(Test Bank) Ethics And Professionalism, A Guide for the Physician Assistant

Barry,Cassidy,Dennis, 1

Nursing

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1st Edition

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Test Bank for Ethics And Professionalism, A Guide for the Physician Assistant, The downloadable file consists of 171 pages, and the total size of the file is 0.62 MB. Purchase now only for highly discounted price.

Author(s): Barry, Cassidy, Dennis

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TEST BANK FOR Ethics And Professionalism , A Guide for the Physician Assistant by Barry, Ph.D. Cassidy, J. Dennis 1. The nursing director attends a workshop and is presenting information on the ANA's seven essential features in Nursing's Social Policy State ment (2010). Which one of the seven essential features of nursing is included in the publication? A) Application of professional judgment and critical thinking to assess and implement treatment based on human responses and experiences. B) Use public polic y of current legislature to shape the future of the nursing profession. C) Use scientific knowledge to ration care to those individuals with noncomplex diagnoses and simple treatment options. D) Use assessment as the guide in order to treat the full range of human responses "within the physical environment." - A 2. A nurse who has worked for 15 years in the hospital has an opportunity to attend an RN-to-BSN program in her local community, and the hospital will pay for the cost of tuition if the nurse agree s to work there for 2 years following graduation. The nurse has accepted and is in the first term at the local college. If the nurse wants to work on her critical and reflective thinking skills, which activity should she/he focus on developing? A) Reading a chapter on "Care of the Cardiac Patient. B) Speaking to the nurses on the clinical unit. C) Listening to family as they share the client's story. D) Writing a paper on nursing for the palliative client . - D 3. A nurse in the long -term care facility has decided to return to nursing school to earn a higher degree. The nurse is full of positive thoughts and energy when contemplates all the new things to learn. According to Shane's returning -to-school syndrome, which phase is this nurse experiencing? A) conflict phase B) reintegration phase C) integration phase D) honeymoon phase - D 4. A student nurse, who is in the second semester of nursing school, is experiencing an unsettled feeling. The nurse notes a lack of confidence in knowing how to act or wha t questions to ask. According to Bridges' Managing Transitions theory, what phase of transition is this student experiencing? A) new beginning B) neutral zone C) transition one D) letting go - B 5. A nurse returns to school to complete an advanced nurs ing degree and is finding it difficult to meet all expectations of her life. The nurse is a new parent, a student, a spouse, and a full -time employee. The nurse is experiencing what type of issue? A) value conflict B) behavioral conflict C) role conflic t D) attitude conflict - C 6. The characteristics of a profession are many, and nursing is delineated as an emerging profession because of the absence of what characteristic? A) use of a specialized database B) standardized educational entry C) speciali zed competencies D) autonomy and control over work - B 7. A nurse works in the medical -surgical unit of a suburban hospital and is taking care of a client who has many complex physiologic processes going on at the same time. The nurse exhibits flexibility , inquisitiveness, and open mindedness in caring for the client as their condition changes from day -to-day. The nurse is primarily exhibiting which type of thinking? A) critical thinking B) creative thinking C) reflective thinking D) independent thinki ng - A 8. A nursing student is in the senior semester of nursing school. In addition to going to clinical sessions, didactic lectures, and applying for nursing position, the student is reviewing for the NCLEX exam. Which of these intellectual characterist ics of a nursing student is involved with licensure? A) specialized education B) body of knowledge C) the ability to think critically D) the ability to manage colleagues - A 9. In order to attain professional status, which nursing role will nursing perso nnel need to be performing on a regular basis? A) Work individually to showcase contributions to society. B) Maintain three levels of education for nurses collectively. C) Work together to collaborate through professional organizations. D) Ethically maint ain standards of care for clients. - C 10. A nurse enters the room of a client and teaches about pain medication while simultaneously relieving stress with therapeutic massage. The nurse is also able to determine what theories pertain to the nursing actio ns. Which type of thinking is the nurse exhibiting when he/she processes caring for the pain of this client? A) independent thinking B) critical thinking C) reflective thinking D) creative thinking - C 11. A staff nurse is providing education to the u nlicensed assistive personnel (UAP) on the unit about safe gowning and gloving when caring for clients with MRSA. Which role will the staff nurse undertake when providing this education? A) caregiver B) teacher C) coordinator D) counselor - B 12. Whil e working on a busy medical unit, an assistant nurse manager has noted an increase in the number of falling incidents. After reviewing the documentation, it appears most falls occur soon before lunch when clients are going to the bathroom. The nurse shares this information with the UAP and asks them to assist clients more at this time. Which domain in the