Which theorist developed the nursing theory known as the Science of Human Caring?
LPN Progression Transition
Module 3 Legal, Ethical and Evidence Based Practice Quiz
Question 1Which theorist developed the nursing theory known as the Science of Human Caring?
Jean Watson
Patricia Benner
Nola Pender
Florence Nightengale
Question 2The nurse uses the non-nursing theory of Maslow’s Hierarchy of Needs when providing care. Which patient intervention does the nurse develop to address physiological needs?
Patient will fulfill cognitive needs effectively through patient education.
Patient will begin cardiac rehabilitation to promote complete recovery.
Patient is placed on fall precautions due to physical limitations
Patient will use recognition from others as a motive to improve health.
Question 3A nurse researcher is designing a research project. After identifying and stating the problem, the nurse researcher clarifies the purpose of the study. Which step in the research process does the researcher complete next?
Develop a conceptual framework
Define the study variables
Formulate a hypothesis
Perform a literature review
Question 4The PICO question reads, “Is transcutaneous electrical nerve stimulation (TENS) effective in the management of chronic low-back pain in adults?” Which part of this question comes from the “I” in PICO?
TENS
Management
Adults
Pain
Question 5The nurse educator in the local hospital is developing a plan to implement research into nursing care practices. Which are some of the barriers the nurse educator may encounter in the implementation process? Select all that apply.
Nurses are extremely reluctant to change nursing practice.
There is a negative attitude toward research.
Not enough nursing research has been published.
Most nursing research is not relevant to hospital practice.
There is a lack of support from the employing hospital.
Question 6The American Nurses Association (ANA) has set standards for registered nurses (RNs) in utilizing evidence-based interventions and treatments in practice. According to the ANA, which statements best describe the ANA standards? Select all that apply.
The RN uses specific competencies in conducting and integrating research.
The RN critically analyzes evidence-based practice and research findings for application to practice.
The RN Incorporates evidence when initiating changes in nursing practice.
The RN uses current evidence-based nursing knowledge to guide practice decisions.
The RN shares research activities and findings with healthcare peers and others.
Question 7The emergency department nurse is providing discharge teaching to a patient. The patient asks the nurse, “I appreciate everything you’ve done for me and I really like you. Can I take you out for dinner?” Which response does the nurse choose?
“We cannot socialize until 3 days following your hospital discharge.”
“No, and please do not ask again. Your request is inappropriate.”
“Yes, that would be nice. It is really great to be appreciated.”
“I appreciate your kindness, but I will have to decline your offer.”
Question 8Which action is included in Step 3 of the MORAL decision-making model?
Recognizing the values and options of all major players
Resolving the Dilemma
Requesting a review of opposing viewpoints
Realizing Information gaps
Question 9Confidentiality will be maintained by the nurse who believes in and values the ethical principle of:
Veracity
Beneficence
Fidelity
Autonomy
Question 10The nursing student asks the nurse educator to explain the American Nurses Association (ANA) Code of Ethics for Nurses. Which statement does the nurse educator include in the explanation?
“The ANA Code of Ethics is not legally binding.”
“Nursing codes cannot be used to determine the legality of nursing actions.”
“The ANA Code of Ethics is not subject to public scrutiny.”
“Laws related to nursing practice usually exceed ethical obligations.”
Question 11The nurse witnesses the patient’s signature on a consent form to participate in a physician’s research study. After the physician leaves the room, the patient tells the nurse, “I don’t really want to participate, but I’m afraid my doctor will be upset with me if I say no.” To advocate for the patient, which nursing action is most appropriate?
Explain the importance of the research study to the patient.
Tell the patient the physician will not be upset if she declines to participate.
Inform the physician about why the patient agreed to participate.
Ask the patient to tell the nurse whether or not any action should be taken.
Question 12Whistleblowing includes reporting which kind of information? Select all that apply.
Fraudulent billing practices
An incompetent surgeon
A coworker who works under the influence of drugs
Unsafe work practices
Patient’s health status against the patient’s wishes
Question 13Upon arrival to work, the staff nurse realizes the unit will not be adequately staffed. The charge nurse explains that one of the nurses called in sick at the last minute, leaving no time to find a replacement. The staff nurse is aware that working without adequate nursing staff increases the risk for undesirable patient outcomes. Which factors contribute to the staff nurse’s dilemma? Select all that apply.
Caring versus the decreased time to spend with patients
Value conflicts and lack of clarity within the profession
nurses are bound by a professional duty not to abandon patients.
Autonomy versus escaping hard choices
The nurse’s multiple obligations and relationships
Higher pay versus cost effectiveness
Question 14Which statement best explains the importance of standards of practice in the nursing profession?
Nurses have the same standards of practice as other healthcare professionals.
Standards of practice differ among registered nurses, based on the population they serve.
Standards of practice are applied exclusively to nurses working in hospital settings.
Standards of practice identify the components nurses need to provide safe care.
Question 15The nurse provides care to an alert, oriented patient who is prescribed a blood transfusion for treatment of severe anemia. The patient refuses the treatment. The primary care provider explains to the patient that the blood transfusion is necessary for survival; however, the patient continues to refuse the transfusion. Which action does the nurse anticipate implementing?
Ask family members to persuade the patient to consent to receiving blood.
Follow the patient’s wishes and do not administer the blood.
Request a psychological evaluation to ensure that the patient understands the risks.
Document the patient’s confusion and administer the blood.
Question 16An alert, oriented, 87-year-old patient has just been diagnosed with cancer. According to the patient’s durable power of attorney, the patient’s son serves as the patient’s surrogate decision maker. The patient’s son tells the nurse he is refusing chemotherapy treatment on the patient’s behalf due to concerns about medication side effects and quality of life. Meanwhile, the patient states, “I want to receive chemotherapy.” Which action does the nurse take
Advise the patient’s son to consult with the hospital legal department for guidance.
Ask the patient’s son to share more information about his decision to refuse the treatment.
Assist the patient and her son with reaching a compromise.
Administer the patient’s chemotherapy treatment as ordered.
Question 17A 75-year-old patient is admitted to the emergency department (ED) for evaluation of confusion and memory loss. The initial patient assessment reveals bruises and scratches in various stages of healing on the patient’s arms, legs, and torso. Based on the assessment findings, the nurse suspects the patient may be a victim of physical abuse. Which legislation requires the nurse to notify a designated authority about the suspected abuse?
Good Samaritan Laws
Mandatory Reporting Laws
Nursing Standards of Practice
Nurse Practice Act
Question 18Effective delegation is a vital part of the nurse’s responsibilities. Which factor is most important for the nurse to consider when correctly delegating a nursing task?
The job description of the delegatee
The delegatee’s level of experience
The delegatee’s sense of confidence
The patient’s opinion of the delegatee
Question 19Which nursing action constitutes invasion of privacy? Select all that apply.
Concealing information that should have been disclosed
Discussing an unconscious patient’s treatment plan with the patient’s power of attorney
Searching the patient’s belongings without permission
Photographing a patient’s leg wound without consent
Reviewing the patient’s plan of care with nursing team members in the hospital cafeteria
Question 20In a malpractice lawsuit, which elements must be established by a plaintiff in order to win and recover damage? Select all that apply.
Intent to Harm
Duty
Breach of Duty
Injury
Causation
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