NUR 3119 Professional Nursing: Concepts and Issues
Question 1A client was admitted to the medical unit after emergency treatment of hypertensive crisis. To which staff member should the charge nurse delegate or assign measurement of this client’s vital signs?
A patient care technician
A nursing assistant
Question 2A nurse has been sued for malpractice after a client received a wrong medication and required two additional days in the hospital. What type of legal action is most likely in this case?
Question 3A staff nurse continually tells sexually explicit jokes during shift report and frequently focuses those jokes on a newly hired nursing assistant. Who can make the charge of sexual harassment against this staff nurse?
Only the nursing assistant
Only the staff nurse’s supervisor
Anyone affected by the offensive material
Any person who hears the jokes
Question 4Are nurses who work as team leaders, overseeing the nursing care provided by other nurses, considered supervisors by the National Labor Relations Act?
Yes; these nurses are supervising others.
They are considered supervisors only if they supervise more than three other nurses.
There is still debate over this issue.
No; there is too much variation in a team leader’s day-to-day responsibilities.
Question 5In which case can the physician and nurse initiate care without consent?
A 15-year-old female who requests treatment for acne
An 80-year-old client presenting with the flu who seems to be confused
A 35-year-old male who is unconscious and in shock following an auto accident
A 6-year-old child with a possible broken arm brought to the emergency room by a teacher
Question 6The advanced practice nurse is thinking of moving to another state. What information about regulation of advanced nursing practice is important for this nurse to consider?
Regulations are specified by each state.
This is a national regulation.
It is the same as the regulation of basic nursing practice within each state.
Specific, separate regulation for advanced practice is not necessary except for nurse anesthetists.
Question 7 The nurse believes that overtime pay at the healthcare facility is not appropriate and wishes to bring a grievance. What category of grievance is this?
Violation of federal and state law
Violation of agency rules
Question 8 The nurse educator asks the student whether the American Nurses Association supports striking as a strategy when collective bargaining breaks down. Which response, made by the student, reflects the best understanding of the ANA’s position?
“No, the organization holds that striking is not professional.”
“Only when no direct client care is delivered in the area affected by work stoppage.”
“Only when the daily operation of the healthcare facility is not compromised.”
“Yes, as a means of achieving economic and general welfare.”
Question 9 The nurse has been charged with malpractice. Which option reflects an element that must be present for this charge to be substantiated?
The nurse had no way of predicting that injury would result from the error.
The client had a duty to report what he or she was experiencing.
The nurse was providing care consistent with a national standard.
There was a causal relationship between the error and client injury.
The nurse has been taking an antihistamine at work for a head cold with drainage. The nurse says these medications always make her “sleepy.” Is this nurse impaired?
No; impairment means under the influence of alcohol.
Yes; any situation that clouds the nurse’s professional vigilance can be thought of as impairment.
No; impairment from drug ingestion occurs only if the drugs are illegal.
The nurse is impaired only if he or she has taken more medication than is recommended by the medication literature.
Question 11 The nurse has made a claim of sexual harassment against a coworker. What evidence must this nurse present?
The sexual advances occurred over a period of at least 6 weeks.
The conduct was explicit and was a condition of employment.
There was psychological damage from the conduct.
The actions created a hostile or abusive environment.
Question 12 The nurse suspects that a coworker is impaired at work. What is the priority action of this nurse?
Closely observe the coworker to gain evidence of impairment.
Plan to work with the person as a team to provide care.
Report the suspicion to the appropriate supervisor.
Confront the coworker with the suspicion.
Question 13 The primary concern is for which victim of the impaired nurse?
The nurse’s colleagues
The impaired nurse
The healthcare facility where the nurse works
Question 14 What are the primary sources of law? (Select all that apply.)
Decisions of court
Question 15 What happens when a federal law and a state law conflict?
Federal law supersedes state law.
State law supersedes federal law.
Both federal and state laws are superseded by local law.
The two types of law carry equal weight.
Question 16What is the first action the victim of sexual harassment should take?
Ignore the behavior, hoping it will decrease.
Confront the harasser and ask that the behavior stop.
Report the sexual harassment to the appropriate supervisor.
Report the sexual harassment to the Equal Employment Opportunity Commission.
Question 17When was the first nurse practice act implemented in the United States?
Question 18Which act requires that a copy of the client’s advance health care directive be included in the client’s medical record?
Good Samaritan act
Americans with Disabilities Act
Patient Self-Determination Act
Nurse practice act
Question 19 Which option(s) are generally included in nurse practice acts? (Select all that apply.)
A definition of the authority of the board of nursing
Specific guidelines for policy and procedures for nurses
A definition of nursing
The requirements for licensure
Statements outlining clinical responsibilities of nurses
Question 20 Which option is a major element of informed consent?
The physician, the nurse, and the client must agree on the treatment or procedure.
The consent must be given by family members as well as the client.
The client only needs to know the purpose of the treatment or procedure.
The consent must be given voluntarily.