Professional Nurse Contributions model does this represent? A) cognitive B) behavioral C) affective D) psychomotor - A 13. After a nursing student do es poorly on a test, the student's professor requests a conference to discuss the matter. During the discussion, the student comments, "I didn't have time to read all those chapters." While discussing strategies to help with reading effectiveness, the prof essor suggests that after reading a passage, the student should take a break and do which activity? A) Paraphrase the major concepts they just read. B) Listen to classical music. C) Visit with their peers about their study habits. D) Get a caffeinated bev erage. - A 14. A professional nurse is trying to locate information about a disease process and is evaluating online information. Which question should the nurse ask to identify the authority of the online information? A) "Is the information error free a nd consistent?" B) "Does the information conflict with known scientific information?" C) "Is there a way to contact the author(s)?" D) "Are the initial posting dates and updates present?" - C 15. A graduate nurse is working on a busy inpatient medical flo or. The nurse has been taught to do a central catheter dressing change one way but cannot handle changing the procedure to accommodate the supplies that are readily available. In addition, the nurse will not go to lunch until all charting is complete since , "Those are the rules." According to Benner's Novice -to-Expert Model, in which stage of the model is the nurse currently performing? A) expert practitioner B) novice practitioner C) advanced beginner D) Competent practitioner - B 16. Which client sce nario best displays the meaning of "unpredictability that is conceptualized as chaos"? A) An ICU nurse implementing "proning" for ventilator clients as a "new" mechanism to prevent pneumonia. B) Ensuring every unresponsive client is turned every 2 hours a s prescribed. C) Assisting the UAP with their morning rounds and checking blood glucose levels before breakfast. D) Calling security to assist with an "overdose" client who will not following orders to stay in their room. - A 17. A group of nursing studen ts have been assigned to work on a group project. Every student has different working schedules making it difficult to meet in person. One student has volunteered to organize a timeline and edit the final project for consistent writing style. This student is fulfilling which role in the group? A) helper B) recorder C) leader D) gatekeeper - C 18. To improve test results by decreasing anxiety, a faculty member may recommend which strategies to assist with anxiety on the actual test day? Select all that apply. A) Re -read all notes taken from the textbook and classroom lectures the a few hours before the actual test. B) Arrive at the test site early. C) Practice relaxation techniques like deep -breathing. D) Quiz fellow nursing students on concepts one has learned. E) Light an incense burner in the room to evoke calmness among all students. F) Keep room lights off and direct peers to meditate using a powerful mantra to chant. - B, C 19. A nurse is working on a unit caring for neurologic clients. The nurse notices one of the clients is struggling to feed themselves and immediately intervenes by providing a weighted utensil with a good grip. Since the nurse was able to look at the whole situation and intervene without the need for step -by-step plans of action , this nurse is functioning at which level of Benner's Novice -to-Expert Model? A) novice B) advanced Beginner C) proficient D) expert - C 20. Which scenario would be considered a breach of a common ethical principle for nurses? A) Keeping clients' ge nder identity confidential. B) Deciding to forego renewal of CPR certification when one's card expires since "nothing ever changes." C) Attending nursing standards committee meeting and relaying information back to the nursing unit. D) Pulling drapes aroun d a client and their family to give them privacy to make a decision about their care. - B 1. A nurse who has been practicing since the late 19th century has experienced many societal reforms that have contributed to the establishment of nursing as a profe ssion. What societal reforms would be considered instrumental in leading to a reform in nursing? A) war and educational reform B) educational and hospital reform C) war and government reform D) prison and hospital reform - D 2. There were many historical eras in which society was involved in nursing care. Which era involved the appointment of Dorothea Dix as superintendent of female nurses? A) Victorian era B) Colonial American era C) Civil War era D) Renaissance - C 3. The research study on the use of untrained nursing personnel in the early 20th century parallels the use of what kind of worker in the 1990s? A) Student Nurse Personnel (SNs) B) Unlicensed Assistive Personnel (UAPs) C) Certified Nurse Aides (CNAs) D) Licensed Practical Nurses (LPNs) - B 4. The Religious Sisters of Mercy in the 1830s devised a system of nursing that included "physical care and emotional consolation provided from a spiritual perspective." What was this form of nursing called? A) public health nursing B) civil War nurs ing C) home health nursing D) careful nursing - D 5. There are many parallels throughout nursing history that relate to current nursing practice. Which can be seen today in nursing education? A) informal training programs B) formal training programs C) decrease in scholarships D) decrease in student diversity - B 6. In reviewing the history of the nursing profession, how can students and nurses alike utilize the past to assist in solving future nursing issues? A) Utilize strategies