Exam (elaborations)
BCEN- PROFESSIONAL ISSUES IN NURSING
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BCEN- PROFESSIONAL ISSUES IN NURSING
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BCEN- PROFESSIONAL ISSUES IN NURSINGA nurse is splashed in the eye with the blood from a trauma patient who is HIV
seropositive. The nurse should
A).
B).
C).
D.) - Answers -
In which of the following cases has the nurse breached patient confidentiality?
a). notifying the health department about measles
b).reporting sudden unexpected deaths to the coroner
c).notifying the police about a possible homicide
d). reporting HIV status to the patient's employer - Answers -D. Reporting HIV status to
the patients employer
A patient reports sexual assault. According to the Emergency Nurses Association (ENA)
and American College of Emergency Physicians (ACEP), this would be assigned what
acuity rating on the five-tier Emergency Severity Index (ESI)?
a) level 1
B) level 2
c) level 3
d) level 4 - Answers -level 2
During quality review, the Quality Improvement Committee identifies a variance from the
standard of nursing care of two patients with chest pain. Which of the following is the
MOST appropriate recommendation by the Committee?
A)Schedule a nursing inservice on the standard of care for chest pain.
B)Design a new flow sheet for cardiac documentation.
C) Request the nurse manager to discipline the nurses involved.
D)Conduct a random audit and determine the frequency of the problem. - Answers -
D)Conduct a random audit and determine the frequency of the problem.
Which of the following patients has a contraindication for tetanus prophylaxis? Explain
why and list contraindications
A) an 18-year-old with a known egg allergy
B) a 24-year-old in her second trimester of pregnancy
, C) a 36-year-old with acute pneumonia
D) a 46-year-old who is HIV-positive - Answers -C). A 36 year old with acute pneumonia
Ans: Contraindications for tetanus prophylaxis include
- hypersensitivity,
- acute infection
- immunocompromised
- corticosteroids
- acute illness.
Define the ethical principle of justice - Answers -fair to all people
What ethical principle means to be "fair to all people"? - Answers -Justice
What ethical principle requires a nurse to help a patient make decisions when they don't
have the data or expertise to so on their ow? - Answers -Paternalism
Define paternalism - Answers -providing help to patients to make decisions when they
do not have the experience or data needed
Define the ethical principle beneficence - Answers -do no harm (only good)
Define the ethical principle of Autonomy - Answers -The ethical principle that requires a
nurse to allow a patient to make his or her own decisions about their care.
What type of research variable is not observed and may or may not be relevant to the
results of the research? - Answers -Extraneous variable
Define repression as a defense mechanism - Answers -Unconsciously forgetting painful
felling's
What are the 4 A's used to rise above moral distress and in what order should they be
done? - Answers -1) Ask
2) Affirm
3) Assess
4) Act
List the reportable incidences in states- what is the only one that MUST be reported in
all 50 states? - Answers -1) ER deaths
2) Abuse
3) Extensive burns
4) stab or gunshot wounds
5) homicide victims
6) sexual assault victims
7) Suicide attempts
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