

Which example illustrates application of the differentiated practice pattern of nursing care delivery?

1) employing graduates of different types of nursing programs for the same type of work

2)assuring that practice competencies in the workplace are consistent with expected competencies of different nursing programs

3) providing opportunity for graduates from different types of nursing programs to care for pts in both the hospital and home care setting

4) providing financial support to associate degree nursing graduates who are pursuing advanced education

2)assuring that practice competencies in the workplace are consistent with expected competencies of different nursing programs

The RN on a medical unit develop and implement a new flow sheet to improve the charting system on the unit.  Another RN that was on vacation when the new sheet was developed, refuses to use it.  Which is the most likely reason for the RNs resistance to change?

1) lack of involvement in the decision-making process

2) lack of research to indicate the need for the change

3) increase in the amount of paperwork to be completed

4) lack of familiarity with the new forms being used

1) lack of involvement in the decision-making process

While pouring a pt a cup of tea, the nurse spills tea on the pt's forearm.  The pt recieves a deep partial-thickness (2nd degree) burn.  For what is the nurse liable?

1) assault

2) personal battery

3) criminal negligence

4) malpractice

4) malpractice

What is the nurse's responsibility when serving as a witness to a pt's will?  (Select all that apply.)

1) to ensure that the pt is of sound mind before signing the will

2) to record the names of those present when the will is signed

3) to chart the pt's mental and physical condition when the will is signed

4) to confirm that the will has been drawn up by an attorney

5) to ensure that the pt is acting voluntarily

1) to ensure that the pt is of sound mind before signing the will

3) to chart the pt's mental and physical condition when the will is signed

5) to ensure that the pt is acting voluntarily

What is the purpose of nursing certification?

1) to confirm that nurses have skills in a specialty area

2) to ensure safe nursing care for the public

3) to license nurses to practice nursing

4) to identify minimum standards for nursing practice

1) to confirm that nurses have skills in a specialty area

Public health and health promotion roles for nurses are components of nursing envisioned by which of the following nurse leaders?

A) Mary Brewster

B) Clara Barton

C) Florence Nightingale

D) Lillian Wald

C) Florence Nightingale

Which of the following nurse leaders campaigned for the legislation that allows nurses, rather than physicians, to control the nursing profession?

A) Lavinia Dock

B) Margaret Higgins Sanger

C) Mary Breckinridge

D) Virginia Henderson

A) Lavinia Dock

A new graduate has started working in a state other than the one in which the nursing education program was located.  Which of the following should this nurse consult in order to understand the implications of this change of venue?

A) American Nurses Association (ANA)

B) National Council of State Boards of Nursing (NCSBN)

C) Nurse State Practice Act 

D) National League for Nursing (NLN)

C) Nurse State Practice Act 

A client wishes to discontinue treatment for his cancer.  Acting as the client advocate, the nurse makes which statement to the client's physician?

A) "The client would benefit from additional information about treatment options."

B) "The family must be involved in this decision."

C) "The client is making his own decision."

D) "Let's educate the family about the consequences of this decision."

C) "The client is making his own decision."

The nurse has asssumed the responsibilities of case manager.  Which of the following would these include?

A) Identifying areas of client concerns or problems

B) Evaluating performance of ancillary workers

C) Delegating activities to other nurses

D) Managing an acute hospital stay

D) Managing an acute hospital stay

Explaining the present economic challenges to students in this community health course, the nurse educator would emphasize the importance of nurses being familiar with which of the following?

A) Diagnostic-related groups (DRGs)

B) Emphasis shift from inpatient to outpatient care

C) Consumer representatives on governing boards of nursing associations and regulatory agencies

D) Advances in science and technology

B) Emphasis shift from inpatient to outpatient care

The community health nurse is working primarily with teenage mothers and their children.  The nurse recognizes that these clients have increased vulnerability, mainly due to which of the following?

A) Normal difficulties of adolescence

B) Increased poverty

C) Distance seperation from their nuclear families

D) Raising children without the support of family

A) Normal difficulties of adolescence

A nurse is working closely with a client regarding a chemotherapy regimen along with providing consultation, education, and direction for the client and the client's family.  This nurse would most likely be certified as a 

A) nurse entrepreneur

B) clinical nurse specialist

C) nurse educator

D) nurse practitioner

B) clinical nurse specialist

A high school graduate is considering entering a nursing program that offers a baccalaureate degree.  Which of the following is the entity that accredits baccalaureate programs (or higher)?

