The nurse is assisting a patient to clarify values by encouraging the expression of feelings and thoughts related to the situation. What is the most appropriate action for the nurse?
- A. Compare values with those of the patient.
- B. Make a judgment.
- C. Withhold an opinion.
- D. Give advice.
Correct Answer: C
Rationale: The nurse can assist the patient in values clarification without giving an opinion.
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The nurse is preparing the patient for a thoracentesis. What must be completed before the procedure may be performed?
- A. Physical assessment
- B. Interview
- C. Informed consent
- D. Surgical checklist
Correct Answer: C
Rationale: The doctrine of informed consent refers to full disclosure of the facts the patient needs to make an intelligent (informed) decision before any invasive treatment or procedure is performed. A physical assessment, interview, and surgical checklist are not required before this procedure.
Acts whose performance is required permitted or prohibited are defined by ____ of care.
Correct Answer: standards
Rationale: Standards of care define acts whose performance is required, permitted, or prohibited.
What role is the nurse who diligently works for the protection of patients' interests playing?
- A. Caregiver
- B. Health care administrator
- C. Advocate
- D. Health care evaluator
Correct Answer: C
Rationale: A nurse accepts the role of advocate when, in addition to general care, the nurse protects the patient's interests. Caregiver, health care administrator, and health care evaluator are not terms for the nurse who diligently works for the protection of patients.
A health care provider instructs the nurse to bladder train a patient. The nurse clamps the patient's indwelling urinary catheter but forgets to unclamp it. The patient develops a urinary tract infection. What do the nurse's actions exemplify?
- A. Malpractice
- B. Battery
- C. Assault
- D. Neglect of duty
Correct Answer: A
Rationale: A nurse is liable for acts of commission (doing an act) and omission (not doing an act) performed in the course of their professional duty. A charge of malpractice is likely when a duty exists, there is a breach of that duty, and harm has occurred to the patient.
The nurse caring for a patient in the acute care setting assumes responsibility for a patient's care. What is this legally binding situation?
- A. Nurse-patient relationship
- B. Accountability
- C. Advocacy
- D. Standard of care
Correct Answer: A
Rationale: When the nurse assumes responsibility for a patient's care, the nurse-patient relationship is formed. This is a legally binding 'contract' for which the nurse must take responsibility. Accountability is being responsible for one's own actions. An advocate is one who defends or pleads a cause or issue on behalf of another. Standards of care define acts whose performance is required, permitted, or prohibited.
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