Nokea
A client states, "I am leaving. No one here knows what they are doing." The nurse completing the Against Medical Advice form must:
- A. defer notifying the provider until the client has had ample time to leave.
- B. state in medical terms the risks of leaving.
- C. inform the client that leaving could result in complications and impairment.
- D. detain the person with the use of soft restraints until security arrives.
Correct Answer: C
Rationale: Rationale: Choice C is correct because informing the client of potential complications and impairment is essential to ensure the client makes an informed decision. This aligns with the principle of autonomy and informed consent. Choice A is incorrect as delaying notification can jeopardize the client's safety. Choice B is incorrect because using medical jargon may not effectively communicate the risks to the client. Choice D is incorrect as using restraints is a violation of the client's rights and autonomy.
You may also like to solve these questions
The nurse manager meets with upper management to share strategic goals agreed upon by her staff for their individual nursing unit as the first step to begin budget negotiations. One strategic goal is that staff will have access to technology that will allow them to incorporate point-of-care devices for all RNs. The second goal is to improve RNs' ability to recognize critical indicators that a patient's health status is deteriorating through advanced health assessment skills. During the meeting the manager discusses the strategy options and selecting the one that works for the unit. Which type of budget development is used?
- A. Iterative
- B. Top-down
- C. Participatory
- D. Zero-based
Correct Answer: C
Rationale: The correct answer is C: Participatory. In participatory budget development, input is gathered from various levels within the organization, such as staff and managers. In this scenario, the nurse manager met with her staff to establish strategic goals before budget negotiations, indicating a participatory approach. This allows for staff buy-in and ownership of the goals.
A: Iterative budget development involves refining a budget through multiple rounds of review, which is not explicitly mentioned in the scenario.
B: Top-down budget development is characterized by decisions made by upper management without input from lower levels, contradicting the scenario where staff provided input.
D: Zero-based budgeting starts from scratch without considering previous budgets, which is not evident in the scenario where goals were established based on staff input.
In summary, the participatory budget development is the appropriate choice in this scenario as it aligns with the collaborative approach taken by the nurse manager and her staff in setting strategic goals before budget negotiations.
A group of RNs wish to seek union representation that would protect all workers in the agency including nonlicensed assistive personnel and non-nursing employees such as nutritionists and dietary workers. The type of union being sought is the strongest collective group and is known as a(n):
- A. occupational union.
- B. industrial union.
- C. union shop.
- D. right-to-work bargaining organization.
Correct Answer: B
Rationale: The correct answer is B: industrial union. Industrial unions represent all workers in a particular industry regardless of their specific job roles, providing collective bargaining power for a broader group. In this scenario, the RNs seeking union representation aim to include nonlicensed personnel and non-nursing employees, making an industrial union the most appropriate choice.
A: Occupational union focuses on specific occupational groups, not as inclusive as industrial unions.
C: Union shop refers to a workplace where all employees must join the union after being hired, not related to the scope of representation.
D: Right-to-work bargaining organization allows employees to choose whether or not to join the union, not the strongest type of union for collective representation.
A family requests that no additional heroic measures be instituted for their terminally ill mother who has advance directives in place. The nurse respects this decision in keeping with the principle of:
- A. accountability.
- B. autonomy.
- C. nonmaleficence.
- D. veracity.
Correct Answer: B
Rationale: The correct answer is B: autonomy. Autonomy refers to respecting the right of individuals to make their own decisions about their healthcare. In this scenario, the family's request to honor the terminally ill mother's advance directives aligns with the principle of autonomy as it acknowledges her right to make decisions about her own care. Accountability (A) pertains to taking responsibility for one's actions, nonmaleficence (C) involves avoiding harm, and veracity (D) refers to truthfulness. While these principles are important in healthcare, in this specific case, autonomy takes precedence as it respects the patient's wishes.
The occupational health and safety nurse would like to develop programs designed to decrease mortality and morbidity among the workforce. When considering factors related to mortality among health care workers, the nurse should focus efforts on prevention of:
- A. suicide.
- B. violence related injury.
- C. bloodborne disease.
- D. ergonomic hazards.
Correct Answer: C
Rationale: The correct answer is C: bloodborne disease. Health care workers are at risk for exposure to bloodborne pathogens such as HIV and hepatitis B and C. Prevention strategies include proper use of personal protective equipment and adherence to infection control protocols. Bloodborne diseases can have serious consequences on the health and well-being of healthcare workers, leading to mortality and morbidity if not properly prevented.
Explanation for incorrect choices:
A: Suicide - While mental health is an important concern, it is not specifically related to mortality among healthcare workers.
B: Violence related injury - While workplace violence is a concern, it may not be the leading cause of mortality among healthcare workers.
D: Ergonomic hazards - While important for preventing injuries, it may not directly relate to mortality among healthcare workers compared to bloodborne diseases.
A team of experienced nurses work together to develop algorithms that are converted into checklists to ensure standardization of commonly performed procedures. The focus of this team is primarily on which Institute of Medicine (IOM) competency?
- A. Safety
- B. Timely
- C. Equitable
- D. Patient-centered care
Correct Answer: A
Rationale: The correct answer is A: Safety. The team of nurses developing algorithms and checklists aims to ensure standardization of procedures, which directly relates to patient safety. Safety is a fundamental competency in healthcare, as it involves minimizing harm to patients. Standardization through checklists helps reduce errors and promote consistency in care delivery. Timely care (B) focuses on providing care promptly, equitable care (C) emphasizes fairness and eliminating disparities, and patient-centered care (D) prioritizes individual preferences and needs. While these competencies are important in healthcare, in this scenario, the team's primary focus on standardization aligns with the safety competency.