A) CCNE (Commission on Collegiate Nursing Education)

B) NLN (National League for Nursing)

C) NCSBN (National Council of State Boards of Nursing)

D) NCLEX (National Council Licensure Examination)

A) CCNE (Commission on Collegiate Nursing Education)

If the RN has several LPNs on the shift to supervise, which of the following responsibilities will fall to the RN?

A) Supervising unlicensed client care providers (such as NAs)

B) Administering scheduled injectable medications

C) Evaluating the care provided to the clients

D) Performing complex dressing changes

C) Evaluating the care provided to the clients

A nurse faculty member is speaking to prospective students to the BSN program at their educational institution.  Which of the following is a major incentive for students to select a BSN program over an ADN program?

A) Better opportunity for career advancement

B) Liberal arts education

C) Ability to work in critical care areas

D) Easier transition to graduate schools

A) Better opportunity for career advancement

The ANA's proposal for entry level for professional practice initiated debate among nurses.  Which of the following would be most at risk if the ANA proposal were implemented?

A) An RN with a diploma who works overtime

B) An RN with an associate degree who has a head nurse position

C) An RN with an associate degree who is currently in school

D) An RN with a BSN who is a staff nurse

B) An RN with an associate degree who has a head nurse position

Some nursing students have been given an assignment to develop a research question from a quantitative approach.  Which of the following would be an example of a quantitative research question in the clinical area?

A) What support do terminal cancer clients find least beneficial in hospice care?

B) What dressing selections work best for a wound dehiscence?

C) Does expression of client spirituality affect recovery time?

D) How do siblings react to a new baby of a second marriage after divorce of their parents?

B) What dressing selections work best for a wound dehiscence?

A client has agreed to participate in a research study.  Which of the following would constitute risk of harm to this client?

A) Giving the client false informationabout his or her participation

B) Suggesting that particiaption would greatly benefit the client's financial situation

C) Withholding information about the study

D) Providing the client's name as a participant in the study

D) Providing the client's name as a participant in the study

A nursing instructor is researching the implementation of assigning study guides for homework points and the effect this has on the students' test grades.  The instructor reports group data for published research.  This is an example of which of the rights in research?

A) Right of confidentiality

B) Risk of harm

C) Right of full disclosure

D) Right of self-determination

A) Right of confidentiality

A high school graduate wants to attend a nursing school that is highly regarded for its program.  Which of the following entities must accredit or approve nursing programs?

A) CCNE

B) ANA

C) NLNAC

D) State Board of Nursing

D) State Board of Nursing

In evaluating a research question regarding the safety of pharmacological interventions used to stop preterm labor, the nurse looks specifically at the various medications used and what effect, if any, they had on the baby.  The nurse is critiquing the research based on which dimension?

A) Presentation and stylistic

B) Interpretive

C) Methodologic

D) Substantive and theoretical

C) Methodologic

A nurse practitioner feels it is important to participate in nursing research.  Which activity is most appropriate for this nurse's level of education and position?

A) Using research findings to develop policies and procedures

B) Helping to identify clinical problems in direct client care

C) Participating in data collection

D) Critically analyzing and interpreting research for application to practice

D) Critically analyzing and interpreting research for application to practice

Nursing students have been assigned to develop their own theory of nursing.  Often referred to as the metaparadigm for nursing, which of the following would they include in their theory?

A) Client, environment, health, and nursing

B) Patient, facility, health, and nursing

C) Society, medicine, nursing, and biology

D) Organization, discipline, nursing, and client

A) Client, environment, health, and nursing

Nursing staff members from an acute psychiatric unit have been asked to establish a nurse theorist they can easily identify within their practice.  Understanding the importance of developing a therapeutic relationship between themselves and their clients, especially in this unit, which theorist would they most likely be drawn to?

A) Hildegard Peplau

B) Jean Watson

C) Dorothea Orem

D) Florence Nightingale

A) Hildegard Peplau

Which of the follow nurse theorists focused her theory on 14 fundamental needs of individuals?

A) Florence Nightingale

B) Dorothea Orem

C) Martha Rogers

D) Virginia Henderson

D) Virginia Henderson

A nurse has implemented the use of noncontact therapeutic touch.  Which theorist applied the concept surrounding this intervention?

