HESI Extra Credit Module 5 Exam Management of Care [NEW!!] 2022 (50 Pages) 100% CORRECT
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HESI
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HESI
MODULE 5 Questions
1. 1.ID: 4
A client with leukemia is being considered for a bone marrow transplant. The healthcare team is
discussing the risks and benefits of this treatment and other possible treatments with the goal of
inflicting the least possible harm on the client. Which principle of h...
hesi extra credit module 5 exam management of care new 2022 50 pages 100 correct
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MODULE 5 Questions
1. 1.ID: 9477027534
A client with leukemia is being considered for a bone marrow transplant. The healthcare team is
discussing the risks and benefits of this treatment and other possible treatments with the goal of
inflicting the least possible harm on the client. Which principle of healthcare ethics is the team
practicing?
A. Justice
B. Fidelity
C. Autonomy
D. Nonmaleficence Correct
Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember that in healthcare ethics,
ethical practice involves not only the will to do good but also the equal commitment to do no harm.
Healthcare professionals try to balance the risks and benefits of a plan of care while striving to do
the least possible harm. Justice refers to fairness and equity and ensuring fair allocation of
resources, such as nursing care for all clients. Fidelity is the keeping of promises made to clients,
families, and other healthcare professionals. Autonomy refers to a person’s independence and
represents an agreement to respect another’s right to determine his or her course of action.
Test-Taking Strategy: Focus on the subject - the ethical principle being utilized. Recall the definition
of each item in the options. Note the relationship of the words “least possible harm” in the question
and the definition of nonmaleficence. Review: principles of healthcare ethics.
.
2. 2.ID: 9477024200
Which action by the nurse represents the ethical principle of beneficence?
A. The nurse upholds a client’s decision to refuse chemotherapy for lung
cancer. Incorrect
B. The nurse follows a plan of care designed to relieve pain in a client with cancer.
C. The nurse administers an immunization to a child even though it may cause
discomfort. Correct
D. The nurse provides equal amounts of care to all assigned clients on the basis of
illness acuity.
Rationale: Beneficence is taking action to help others. Although administration of a child’s
immunization might cause discomfort, the benefits of protection from disease outweigh the
temporary discomfort. Fidelity is keeping promises made to clients, families, and other healthcare
professionals. Autonomy is a person’s independence. Respecting another’s autonomy means that
you are agreeing to respect that person’s right to determine his or her course of action. Justice refers
to fairness and equity, including fair allocation of resources, such as nursing care for all clients.
Test-Taking Strategy: Focus on the subject, beneficence. Recalling that beneficence refers to taking
action to help others will direct you to the correct option. Review: the principles of healthcare ethics .
.
3. 3.ID: 9477029451
, The nursing instructor asks a student to name an example of false imprisonment. Which situation
reflects a violation of this client right?
A. Performing a procedure without consent
B. Telling the client that he or she may not leave the hospital Correct
C. Threatening to give a client a medication against his or her will
D. Observing the provision of care to the client without the client’s permission
Rationale: Telling a client that he or she may not leave the hospital constitutes false imprisonment.
Performing a procedure without consent is an example of battery. Threatening to give a client a
medication against his or her will is assault. Invasion of privacy takes place with unreasonable
intrusion into an individual’s private affairs. Observing the provision of care to a client without the
client’s permission is an example of invasion of privacy.
Test-Taking Strategy: Focus on the subject, an example of false imprisonment. Note the relationship
of the subject and the words in the correct option. Review: the concept of false imprisonment.
.
4. 4.ID: 9477017756
The nurse and an unlicensed assistive personnel (UAP)enter a client’s room to provide care and find
the client lying on the floor. Which action should the nurse take first?
A. Ask the nursing assistant to complete an incident report
B. Check the client’s level of consciousness and vital signs Correct
C. Ask the nursing assistant to assist in getting the client back to bed
D. Contact the unit secretary on the intercom and ask that the client’s health care
provider be called
Rationale: When a client sustains a fall, the nurse must first assess the client. The nurse should
check the client’s level of consciousness and vital signs and look for any bruises or injuries sustained
in the fall. If the nurse determines that the client has not sustained any injuries and that it is safe to
move the client, the nurse should ask the UAP to assist in getting the client into bed. The nurse
should then contact the health care provider and file an incident report.
Test-Taking Strategy: Note the strategic word “first.” Use the steps of the nursing process to answer
the question. The correct option is the only one that addresses assessment. Remember to always
assess the client first if a client sustains a fall. Review: client injuries and procedures for filing
incident reports .
.
5. 5.ID: 9477020809
Which action exemplifies the use of evidence-based practice in the delivery of client care?
A. Donning sterile gloves to change an abdominal wound dressing Correct
B. Encouraging a client to take an herbal substance to treat his insomnia
C. Advising a client to agree to the treatment recommended by her health care
provider
D. Taking a rectal temperature from a client for whom bleeding precautions have
been instituted
, Rationale: Evidence-based practice is an approach to client care in which the nurse integrates the
client’s preferences, clinical expertise, and the best research evidence to deliver quality care.
