Nokea
The nurse is discussing malpractice issues in an in-service class. Which situation is an example of malpractice?
- A. The nurse fails to report a neighbor who is abusing his two children.
- B. The nurse does not intervene in a client who has a BP of 80/50 and AP of 122.
- C. The nurse is suspected of taking narcotics prescribed for a client.
- D. The nurse falsifies vital signs in the client's medical records.
Correct Answer: B
Rationale: Malpractice involves breaching the standard of care causing harm, like ignoring hypotension and tachycardia. Child abuse reporting, narcotic theft, or falsification are ethical/legal issues, not malpractice.
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The nurse is teaching a class on ethical principles in nursing. Which statement supports the definition of beneficence?
- A. The duty to prevent or avoid doing harm.
- B. The duty to actively do good for clients.
- C. The duty to be faithful to commitments.
- D. The duty to tell the truth to the clients.
Correct Answer: B
Rationale: Beneficence is the duty to actively promote client well-being, per ethical principles. Nonmalfeasance, fidelity, and veracity are distinct principles.
The client who is terminally ill called the significant others to the room and said goodbye, then dismissed them and now lies quietly and refuses to eat. The nurse understands the client is in what stage of the grieving process?
- A. Denial.
- B. Anger.
- C. Bargaining.
- D. Acceptance.
Correct Answer: D
Rationale: Saying goodbye and withdrawing quietly reflect acceptance in Kübler-Ross’s grief stages, common in terminal illness.
The pregnant client asks the nurse about banking the cord blood. Which information should the nurse teach the client?
- A. The procedure involves a lot of pain with a very poor result.
- B. The client must deliver at a large public hospital to do this.
- C. The client will be charged a yearly storage fee on the cells.
- D. The stem cells can be stored for about four (4) years before they ruin.
Correct Answer: C
Rationale: Cord blood banking involves annual storage fees for stem cells, per industry standards. Pain, hospital requirements, or four-year limits are inaccurate.
The male client diagnosed with chronic pain since a construction accident which broke several vertebrae tells the nurse he has been referred to a pain clinic and asks, 'What good will it do? I will never be free of this pain.' Which statement is the nurse's best response?
- A. Are you afraid of the pain never going away?
- B. The pain clinic will give you medication to cure the pain.
- C. Pain clinics work to help you achieve relief from pain.
- D. I am not sure. You should discuss this with your HCP.
Correct Answer: C
Rationale: Pain clinics offer multimodal relief (e.g., therapy, medications), addressing chronic pain holistically. Fear exploration, cure promises, or deferring to HCP is less supportive.
Which action should the nurse implement for the Chinese client's family who are requesting to light incense around the dying client?
- A. Suggest the family bring potpourri instead of incense.
- B. Tell the client the door must be shut at all times.
- C. Inform the family the scent will make the client nauseated.
- D. Explain the fire code does not allow any burning in a hospital.
Correct Answer: D
Rationale: Fire codes prohibit burning incense in hospitals, a safety-based explanation. Potpourri, door closure, or nausea claims are less accurate or dismissive.