A) Martha Rogers

B) Florence Nightingale

C) Rosemarie Parse

D) Virginia Henderson

A) Martha Rogers

Nursing students are working with clients on a secured Alzheimer's unit.  Most of the clients are Stage II/III Alzheimer's disease.  Which of the following types of nursing systems, according to Orem's theory, would be appropriate for this unit?

A) Partly compensatory

B) Educative

C) Supportive

D) Wholly compensatory

D) Wholly compensatory

A nurse educator incorporates stress, power, authority, and personal space along with other concepts and considers these concepts essential knowledge for use by nurses.  The educator is applying principles from which theorist into the curriculum?

A) Jean Watson

B) Imogene King

C) Dorothea Orem

D) Hildegard Peplau

B) Imogene King

Nursing students must apply Neuman's systems model in the clinical area.  Which of the following would represent an intrapersonal stressor to a client?

A) Expectations regarding rehab

B) Inadequate health insurance coverage

C) Family members who quarrel frequently about the client's care

D) Adverse reaction to medication

D) Adverse reaction to medication

The client is working to include his spouse in the treatment and recovery process of his illness.  Which of Roy's modes does this exemplify?

A) Role Function

B) Physiologic

C) Interdependence

D) Self-concept

C) Interdependence

A nurse has agreed to delay a client's treatment until the matriarch of the family can be present.  Understanding that this is an important consideration for this client's cultural practices, the nurse is implementing which of Leininger's intervention modes?

A) Culture care repatterning

B) Culture care accommodation, negotiation

C) Culture care preservation and maintenance

D) Culture care restructuring

B) Culture care accommodation, negotiation

The nurse implements being authentically present to clients by supporting them in their beliefs and helping to instill a hopefulness in their recovery.  The nurse has taken on the processes of which of the following theorists?

A) Hildegard Peplau

B) Florence Nightingale

C) Rosemarie Parse

D) Jean Watson

D) Jean Watson

The student nurse is studying the various applications of law to understand the regulations surrounding nursing practice in the state.  What is the type of law that implements and enforces the burse practice act of any given state?

A) Administrative law

B) Common law

C) Statutory law

D) Public law

A) Administrative law

A client was given the wrong dose of medication and died.  The case is being tried in court and similar cases are used by the court in comparison to arrive at a decision.  What doctrine is being applied here?

A) Common Law

B) Stare decisis

C) Administrative law

D) Public Law

B) Stare decisis

The admitting nurse explains the process of signing forms to allow for the client's insurance company to be billed for services.  If the insurance fails to pay for services, the client is responsible for payment.  This is an example of which of the following?

A) Statutory law

B) Administrative law

C) Tort law

D) Contract law

D) Contract law

A nurse forgets to put the call light within the client's reach and then leaves the room.  The client reaches for it and falls out of bed.  The nurse could be charged with which of the following?

A) Battery

B) Negligence

C) Malpractice

D) Assault

B) Negligence

Before a case goes to court, the nurse and the attorney will make an effort to understand and obtain all the facts surrounding a situation; for example, other staff who were working with the client, anyone who might have had acess ti the client's information, and the client's mental status and condition.  This is referred to as which of the following?

A) Burden of proof

B) Civil action

C) Discovery

D) Complaint

C) Discovery

Before the nurse can apply for relicensure, the state board of nursing requires 30 hours of continuing education in nursing or in-service education.  This practice exemplifies which of the following?

A) Licensure

B) Competency

C) Certification

D) Credentialing

D) Credentialing

The nurse carries out a medication order, incorrectly written by the physician and subsequently filled by the pharmacist.  Who, in this situation, is liable for the action?

A) Hospital

B) Pharmacist

C) Physician

D) Nurse

D) Nurse

A nurse was responsible for a client's injury after failing to implement proper safety precautions in the client's care.  The client's family is now pursuing damages from the hospital as well as from the nurse.  The doctrine that holds the hospital responsible as well as the nurse is which of the following?

A) Res ipsa loquitur

B) Respondeat superior

C) Contractual relationship

D) Stare decisis

B) Respondeat superior

A client is to undergo an invasive procedure by a physician.  The client is questioning some of the terminology in the consent form.  Which of the following is the best reponse by the nurse?

A) "You should have asked your physician when he was in here."

B) "Just sign the form, and I'll make sure your physician talks to you before he begins the procedure."

C) "I'll call your physician back in the room to answer your questions."