Donning sterile gloves to change an abdominal wound dressing reflects evidence-based practice,
because it prevents the entrance of harmful bacteria into the wound. The remaining options do not
reflect evidence-based practice. Taking an herbal substance could be harmful to some clients. It is
nontherapeutic for a nurse to advise a client to agree to a treatment. Because of the risk of injury to
the rectal mucosa, rectal temperature-taking is avoided in the client for whom bleeding precautions
have been instituted.
Test-Taking Strategy: Read each option carefully, focusing on the subject, evidence-based practice.
Recall the definition of evidence-based practice and note the words “sterile gloves” in the correct
option. Review: the situations that reflect evidence-based practice .
.
6. 6.ID: 9477020817
The registered nurse has accepted a new position as case manager in a hospital. Which
responsibilities are part of the nurse’s new role? Select all that apply.
A. Evaluating and updating the plan of care as needed Correct
B. Prescribing treatments specific to the client’s needs
C. Assessing the client’s needs for home supplies and equipment Correct
D. Coordinating consultations and referrals to facilitate discharge Correct
E. Establishing a safe and cost-effective plan of care with the client Correct
Rationale: A case manager is a nurse who assumes responsibility for coordinating the client's care
from the point of admission through, and after, discharge. Specific responsibilities of the case
manager include establishing a safe and cost-effective plan of care with the client, coordinating
consultations and referrals, and facilitating discharge; initiating a plan of nursing care, care map, or
clinical pathway as appropriate to guide care and evaluating and updating the plan of care as
needed; ensuring that the plan of care is tailored to the client’s needs, taking into account the client’s
diagnosis, self-care ability, and prescribed treatments; assessing the client’s need for equipment
such as oxygen or wound care supplies and exploring available resources to provide the client with
these supplies; providing resources that will assist the client in maintaining independence as much
as possible; and providing the client with information on discharge procedures and the plan of care.
The nurse does not prescribe treatments.
Test-Taking Strategy: Focus on the subject, the responsibilities of the case manager. Note the word
“prescribing” in the incorrect option. It is not within the role of the nurse to prescribe. Review: the
responsibilities of the case manager if you have difficulty with this question.
.
7. 7.ID: 9477028765
The nurse manager of a quality improvement program asks a nurse in the neurological unit to
conduct a retrospective audit. Which action should the auditing nurse plan to perform in this type of
audit?
A. Checking the documentation written by a new nursing graduate on her assigned
clients at the end of the shift
, B. Checking the crash cart to ensure that all needed supplies are readily available
should an emergency arise
C. Reviewing neurological assessment checklists for all clients on the unit to ensure
that these assessments are being conducted as prescribed
D. Obtaining the assigned medical record from the hospital’s medical record room
to review documentation made during a client’s hospital stay Correct
Rationale: Quality improvement, also known as performance improvement, is focused on processes
or systems that significantly contribute to client safety and effective client care outcomes. Criteria are
used to assess outcomes of care and determine the need for changes improve the quality of care. In
a retrospective, or “looking back,” audit, the medical record is inspected after the client’s discharge
for documentation of compliance with standards. In a concurrent, or “at the same time,” audit, the
nursing staff’s compliance with predetermined standards and criteria is assessed as the nurses are
providing care during the client’s stay. In this type of audit, a peer review approach in which
members of the nursing staff are involved in data collection may be implemented. Obtaining the a
client’s medical record from the medical record room for the purpose of reviewing documentation
made during the client’s hospital stay is an example of a retrospective audit. The incorrect options
are examples of concurrent audits.
Test-Taking Strategy: Focus on the subject, a retrospective audit. Note the relationship of the word
“retrospective” in the question and the description in the correct option. Review: the procedures for
quality improvement and retrospective and concurrent audits if you have difficulty with this question.
.
8. 8.ID: 9477022320
The nurse preparing a client for a bronchoscopy notes that the client is wearing a gold necklace.
What should the nurse do to safeguard the client’s necklace?
A. Ask the client whether the necklace is gold
B. Ask the client for permission to lock the necklace in the hospital safe Correct
C. Ask the client to remove the necklace and place it in the top drawer of the
bedside table
D. Ask the client to sign a release to free the hospital of responsibility if the
necklace is damaged or lost during the procedure
Rationale: When a client has valuables, the nurse should give them to a family member or secure
them for safekeeping. Most health care institutions require that a client sign a release form that frees
the institution of responsibility if a valuable item (e.g., jewelry, money) is lost, but this does not
safeguard the client’s necklace. Valuables may be locked in a designated location such as the
hospital’s safe. Removing the necklace and putting it in a drawer does not safeguard it. Asking the
client whether the necklace is gold is inappropriate and unrelated to the subject.
Test-Taking Strategy: Focus on the subject, safeguarding the client’s necklace. Focusing on the
subject and noting the word “lock” in the correct option will help you answer correctly. Review: the
procedures for safeguarding a client’s valuables .
.
9. 9.ID: 9477017796
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