The term 'standards of care' refers to expectations of nursing performance. Standards of care are developed from which of the following? Select one that does not apply.
- A. Code of Ethics for Nurses with Interpretive Statements
- B. Licensure examinations
- C. State Nurse Practice Acts
- D. Agency job descriptions
Correct Answer: B
Rationale: Standards of care are developed from professional standards, state nurse practice acts, federal agency regulations, agency policies and procedures, job descriptions, and civil and criminal laws.
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According to the Recent Life Changes Questionnaire, which situation would most necessitate a complete assessment of a person's stress status and coping abilities?
- A. A person who has been assigned more responsibility at work
- B. A parent whose job required relocation to a different city
- C. A person returning to college after an employer ceased operations
- D. A man who recently separated from his wife because of marital problems
Correct Answer: C
Rationale: A person returning to college after losing a job is dealing with two significant stressors simultaneously. Together, these stressors total more life change units than any of the single stressors cited in the other options.
A nurse is caring for a client who has experienced a stroke and exhibits parkinsonian effects. The client's cognition fluctuates. Which of the following types of dementia should the nurse expect the client to have?
- A. Frontotemporal lobar degeneration
- B. Lewy body disease
- C. Prion disease
- D. HIV infection
Correct Answer: B
Rationale: Lewy body disease is a type of dementia that can cause parkinsonian effects, such as tremors and rigidity, as well as fluctuating cognition. These symptoms are consistent with the client's presentation.
A nurse is covering a phone triage line for trauma and crisis support. A client on the phone asks, 'Can you help me understand how trauma-related disorders develop?' Which of the following responses by should the nurse provide?
- A. Developing a trauma-related disorder is the result of a chemical imbalance in the brain.'
- B. Developing a trauma-related disorder is the result of genetics; people are born that way.'
- C. Developing a traumatic disorder requires an experience of physical harm.'
- D. Experiencing or witnessing a traumatic event can result in developing a trauma-related disorder.'
Correct Answer: D
Rationale: Trauma-related disorders develop as a result of experiencing or witnessing a traumatic event. This can include events such as accidents, abuse, or natural disasters.
Insurance will not pay for continued private hospitalization of a mentally ill patient The family considers transferring the patient to a public hospital but expresses concern that the patient will not get any treatment if transferred Select the nurse’s most helpful reply
- A. By law, treatment must be provided Hospitalization without treatment violates patients’ rights'
- B. All patients in public hospitals have the right to choose both a primary therapist and a primary nurse'
- C. You have a justifiable concern because the right to treatment extends only to provision of food, shelter, and safety'
- D. Much will depend on other patients, because the right to treatment for a psychotic patient takes precedence over the right to treatment of a patient who is stable'
Correct Answer: A
Rationale: The Act ensures treatment in public hospitals (A), countering the family’s fear B, C, and D misrepresent legal rights
A patient says, 'People should be allowed to commit suicide without interference from others.' A nurse replies, 'You're wrong. Nothing is bad enough to justify death.' What is the best analysis of this interchange?
- A. The patient is correct.
- B. The nurse is correct.
- C. Neither person is correct.
- D. Differing values are reflected in the two statements.
Correct Answer: D
Rationale: Values guide beliefs and actions. The individuals stating their positions place different values on life and autonomy. Nurses must be aware of their own values and be sensitive to the values of others.
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