D) "I'll explain whatever you don't understand."

C) "I'll call your physician back in the room to answer your questions."

The client presents her hand when the nurse makes this statement:"I need to start an IV so you can get your antibiotics."  This is an example of which of the following?

A) Express consent

B) Implied consent

C) Informed consent

D) Compliance

B) Implied consent

An adult client who cannot read needs surgery and is competent to make his own decisions.  The best action of the nurse is to 

A) tell the client in the nurse's own words what the surgical procedure involves

B) have a family member who can read sign the consent form

C) make sure the physician explains the procedure to the client

D) read the consent form to the client and have the client state understanding

D) read the consent form to the client and have the client state understanding

An elderly adult fell at home and fractured a hip, which requires surgical repair.  After admittance to the emergency department, the client was given sedation for pain before a surgical permit was signed.  What is the best action necessary to obtain consent?

A) The physician should have the client's wife sign the consent form

B) This would be considered an emergency situation and consent

C) Since the client has been medicated, the nurse should thoroughly explain the consent form to the patient

D) The physician should wait until the effects of the medication wear off and have the client sign.

A) The physician should have the client's wife sign the consent form

A client is brought to the emergency department after bieng involoved in a motor vehicle crash.  Although the client is conscious, her condition is critical and will require emergency surgery.  The client does not speak English.  What is the best action of the staff?

A) explain as best as they can using pictures and gestures

B) proceed with surgery as implied consent would be the case in this situation

C) read the consent form and have the client sign it anyways

D) have the hopital interpreter explain the procedure

D) have the hopital interpreter explain the procedure

The nurse had delegated the task of obtaining vital signs on a new admission to a UAP.  The task is completed, but the vitals were not recorded accurately.  Who is responsible for this action?

A) Both the UAP and nurse

B) the nurse

C) the nurse manager of the unit

D) the UAP

B) the nurse

A nurse is caring for a client in the emergency department who was brought in by her adult child for vague, flu-like symptoms.  While helping the client to change into a gown, the nurse notices numerous bruises on the client's back and arms.  When questioned, the client is distracted and ambiguous with her answers.  The nurse should

A) question the adult child who brought the client to the ED

B) report the situation to social services

C) report the situation to law enforcement

D) file a writen report in the client's chart

B) report the situation to social services

A nurse who has been a longtime employee of a hospital, providing bedside care to clients, was seriously injured and is paralyzed from the shoulders down, with limited use of the upper arms.  Through rehabilitation, the nurse is able to mobilize with a wheelchair and has no cognitive or psychological deficits.  The nurse wants to return to the same position held prior to the injury.  Under the guidelines of the ADA, the hospital

A) will have to terminate the nurse's employment

B) is required to accommodate the nurse

C) could claim undue hardship to accommodate this nurse

D) must find another jon for the nurse

C) could claim undue hardship to accommodate this nurse

A nurse on thiw unit notices that a co-worker exhibits a pattern of behavior suggestive of drug abuse.  The nurse should

A) report the situation to the unit charge nurse

B) send an anonymous letter to the director of nursing

C) report the situation, then let management take care of it

D) let other co-workersknow about the situation

A) report the situation to the unit charge nurse

A nurse's co-worker makes a practice of telling ofensive jokes or stories with a sexual undertone during the shift.  The best action of the nurse is to

A) tell the co-worker to stop the activity because the conduct is offensive

B) report the incident to the nurse manager

c) ask to be scheduled opposite this co-worker

D) ignore the co-worker and walk away

A) tell the co-worker to stop the activity because the conduct is offensive

A nurse who is opposed to abortion works in a hospital where they are done.  According to the Supreme Court's conscience clause, the nurse

A) should not be working in this particular hosptial

B) cannot interfere with a woman's constitutional rihgt

C) can counsel women before they have an abortion

D) has the right to refuse to participate in abortions

D) has the right to refuse to participate in abortions

A nurse is being sued for malpractice.  Which of the following specific elements must be present for the nurse to lose this case:

1) Negligence               5) Causation

2) Damages                 6) Foreseeability

3) Injury                     7) Breech of Duty

4) Malpractice              8) Duty

A) 2, 3, 5, 6, 7, 8          C) 3, 4, 5, 7, 8

B) 1, 2, 3, 7                  D) All of the above must be present

A) 2, 3, 5, 6, 7, 8 

A client woke up in the middle of the night, confused and unaware of the surroundings.  Although the call light was within reach, the client got out of bed unassissted, tripped on the bedside chair, and fell.  Which of the following elements of malpractice is missing in this case?

