Question 1

The nurse understands that the nursing profession has standards of care that promote the covenant between patient and nurse. Which of the following is an example of this covenant?

Accepted Answer

The covenant between patient and nurse is exemplified by a partnership approach to care, where the nurse and patient collaboratively develop care plans, goals, and interventions. This reflects a mutual respect and shared decision-making process, aligning with the concept of a covenant.

Question 2

The nurse is assessing an adolescent patient in the emergency department with a suspected intentional overdose. After given treatment, the patient refuses to give her parent's contact information and states, "It is none of their business." What is the nurse's best response?

Accepted Answer

B

Question 3

Which of the following behaviors serves as an example of the nurse directly upholding the American Nurses Association's (ANA's) Code of Ethics for Nurses?

Accepted Answer

A

Question 4

Identify one or more choices that best complete the statement or answer the question.
-Which of the following are examples of a nurse adhering to the pediatric standards of practice? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 5

Identify one or more choices that best complete the statement or answer the question.
-The nurse is providing care to a toddler recently diagnosed with asthma. The parents have become verbally aggressive with staff and have challenged many of the unit rules. Which of the following may have contributed to the family's challenging behavior? Select all that apply.

Accepted Answer

A) Parents in leadership roles may struggle with feeling out of control in a hospital setting, leading to challenging behavior. B) Disagreement with the treatment protocol, possibly due to information found on the Internet, can also lead to confrontations with staff.

Question 6

The nurse is preparing an 8-year-old patient for a cancer protocol that has a significant amount of risk. The parents have provided informed consent for this trial, but the patient has refused to partake in this research. What is the most appropriate course of action for this situation?

Accepted Answer

The patient has the right to refuse treatment, even if the parents have consented.

Question 7

Which of the following behaviors serves as an example of the nurse directly upholding the ANA Code of Ethics for Nurses?

Accepted Answer

The answer of Which of the following behaviors serves as...

Question 8

The nurse is providing care to an adolescent patient with cystic fibrosis in the acute care setting. The patient tells the nurse, "You are my favorite because you always listen to me, not like the other nurse who hates me." Which response by the nurse is most appropriate?

Accepted Answer

Option B is the most appropriate response because it acknowledges the patient's feelings without dismissing them, offers a solution by involving the charge nurse, and reinforces the concept of teamwork among the nursing staff, which is important in a healthcare setting.

Question 9

The nurse is preparing a 13-year-old patient for a full physical examination by the primary care provider (PCP). The patient asks that her mother leave the room because of the sensitive nature of the examination. What is the best course of action to be taken by the nurse to protect the interested parties?

Accepted Answer

The answer of The nurse is preparing a 13-year-old patient...

Question 10

The nurse is providing care to the mechanically ventilated 4-year-old patient who is believed to be the victim of abuse from the parents. The parents refuse to permit removal of the ventilator. The nurse believes this is because the parents are afraid that they will be charged with murder if the child dies. What is the recourse for the health-care team in this ethical dilemma?

Accepted Answer

C) Providing information to the courts for legal involvement is the appropriate recourse in this situation. It allows for an objective third party to evaluate the ethical dilemma, considering the best interests of the child, legal implications, and the concerns of the parents.

Question 11

The home care nurse is assessing the home environment for the pediatric patient. The nurse notes that the family is unable to perform some of the physical therapy exercises safely. What is the most appropriate initial nursing action?

Accepted Answer

The most appropriate initial action is to assess the family's understanding of the exercises to identify any gaps in knowledge or technique that may be causing safety issues.

Question 12

The nurse is assessing an adolescent patient in the emergency department after she was attacked at a party. The patient refuses to give her parent's contact information and states, "They will kill me when they find out that I went to the party." What is the nurse's best response?

Accepted Answer

The nurse has a duty to report the attack to the patient's family and the authorities, as it is a suspected case of child abuse.

Question 13

The nurse is providing care to a hospitalized 1-year-old patient. The nurse locks the exits per protocol to prevent the removal of the child from the unit. The grandparents become angry about this, because they want to take the infant outside for "some fresh air." What is the appropriate measure that the staff take to promote patient safety at this time?

Accepted Answer

Explaining to the grandparents that this is a measure to prevent abduction of the patient is the appropriate measure that the staff take to promote patient safety at this time.

Question 14

The nurse is providing care to a hospitalized pediatric patient, and the patient is refusing all pain medication despite signs of obvious distress. The patient tells the nurse, "All you nurses lied, and the shots hurt." What is the most appropriate nursing measure at this time?

Accepted Answer

The nurse should admit to the patient that the shots hurt but explain that they help. This will help to build trust with the patient and encourage them to take the medication.

Question 15

The nurse is providing discharge teaching to the family of a hospitalized 9-year-old patient, recently diagnosed with asthma. The family states that they feel overwhelmed with the treatment plans and cannot perform the necessary nebulizer treatments. Which nursing intervention best reflects the professional performance aspect of pediatric nursing standards?

Accepted Answer

Arranging for a home care respiratory therapy consultation directly addresses the family's concern by providing them with the necessary support and education in their home environment, reflecting the professional performance aspect of pediatric nursing standards by ensuring continuity of care and education.

Question 16

Identify one or more choices that best complete the statement or answer the question.
-Which of the following nursing actions is an example of a function of the Code of Ethics for Nurses directly relating to the health-care environment? Select all that apply.

Accepted Answer

These actions relate to the health-care environment by influencing policies, shaping community standards, and ensuring safety and infection control, which are functions of the Code of Ethics for Nurses.

Question 17

The nurse is providing care to a child in the home care setting. The nurse often provides the mother with advice that varies from how to perform the child's medical care to marital advice. The nurse has stated that this is her favorite patient and has made this child's home the last stop of her shift to use her free time for visits. What is the relationship status between the nurse and family?

Accepted Answer

The nurse has crossed professional boundaries by becoming too personally involved with the family, indicating an enmeshed relationship rather than a therapeutic one.

Question 18

The nurse recognizes that the American Nurses Association characterizes which fundamental nursing practice within the Pediatric Nursing Standards of Practice and Professional Performance for Nurses?

Accepted Answer

The American Nurses Association (ANA) emphasizes evidence-based practice as a cornerstone of nursing practice. This approach involves using the best current evidence from research and other credible sources to make informed decisions about patient care. It is fundamental in ensuring that nursing interventions are effective and based on the latest and most reliable evidence.

Question 19

The emergency department nurse is providing care to a 5-year-old child with a repeated exacerbation of otitis media. When it becomes apparent that the parents smoke and refuse to prevent the child's exposure to secondhand smoke, the nurse voices frustration to the family that they are causing the child's otitis media. Which of the provisions of the ANA Code of Ethics for Nurses has the nurse failed to follow?

Accepted Answer

The nurse failed to practice with compassion and respect for the inherent dignity of the parents, regardless of the health behaviors contributing to the child's health problems. Voicing frustration in a blaming manner does not respect the dignity of the family.

Question 20

Identify one or more choices that best complete the statement or answer the question.
-Which of the following interventions are examples of a family-focused strategy? Select all that apply.

Accepted Answer

These interventions focus on involving and supporting the family in the care process, such as meal preparation, participation in care planning, and providing space for family members.

Quiz 2: Standards of Practice and Ethical Considerations