Soman 7 Topic 1 the code & revised code 1. A young woman has suffered fractured pelvis in an accident, she has been hospitalized for 3 days, when she tells her primary nurse that she has something to tell her but she doesn’t want the nurse to tell anyone. She says that she had tried to donate blood & tested positive for HIV. What is best action of the nurse to take? 2) Document this information on the patient's chart 2) Tell the patient's physician 3) _Inform the healthcare team who will come in contact with the patient BR croce the patient to disclose this information to her physician 2. An adult has signed the consent form for a research study but has changed her mind. The nurse tells the patient that she has the right to change her mind based upon which of the following principles. 1) Paternalism & justice BIB tonomy & informed consent 3) Beneficence & double effect 4) Competence & right to know 3. A nurse is not trained to do the procedure of IV cannulation; still she tries to do the procedure. You are the colleague of this nurse. What will be your action? A~You should tell that nurse to not to do this again = should report the incident to someone in authority C=You must threaten the nurse, that you will report this to the authority D- You should ignore her act 4, The nurse is in the hospitals public cafeteria & hears two nursing assistants talking about the patient in 406, They are using her name & discussing intimate details about her illness which of the following actions is best for the nurse to take? + & tell the nursing assistants that their actions are inappropriate especially in a public place 2) Wait & tell the assistants later that they were overheard discussing the patient otherwise they might be embarrassed 3) Tell the nursing assistant’s supervisor about the incident. It is the supervisor's responsibilty to address the issue 4). Say nothing, it is not the nurses job , he or she is not responsible for the assistant’s action 5. Ayoung woman who has tested positive for HIV tells her nurse that she has had many sexual partners. She has been on an oral contraceptive & frequently had not requested that her partners use condoms. She denies IV drug use she tells her nurse that she believes that she will die soon. What would be the best response for the nurse to make? 1) “Where there is life there is hope” Would you like to talk to the nurse who works with HIV- positive patients?” 3)“ youare a long way from dying” 4) “not everyone who is HIV positive will develop AIDS & die”Topic 2- advocacy 6. A nurse demonstrates patient advocacy by becoming involved in which of the following activities? king a public stand on quality issues and educating the public on "public interest” issues 2) Teaching in a school of nursing to help decrease the nursing shortage 3) Engaging in nursing research to justify nursing care delivery 4) Supporting the status quo when changes are pending 7._In the role of patient advocate, the nurse would do which of the following? 1) Emphasize the need for cost-containment measures when making health care decisions 2) Override a patient's decision when the patient refuses the recommended treatment. aii. patient's decision, even if it is not the decision desired by the nurse. 4) Foster patient dependence on health care providers for decision making. 8. A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure, The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with the family. The nurse is acting as the patient's: AL Educator ldvocate C. Care giver D. Case manager Topic 3 — delegation 9. Which of the following is an important principle of delegation? A. No transfer of authority exists when delegating. 8. Delegation is the same as work allocation. c as" isnot transferred with delegation delegating, you must transfer authority. 10.A staff nurse has delegated the ambulating of a new post-op patient to a new stoff nurse. Which of the following situations exhibits the final stage in the process of delegation? A_ Having the new nurse tell the physician the task has been completed ipervising the performance of the new nurse C. Telling the unit manager the task has been completed 0. Documenting that the task has been completed11. Which of the following is a specific benefit to on organization when delegation is carried out effectively? ‘A. Delegates gain new skills facilitating upward mobility 8, The client feels more of their needs are met. CC. Managers devote more time to tasks that cannot be delegated. OMe ganization benefits by achieving its goals more efficiently Topic 4 Accountability 12. The nurse manager of 20 bed coronary care is not on duty when a staff nurse makes serious medication error. The client who received an over dose of the medication nearly dies. Which statement of the nurse manager reflects accountability? AMMEREIGEB- supervisor on duty will call the nurse manager at home and apprise about the problem 8) Because the nurse manager is not on duty therefore she is not accountable to anything which happens on her absence C) The nurse manager will be informed of the incident when returning to the work on Monday because the nurse manager was officially off duty when the incident took place. D) Although the nurse manager was on off duty but the nurse supervisor decides to call nurse manager if the time permits the nurse supervisor thinks that the nurse manager has no responsibility of what has happened in manager's absence 13, Which term is defined as answerable to oneself and others for one's own actions? A) Responsibility 8) __Nonmaleficence ‘ountability 0) Justice Topic 5~ clinical benchmarking 14. Clinical bench-marking is DE" in health care b) anew in health care system c) Anew set of rule for health care professionals 4d) To provide a holistic approach to the patient 15. What do you mean by benchmarking tool?