Nokea
Diagnostic genetic counseling, for procedures such as amniocentesis and chorionic villus sampling, allows clients to make all of the following choices except:
- A. terminating the pregnancy.
- B. preparing for the birth of a child with special needs.
- C. accessing support services before the birth.
- D. completing the grieving process before the birth.
Correct Answer: D
Rationale: If findings are ominous, the grieving process will not be completed before birth. If the couple elects to terminate a pregnancy based on diagnostic tests, there will be grief and concerns for future pregnancies. Couples might choose to access support services and prepare for the birth of an infant with special needs. Some fetal conditions can be treated in utero.
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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.
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.
There are many types of torts that can be committed against clients. They include all of the following except:
- A. Assault
- B. Battery
- C. Negligence
- D. Felony
Correct Answer: D
Rationale: Felonies are criminal acts, not torts. Torts against clients include assault, battery, negligence, slander, invasion of privacy, false imprisonment, and fraud.
In what order should the LPN see the following clients? A. a 72-year-old client with pneumonia asking to order her dinner.,B. a 23-year-old client with left arm fracture after an MVA complaining of 6 out of 10 pain in his arm.,C. a 53-year-old client with lower leg swelling complaining of sudden onset headache and blurry vision. ,D. a 47-year-old client requesting more information regarding her surgery scheduled in three hours
- A. A) A, D, B, C
- B. B) C, B, D, A
- C. C) D, C, B, A
- D. D) B, C, A, D
Correct Answer: B
Rationale: Prioritizing client care is a critical skill to learn as a LPN. The 53-year-old is at highest risk for serious healthcare complications and should be seen first. The 23-year-old's pain should be addressed second, prior to answering questions about the 47-year-old's surgery. Finally, the LPN should address the needs of the 72-year-old client.
The only time that an individual may receive medical care without giving informed consent is:
- A. when the durable power of attorney for health care is not available.
- B. in an emergency, life-or-death situation.
- C. when the physician is not available for discussion with the client.
- D. when they (clients) are not able to speak for themselves.
Correct Answer: B
Rationale: Treatment may be given without consent in a life-threatening situation. All attempts to notify a durable power of attorney for health care should be made. If unavailable, the physician assumes responsibility for treatment within facility protocol. The physician is obligated to have a discussion with the client in all non-life-threatening situations. If clients are not able to speak for themselves, their power of attorney for health care or responsible party is involved in the consent process.