A) Damages

B) Forseeability

C) Duty

D) Injury

B) Forseeability

A client is scheduled to have surgery, has signed the consent form, but refuses to have a foley catheter placed, saying "That's not part of the surgery."  The nurse should

A) call the physician

B) respect the client's wishes and document accordingly

C) explain that it is part of the surgical prep and continue with the procedure

D) explain that the client has already signed the consent, and place the catheter

B) respect the client's wishes and document accordingly

The nurse makes this entry in a client's medical record: "The client is a drug addict and is always asking for more medication than what is necessary."  In this situation, the nurse may be charged with which of the following?

A) Slander

B) Incompetence

C) Defamation

D) Libel

D) Libel

Nurses are protected by laws such as Good Samaritan acts.  Which of the following situations would apply as part of these acts:

1) a nurse gives CPR to a pt brought to the ER; later it is found the pt has a DNR

2) a nurse gives first aid to a child hurt at a sporting event

3) a student nurse tries to insert an airway in an unconscious pt

4) nurse leaves the scene of an emergemcy to call for help

5) nurse helps deliver the baby of a neighbor during a snow storm

A) 2, 3, 5          C) 2, 4, 5

B) 1, 2, 5          D) All of the above   

B) 1, 2, 5

A toddler who has just been admitted to the pediatric unit is crying and scared.  No treatment has been administered at this point. The nurse needs to start an IV and the parents ask, "Will this be painful to my child?"  In practicing veracity, the nurse responds:

A) "We do this all the time, so don't worry."

B) "We'll take every care to not hurt your child."

C) "I won't lie to you.  It may be easier for you to step out until we get the line in."

D) "It shouldn't be too bad, and I'll be quick."

C) "I won't lie to you.  It may be easier for you to step out until we get the line in."

A student is attending a school with a high first-time pass rate on the NCLEX.  A belief that the nursing student has about faculty in the program could be expressed as which of the following?

A) faculty are concerned with job placement of their graduates

B) faculty work hard to make sure their students are successful

C) faculty are more concerned with licensure than anything else

D) faculty expect high academic standards from their students

C) faculty are more concerned with licensure than anything else

Parents of a terminally ill child have decided to remove their child from life support, a decision that has met with much negative support.  The nurse practices the value of autonomy through which of the following?

A) asking to be assigned to a different pt

B) showing respect for the family

C) respecting the parent's decision

D) referring the parents to social servies

C) respecting the parent's decision

A nurse is working with a local agency to provide care to the inadequately insured by helping to staff an after-hours clinic.  This nurse is demonstrating which of the following professional values?

A) human dignity

B) integrity

C) altruism

D) social justice

D) social justice

A pregnant client says her main concern is that her baby will be born healthy, even though she admits to drinking alcohol on a regular basis.  The pt is struggling with which of the following?

A) ethics

B) values transmission

C) morals

D) values clarification

D) values clarification

The administration of a hospital, along with nursing services, is planning to incorporate a struggling private clinic into the infrastructure of the hospital.  Although relocating the clinic may cause transportation issues for some of the pts, keeping the clinic running will allow current employees as well as pts the continued benefit of the service.  This is a specific example of which theory?

A) deontological theory

B) teleological theory

C) caring theory

D) utilitarianism

D) utilitarianism

A nurse is having difficulty with the decision for aggressice cancer therapy in an elderly pt, wondering if the therapy will actually be more harmful than the disease and knowing that the pt will be subjected to harmful chemicals.  This nurse is struggling with which of the following principals?

A) justice

B) autonomy

C) beneficence

D) nonmaleficence

D) nonmaleficence

A student nurse accidentally left the call light outside the reach of the elderly pt.  Luckily another nurse found the situation and was able to rectify the matter before something happened.  The student responded, "I know better.  I should have double checked where the light was before I left the room."  This student is demonstrating which of the following?

