Which of the following statements is the most accurate information with regard to client
consent?
The healthcare provider proposing the procedure requiring written consent is the person who
must ensure that written client consent is obtained
The nurse notes that informed consent has not been obtained for electroconvulsive therapy
even though the client is scheduled for it. What is the nurse's best determination in planning
care for this client?
Informed consent needs to be obtained from the client
Clients who are admitted involuntarily to a mental health unit do not lose their right to informed
consent.
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A one-day-old newborn diagnosed with intrauterine growth retardation is observed by the nurse
to be irritable, restless, fist-sucking, and having a high-pitched cry. Which of the following
actions should the nurse take first?
Tightly swaddle the infant in a flexed position
A flexed position will promote the client's comfort and security
,A 65-year-old female uses a wheelchair because of mobility limitations. On one occasion, she is
unable to call the nurse to assist her to the toilet. She urinates in her wheelchair. The practical
nurse scolds her in front of other residents for her "accident". The nurse has demonstrated
which of the following?
Verbal abuse
Nurses who seek to enhance their cultural-competency skills and apply sensitivity toward others
are committed to which professional nursing value?
Belief in the dignity and worth of each person
A nurse manager is concerned about the incidence of work-related accidents on the unit. These
accidents are causing many staff nurses to be on long-term disability. What is the first action the
nurse manager should take to address these problems?
Compile a list of all data on staff accidents for the past two years
Using personal possessions without asking permission, reading someone else's mail and
touching other people without their permission are all examples of:
Poor boundaries- they are symptoms of antisocial AND passive-aggressive behaviour.
While working with Robert, an anxious client, the practical nurse begins feeling jittery and tense
herself. She begins to notice she cannot concentrate while her client is talking to her. The
practical nurse is experiencing which of the following anxieties?
Empathized
A physical disorder must be present for secondary anxiety to materialize
, A practical nurse provides instructions to a malnourished 23-year-old pregnant client regarding
iron supplementation. Which of the following statements by the client indicates an
understanding of the instructions?
"The iron is best absorbed if taken on an empty stomach.
he instructor asks a nursing student to identify a situation that represents an example of
invasion of client privacy. Which situation, if identified by the student, indicates an understanding
of a violation of this client's rights?
Observing care provided to the client without the client's permission
A practical nurse is caring for a client diagnosed with possible liver damage following a motor
vehicle accident. Which of the following actions by the nurse reflects appropriate care for this
client?
Report the client's nosebleed to the unit charge nurse immediately, bleeding, especially from the
nose and rectum is consistent with internal organ damage (including liver damage).
A practical nurse is working in a palliative care hospice when a client with terminal pancreatic
cancer requests for assistance. The client is 82-years-old and is weak and unable to move from
his bed for three straight days. He has stopped eating and is not able to drink more than a few
sips of water every two hours. The client has not completed an advance directive. Who should
be the substitute decision maker (SDM) when he is no longer able to make decision on his
care?
The client's adult children
The adult children are the legal next of kin and will be the SDMs.`
Which of the following actions by the nurse would be considered negligence?
Massaging lotion on the abdomen of a 3-year-old diagnosed with Wilms' tumour
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