Question 1

A Shared Governance committee is working on a project that focuses on ethical behavior. What would the committee identify as an instrument to ensure ethical behavior when providing patient care?

Accepted Answer

A

Question 2

A nurse is becoming discouraged with the way patient care is being provided in a skilled nursing facility. Which action would help the nurse with the feelings of discouragement?

Accepted Answer

C

Question 3

An organization is adopting processes of a high reliability organization. Which processes will help the nursing staff prevent errors? Standard Text: Select all that apply.

Accepted Answer

High reliability organizations focus on being aware of risks, responding to errors, seeing the big picture, and seeking out information to prevent errors. Blaming the right party is not a process that aligns with high reliability principles.

Question 4

The nurse manager is scheduling a session with a telephone vendor and the nursing staff to review different types of communication devices. What will be the manager's ultimate goal when making this decision?

Accepted Answer

The ultimate goal of reviewing different types of communication devices with a telephone vendor and nursing staff is to improve access to information, which can enhance communication, efficiency, and patient care.

Question 5

The nurse observes a physician provide twice the recommended dose of pain medication to a patient with a terminal illness. What should the nurse do about this situation?

Accepted Answer

The nurse's primary concern should be the well-being of the patient. Therefore, the best choice is to focus on the best response for the patient. This may involve monitoring the patient for adverse effects of the medication and advocating for appropriate pain management strategies. Confronting the physician directly or reporting them to the medical director may cause conflict and disrupt the patient's care. However, if the nurse determines that the physician's actions were inappropriate or potentially harmful, they should follow the appropriate channels for reporting such incidents.

Question 6

One state, through the state board of nursing, is considering joining the Nursing Licensure Compact (NLC). What impact will this decision have on the practice of nursing in that state?

Accepted Answer

Joining the Nursing Licensure Compact will lead to more uniformity in laws within the nursing profession, as nurses will be able to practice in multiple states with the same license. This streamlines the licensing process and creates consistency in standards of practice among compact states.

Question 7

The nurse is writing a letter to a congressman about legislation to protect whistleblowers. Which statement would the nurse emphasize as being important?

Accepted Answer

The nurse would emphasize employee protection as the most important aspect of legislation to protect whistleblowers. Whistleblowers are often at risk of retaliation from their employers or colleagues, which can result in loss of employment, damage to reputation, and other negative consequences. Therefore, it is important to have laws in place to protect whistleblowers from such retaliation and ensure that they are able to retain their jobs and receive appropriate support if they do experience retaliation.

Question 8

The nurse is aware of a practice that places patients at risk for infection. What would be the major reason for the nurse to blow the whistle on this care provider?

Accepted Answer

Patient advocacy should always be the top priority for healthcare providers. If a practice puts patients at risk for infection, it is the responsibility of the nurse to report it to protect the well-being and safety of their patients.

Question 9

The nurse is providing a patient with the document Patient Care Partnership. What is included as a focus of this document?

Accepted Answer

The Patient Care Partnership focuses on the patient's right to help with billing issues.

Question 10

A nurse strives to provide ethical care to assigned patients. On which strategies will the nurse focus to achieve this goal? Standard Text: Select all that apply.

Accepted Answer

The nurse should focus on safety, wellness, and health promotion to provide ethical care to assigned patients. These strategies prioritize the well-being and improvement of the patient's health and do not compromise ethical principles. Cost-containment and limited use of resources may conflict with ethical care if they result in inadequate or suboptimal treatment for the patient.

Question 11

A patient with chronic illnesses desires to have a total knee replacement to improve knee pain. The primary care provider suggests the patient use palliative approaches for knee pain. The family says they support the patient's decision. What should be done about this situation?

Accepted Answer

The answer of A patient with chronic illnesses desires to...

Question 12

A Shared Governance committee is identifying ways to improve the safety of patient care. What goals will the committee members keep in mind when making these decisions? Standard Text: Select all that apply.

Accepted Answer

The answer of A Shared Governance committee is identifying ways...

Question 13

After providing morning medications the nurse realizes that a medication error was made. What should the nurse do?

Accepted Answer

The nurse should always be honest and report medication errors according to policy in order to ensure patient safety and proper documentation. It is also important to evaluate the patient for any effects of the medication error and to document the error properly in the patient's chart. Encouraging the patient to ingest more water may not be appropriate or effective in addressing a medication error. Switching medications between patients is also not an appropriate response to a medication error.

Question 14

Why would a nurse that is aware of an unsafe practice being conducted by another nurse hesitate to report this observation?

Accepted Answer

The nurse might hesitate to report an unsafe practice observed in another nurse due to concerns about inhibiting trust among colleagues and questioning loyalty. Reporting a peer can create tension and potentially disrupt the team dynamic, making individuals hesitant to take such actions.

Question 15

The nursing staff is upset that a new protocol for a patient care procedures is being made an expectation of care. For what reasons would the protocol be disliked by the nurses? Standard Text: Select all that apply.

Accepted Answer

The protocol may be disliked because nurses might feel they are being overly monitored (A) or micromanaged (E), which can be perceived as a lack of trust in their professional judgment. They may also believe that some steps are not important (B) or feel restricted by being unable to skip steps (D) that they deem unnecessary in certain situations.

Question 16

The family of a resident in a skilled nursing facility is requesting to transfer the patient because of unsafe nursing care. What unsafe nursing practices did the family observe? Standard Text: Select all that apply.

Accepted Answer

The answer of The family of a resident in a...

Quiz 11: Quality Health Care, Policy and Law