Nokea
To provide optimal continuity of care, the nurse should do all of the following except:
- A. document current functional status.
- B. have the physician phone a report to the receiving facility.
- C. copy appropriate parts of the medical record for transport to the receiving facility.
- D. phone a report to the facility.
Correct Answer: B
Rationale: It is the nurse's responsibility to communicate the client's condition and care plan to the receiving facility to support continuity of care. Documentation of the client's baseline functional status is important for the receiving facility to work with in further goal setting. A copy of select portions of the medical record (according to facility policy) is another form of communication and supports continuity. A physician might be asked to be involved if there are specific medical needs or orders that she believe are important, but is generally not involved.
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Issues addressed in ethics committees include all of the following except:
- A. nonpayment of bills.
- B. euthanasia.
- C. starting or stopping treatment.
- D. use of feeding tubes.
Correct Answer: A
Rationale: Ethics committees do not deal with financial matters of payment. Euthanasia, starting or stopping treatment, and use of feeding tubes to maintain nutritional status are topics within the ethical scope of the committee's function.
What is the primary theory that explains a family's concept of health and illness?
- A. Health Belief Model
- B. Education-School-Completing Factor
- C. Family Health Expert Factor
- D. Disconnected Family Factor
Correct Answer: A
Rationale: The Health Belief Model describes readiness factors; the perceived feelings of susceptibility and seriousness of the health problem (the threat); and positive motivation to maintain, regain, or attain wellness.
The nurse is caring for a client awaiting test results on a biopsy. The client is unconscious, and the physician informs the client's spouse that the biopsy came back positive for cancer. The spouse asks the nurse if they will not share this news with the client because they would prefer the client be unaware of the diagnosis. Which of the following responses is most appropriate?
- A. I will have a psychiatrist confirm that the news will cause negative effects, and if so, I will comply with your request.'
- B. For ethical reasons, I am unable to withhold this information from the client.'
- C. You will need to sign paperwork stating you are accepting the risk of not sharing this with the client.'
- D. You must have a durable power of attorney for health care advanced directive in place before I can consider this request.'
Correct Answer: B
Rationale: The ethical principle of veracity requires that the nurse is truthful with the client and does not withhold information even if it is requested by the family.
Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?
- A. I should put alcohol on my baby's cord 3-4 times a day.'
- B. I should put the baby's diaper on so that it covers the cord.'
- C. I should call the physician if the cord becomes dark.'
- D. I should wash my hands before and after I take care of the cord.'
Correct Answer: D
Rationale: Parents should be taught to wash their hands before and after providing cord care. This prevents transferring pathogens to and from the cord. Folding the diaper below the cord exposes the cord to air and allows for drying. It also prevents wet or soiled diapers from coming into contact with the cord. Current recommendations include cleaning the area around the cord 3-4 times a day with a cotton swab but do not include putting alcohol or other antimicrobials on the cord. It is normal for the cord to turn dark as it dries.
The nurse is admitting a client to the unit who says they would feel more reassured with an extra oxygen tank in their room because of a past incident when they were short of breath. Which of the following statements is the best response?
- A. I will make sure there is always an extra oxygen tank in your room.'
- B. I will ask the previous nurse if the extra tank was needed.'
- C. I will need to check if your insurance benefits would cover an additional oxygen tank.'
- D. The first priority is ensuring there are enough oxygen tanks for everyone who needs them. I am not sure we will be able to provide an extra on standby.'
Correct Answer: D
Rationale: The nurse should recognize the appropriate need for materials and equipment. The client's preference for extra equipment that other clients may need is not appropriate.