A) responsibility

B) fidelity

C) accountability

D) justice

C) accountability

The ANA and CNA (Canadian Nurses Assoc) have both adopted a code of ethics.  Which of the following describes characteristics of a code of ethics:

1) formal statement

2) same standards as legal standards

3) shared by group members

4) reflects legal judgements

5) services as a standard for professional action

A) 1, 2, 4, 5          C) 1, 3, 5

B) 1, 4, 5              D) all of the above

  C) 1, 3, 5

A client with terminal cancer is dying.  For the past several days, the pt has refused food and fluids and pushes the caregiver's hands away when attempts are made to ffed the pt or offer any kind of fluid.  The family is considering placing a feeding tube because they feel that the pt is "starving to death."  The nurse should

A)take the case to the hospitals eithics committee

B) honor the pts refusal and help the family to come to terms witht the situation

C) honor the familys wish and have them sign a censent form

D) talk to the MD so he can move forward with the familys wishes

B) honor the pts refusal and help the family to come to terms witht the situation

A client comes to the clinic and is found to have an STD.  The pt states to the nurse, "Promise you won't tell anyone about my condition."  The nurse, according to HIPPA, must do which of the following?

A) honor the pts wishes

B) respect the pts privacy and confidentially

C) not disclose any info to anyone

D) communicate only necessary information

D) communicate only necessary information

A home health client has been prescribed nutritional supplements three times a day.  The formaula is expensive and the pt tells the home health nurse that she is taking them three times a day, but diluting them so she can use only one can, not three, per day. As a client advocate, the nurse should 

A) weigh the pt on a weekly basis to monitoe weight gain or loss

B) help the pt look for available community resources that may be of assistance

C) report the situation to the MD

D) tell the pt that she needs to take the prescribed amount

B) help the pt look for available community resources that may be of assistance

A nurse has begun working in a hospital that provides services in all specialty areas.  This hospital is classified as which of the following?

A) general hospital

B) short term hospital

C) long term care hospital

D) specialty hospital

A) general hospital

A client is being discharged following an extensive illness.  The pt continues to require IV antibiotics, is not able to complete ADLs without assistance, and has no family available to assist in the recovery phase.  The nurse should make a recommendation for this pt to

A) be discharged to an extended care facility

B) stay in the hospital until the pt is fully capable of self-care

C) remain in the hospital until the antibiotic course is completed

D) go to a nursing home

A) be discharged to an extended care facility

The spouse of a pt diagnosed with Stage I/II Alzheimer's must continue to work full time.  The spouse tells the nurse that the pt has started to wander outside the house, forgets to turn the stove off, and tries to drive the car if the pt finds the keys.  The nurse shoudl recommend which of the following?

A) place the pt in an adult day-care

B) that the spouse consider early retirement

C) considering increasing the pt's medications to slow the progress of the disease

D) long term care placement for the pt

A) place the pt in an adult day-care

A pt has just been referred to hospice care, and the spouse asks the hospice nurse why the pt needs the change in services.  The best response ny the nurse is which choice?

A) "It is best for your spouse to be cared for at home."

B) "There is no need for acute care any longer."

C) "We can see if there is a way to improve your spouce's life."

D) "Hospice care is cheaper than acute acre."

C) "We can see if there is a way to improve your spouce's life."

A pt has been recovering after an injury that left him partially paralyzed.  The pt is a young adult and intent on living independently, as before injury.  The best referral for this pt would be to which of the following?

A) occupational therapy

B) physcial therapy

C) case manager

D) paramedical technologist

A) occupational therapy

Which of the following factors have an effect on health care delivery:

1) increased use of complementary and alternative medicine

2) more knowledgeable consumers

3) increase in the number of elderly

4) decrease in chronic disease

5) technological advances

6) economics

A) 1,2,5,6         C) 4,5,6

B) 1,3,6            D) 2,3,5,6

 D) 2,3,5,6

Nurses are dicrectly involved in cost containing or cost control measures.  Which of the following reasons are related to cost increases:

1) rising numbers of uninsured

2) total population is decreasing

3) inflation

4) use of prescription drugs is leveling off

A) 3 & 4        C) 1,2,3

B) 1 & 3        D) all above the above

B) 1 & 3

A nurse is interviewing a pt at a near shelter for the homeless.  Understanding the increased risk poor physical environment creates for this client, the nurse will focus on which of the following during the intake phase of the interview?

A) Improper nutrition

B) Lack of social support

C) recent history of fever and chills and bosy aches

D) few personal resources

C) recent history of fever and chills and bosy aches

A nurse is working in a clinic whose emphasis is on cost control, customer satisfaction, health promotion, and preventive services.  This represents which type of system?

