Nokea
A nurse is preparing to administer an as-needed (PRN) medication. Which of the following would the nurse need to keep in mind when documenting administration?
- A. It requires a separate entry that includes reason for administration, dosage, route, and response to the medication the first time it is administered to a patient.
- B. It requires a separate entry that includes reason for administration, dosage, route, and response to the medication every time it is administered to a patient.
- C. It requires a separate entry that includes reason for administration, dosage, and route the first time it is administered to a patient.
- D. It requires a separate entry that includes reason for administration, dosage, and route every time it is administered to a patient.
Correct Answer: B
Rationale: PRN medication administration requires documentation each time, including the reason, dosage, route, and patient response, to ensure accurate tracking of treatment and outcomes.
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A patient?s psychiatrist informs her that he thinks she needs to participate in a 3-month outpatient aftercare program after her discharge. Which of the following would protect the patient?s right to request a second opinion before agreeing to this suggestion?
- A. Self-determinism
- B. Least restrictive environment
- C. Confidentiality
- D. Mandates to inform
Correct Answer: A
Rationale: Self-determinism refers to a patient?s right to make autonomous decisions about their treatment, including seeking a second opinion before agreeing to a recommended treatment plan.
A group of students are preparing a class presentation about negligence. Which of the following would the group include as an element required for proving negligence?
- A. Duty to provide care
- B. Proximate cause
- C. Resultant damages
- D. Breach of duty
- E. Cause in fact
- F. Evidence of mistake
Correct Answer: A,B,C,D,E
Rationale: Proving negligence requires establishing a duty to provide care, breach of that duty, cause in fact (the breach caused harm), proximate cause (the harm was foreseeable), and resultant damages.
After teaching a class about competency and how it is assessed, the nursing instructor determines the need for additional instruction when the class identifies which ability as being evaluated?
- A. Communication of choices
- B. Understanding of relevant information
- C. Appreciation for situation and consequences
- D. Discussion of what is right and wrong
Correct Answer: D
Rationale: Competency assessment evaluates the ability to communicate choices, understand relevant information, and appreciate the situation and consequences, not moral judgments about right and wrong.
The nurse is providing care to a male patient who is hospitalized with a diagnosis of schizophrenia. Which of the following would be appropriate for the nurse to include in the patient?s medical record?
- A. Patient states that he had a good night with no complaints.
- B. Complained of being unable to sleep because he heard voices throughout the night.
- C. Had a typical night without incidence of insomnia or nightmares.
- D. Acted crazily throughout the night; kept hearing voices and noises.
Correct Answer: B
Rationale: Documentation should be specific, objective, and reflect patient statements or symptoms, such as reporting inability to sleep due to hearing voices, which is relevant to schizophrenia. Terms like ?crazily? are unprofessional.
A nurse working on the psychiatric unit receives a telephone call from the employer of one of the patients on the unit. The employer asks to be sent a copy of Mr. Murray?s latest laboratory work and psychological testing results so Mr. Murray?s medical records in employee health can be kept up to date. Based on the nurse?s knowledge about issues surrounding breach of confidentiality, which response would be the most appropriate?
- A. I?m sorry; we?re not allowed to give out that information about our patient.
- B. I?ll have to get the patient?s signed consent before we can send that information to you.
- C. I am unable to acknowledge whether or not a Mr. Murray is a patient on this unit.
- D. Sure, give me your address, and I will see that the information is sent to you.
Correct Answer: C
Rationale: Under HIPAA, nurses cannot confirm or deny a patient?s presence without consent, as this protects patient privacy. Acknowledging a patient?s presence or sharing records requires written authorization.