Exam (elaborations)
RNSG 1125 Final Exam Questions With Complete Solutions
- Course
- RNSG 1125
- Institution
- Del Mar College
RNSG 1125 Final Exam Questions With Complete Solutions
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RNSG 1125 Final Exam Questions With Complete Solutions1. A drug-addicted nurse switches a patient's morphine injection
with normal saline so that the nurse can use the morphine. The
nurse is violating which principles of ethics? (Select all that
apply.)
a. Autonomy
b. Utilitarianism
c. Beneficence
d. Dilemmas
e. Veracity Correct Answer A, B, C, E (Beneficence is
providing benefit to others by promoting their welfare. In
general terms, to be beneficent is to promote goodness,
kindness, and charity. By taking the patient's pain medication
and substituting saline, the nurse did harm, not good, for the
patient. Autonomy is the principle of respect for the individual
person; the nurse does not respect someone upon whom the
nurse is inflicting harm. Utilitarianism is the principle that
assumes that an action is right if it leads to the greatest possible
balance of good consequences or to the least possible balance of
bad consequences. Because the patient's pain medication was
taken away, the consequences were all bad. Dilemmas are not
included as a principle of ethics. Veracity involves truth-telling.)
1. A newly licensed nurse is assigned to an experienced nurse
for training on a medical unit of a hospital. What type of nurse-
to-nurse collaboration does this assignment demonstrate?
a. Interprofessional
b. Shared governance
c. Interorganizational
,d. Mentoring Correct Answer D (Mentoring is a collaborative
partnership between a novice nurse and an expert nurse to help
transition a nurse through career development, personal growth,
and socialization into the profession. Interprofessional
collaboration is working with several disciplines. Shared
governance is a type of management for nursing.
Interorganizational collaboration often includes teams from
inside and outside an organization to meet a common goal.)
1. A patient is admitted to the intensive care unit for congestive
heart failure. Using the situation-background-assessment-
recommendation (SBAR) format, put the following statements
in the order in which the nurse should report changes to the
health care team.
a. Our patient was admitted 2 days ago with heart failure and has
been receiving furosemide (Lasix) for diuresis, but his urine
output has been low.
b. I think that our patient needs to be evaluated immediately and
may need intubation and mechanical ventilation.
c. This is the nurse on the surgical unit. I am calling about our
patient in room 3. After assessing him, I am very concerned
about his shortness of breath.
d. Today, our patient has crackles audible throughout the
posterior chest and his O2 saturation is 89%. His condition is
very unstable. Correct Answer C, A, D, B
(The order of the nurse's statements follows the SBAR format.
The nurse explains the situation by identifying herself, then
gives the immediate background of the patient. She then
assesses the patient and gives her recommendation.)
, 1. A patient states, "I had a bad nightmare. When I woke up, I
felt emotionally drained, as though I hadn't rested well." Which
response by the nurse would be an example of interpersonal
therapeutic communication?
a. "It sounds as though you were uncomfortable with the content
of your dream."
b. "I understand what you're saying. Bad dreams leave me
feeling tired, too."
c. "So, all in all, you feel as though you had a rather poor night's
sleep?"
d. "Can you give me an example of what you mean by a 'bad
nightmare'?" Correct Answer D (The technique of clarification
is therapeutic and helps the nurse examine meaning. The
distracters focus on patient feelings but fail to clarify the
meaning of the patient's comment.)
1. A patient suffered a brain injury from a motor vehicle
accident and has no brain activity. The patient has a living will
which states no heroic measures. The family requests that no
additional heroic measures be instituted for their son. The nurse
respects this decision in keeping with which principle?
a. Accountability
b. Autonomy
c. Nonmaleficence
d. Veracity Correct Answer B (Patients and families must be
treated in a way that respects their autonomy and their ability to
express their wishes and make informed choices about their
treatment. Accountability is inherent in the nurse's ethical
obligation to uphold the highest standards of practice and care,
assume full personal and professional responsibility for every
action, and commit to maintaining quality in the skill and
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