A) patient-focused care

B) case management

C) differentiated practice

D) managed care

D) managed care

A client who is at least 65 years old us aking the nurse how he will afoord his hospitalization, which has now been extended and involves extemely expensive drugs.  The best response by the nurse is which choice? 

A) "Much of your care will be covered by Medicare."

B) "I'll have someone from the bussiness office came by and talk to you about your bill."

C) "Don't worry.  I'm sure everything will work out OK."

D) "You need to focus on recovering, not worrying about your finances."

A) "Much of your care will be covered by Medicare."

A client has just been enrolled (through her employer) in an HMO.  The client's previous experience with health care coverage through her employer was with a PPO. The client asks the occupational health nurse to explain the difference.  The best response by the nurse is which of the following?

A) "You really should be happy about the HMO.  You'll pay little, if any, out-of-pocket expense."

B) "Your PPO offered you a choice in your health care provider as well as services.  Now, you will choose a primary care provider who will evaluate your health and will coordinate all of your care."

C) "Both the HMO and PPO are covered by your employer, so its really not your concern."

B) "Your PPO offered you a choice in your health care provider as well as services.  Now, you will choose a primary care provider who will evaluate your health and will coordinate all of your care."

A public health nurse is working with a group of home health nurses in an isolated, mountainous religion where access to smaller communities and individuals is quite difficult, especially in the winter and early spring.  the public health nurse has set up video conferencing and video clinics for these home health nurses reguarding various client teaching and health promotion activities.  This is an example of which of the following?

A) collaborative health care

B) parish nursing

C) community-based nursing

D) telenursing

D) telenursing

The nurse is helping in discharge planning of a client  who needs extensive rehabilitation and is on a complicated medication schedule.  The nurse would want to include which of the following persons in the client's plan?

A) social worker

B) client's spouse

C) pharmacist

D) physician

B) client's spouse

A group of nurses who provide telephonic patient care are requesting that a weight control organization set up meetings in their office.  This inquiry by the nurses is an example of:

A) primary care

B) integrated health care

C) community based health care

D) primary health care

C) community based health care

There is an organization where nurses provide BP screenings, height and weight measurements, smoking cessation, and low-impact aerobic classes.  This organization is an example of

A) a wellness center

B) an institution-based center

C) an integrated health-care center

D) a community outreach center

A) a wellness center

A pt asks the nurse about her medications and tells the nurse that she has beeen investigationg on the internet.  The nurse's best response to this is which choice?

A) "I'm glad you're interested in your therapy."

B) "Your physician is the one should be asking these questions."

C) "Let's look at some of the sites you've been visiting."

D) "Information on the internet cannot be trusted.  You should check with your pharmacist."

C) "Let's look at some of the sites you've been visiting."

A nursing student is able to continue studies while visiting abroad.  This student's nursing program has implemented which of the following to make this possible?

A) classroom technology

B) CAI

C) distance learning

D) informatics

C) distance learning

A pt in a health care facility asks the nurse about the facility's computerized system for keeping pt information, escpecially confidentiality issues.  Which is the best response by the nurse?

A) "Don't worry, your information is always safe."

B) "Information in our system requires a password to retrieve."

C) "I can see why you're worried, with all the computer hackers out there these days."

D) "Our system was designed with a lot of input from nursing staff."

B) "Information in our system requires a password to retrieve."

Wich of the following best describes the function of a Hospital Informaiton System (HIS)?

A) It organizes a hospital's pt and institutional database

B) It is a national compilation of statistics on hospital characteristics

C) It connects a hospital's personal computers to the Internet

D) It provides instruction on hospital-related topics to clients

A) It organizes a hospital's pt and institutional database

A nurse educator assigned students an activity to implement Socratic questioning in their daily lives.  Which of the following is a question about reason using this technique?

A) "If you didn't study for your test, what is the probability you will fail?"

B) "What other ways of studying could you implement?"

C) "If you study all the unit outcomes, what effect will that have?"

D) "What makes you think cramming for a test is an ineffective way to study?"

D) "What makes you think cramming for a test is an ineffective way to study?"

A pt comes to the ER with a productive cough, audible cough crackles, fever, chills, and body aches.  The nurse identifies the problem as respiratory compromise.  The nurse is using which of the following?

A) socratic questioning

B) critical analysis

C) inductive reasoning

D) deductive reasoning

D) deductive reasoning