that have been unsu ccessful in the past to support nursing professionalism B) Work alone in solving nursing issues with nursing colleagues not taking account of past history C) Collaborate with other professionals to assist in solving current nursing issues D) Reinvent nur sing from a philosophical standpoint - C 7. Which technique is from the era of primitive man that utilized a form of massage to heal? A) twisting B) starving C) purging D) pummeling - D 8. The mother of visiting nursing, Phoebe, highlighted which mov ement in the history of nursing that corresponds to home health nursing today? A) Careful nursing movement B) Women's liberation movement C) Religious order movement D) Deaconess movement - D 9. Nursing research in the postmodern era of nursing has dis covered which entity plays a key role in health and healing? A) consilience B) spirituality C) alternative interventions D) complementary therapy - B 10. The implementation of the use of clinical pathways in hospitals had what effect on current nursi ng practice? A) decreased the autonomy of nurses in practice B) increased the variance of care in nursing practice C) increased the complexity of nursing care D) decreased the individualization of nursing care plans - D 11. In looking through the hist ory of nursing, which geographical area was noted for paving the way for sanitation and public hygiene? A) East B) China C) Egypt D) Babylon - C 12. Which nurses influenced the reform of health care and nursing and, in 1893, opened a nurses' settlemen t house in New York City using the term "public health nurse" to describe the trained nurses who responded to nursing needs outside the hospital? Select all that apply. A) Dorothea Dix B) Florence Nightingale C) Mary Brewster D) Lillian Wald - C, D 13. Which geographical area was instrumental in food inspection techniques, vital statistics, and infectious disease quarantine procedures? A) Greece B) East C) Palestine D) Assyria - C 14. Which practice can be traced back to the Chinese and is used in the current practice of nursing? A) Bathing and bandaging wounds B) Obstetrical care C) Medication administration D) Physical examination - D 15. Palestinians developed sick houses that were connected to rest houses that cared for travelers and the d estitute that are the equivalent to what types of current facilities? A) Places of worship B) Hospitals C) Surgical centers D) Long -term care facilities - D 16. When a client is in pain and extremely uncomfortable, some nurses may read to them stories the client enjoys, recite calming hymns, or sing/play musical instruments to help distract the clients focus on their pain. Looking back in history, which ancient civilization began these holistic nursing practices? A) Egypt B) India C) Babylonia D) Persia - B 17. In current nursing times, when a client has a fever, nurses usually remove blankets, keep room temperature lower and force fluids. These same concepts were developed by which ancient health care provider in Greece? A) Aretaeus B) Hippocrat es C) Galen D) Herophilos - A 18. While providing nursing care in Turkey in the 1850s, Florence Nightingale implemented which measures, still in practice today, which lowered the mortality rate of 40% to 2%. Select all that apply. A) proper room ventil ation B) applying herbs on open wounds C) nutritious meals D) cleaning of the facility [rooms] E) incorporation of prayer and meditation at the bedside - A,C,D 19. A nursing unit assigns their RN staff to plan individualized care for each client and actua lly implement the plan, along with providing health education for their assigned group of clients/families. What type of nursing care delivery model is being practiced on this nursing unit? A) team nursing B) primary nursing C) progressive client care D) skilled nursing - B 20. A nurse currently working in an ICU is studying to obtain certification in critical care. When looking at further one's education, the nurse should also consider obtaining which collegial degree if the nurse wants to impact clie nt outcomes? A) Associate degree in Nursing (ADN) B) Bachelor degree in Nursing (BSN) C) Master's degree in Nursing (MSN) D) Doctorate in Nursing Practice (DNP) - B 1. A nurse arrives on the unit having a prescribed set of values and beliefs and begins the assessment on the assigned client. These values and beliefs influence thoughts, feelings, and which quality of the nurse provides care to the client? A) ideas B) views C) communication D) perception - D 2. The nurse receives a phone report on a cli ent being transferred to the intensive care unit. This nurse will take care of the client for the rest of the shift. Upon arriving to the unit, the nurse follows a series of steps to get the client admitted. What kind of thinking does the nurse exhibit if the nurse recognizes the interconnectedness of the results of the admission process, getting the client a food tray for dinner, and administering medications once the client is admitted? A) whole -systems thinking B) relational thinking C) quantum scienc e thinking D) holistic thinking - B 3. A nurse discusses a client's request to use an alternative therapy for a skin rash. While visiting with this client, the telephone rings, the nurse's pager goes off, and a code blue is called in another client's roo m on the floor. Which describes the use of the client being aware of their medical care and alternative therapies? A) technology B) safety C) consumerism D) global community - C 4. A nurse applies for a position on the cardiac care unit of a major sub urban hospital. The nurse shares with the manager their nursing philosophy stating that, "A client is a human being in need of care while in the hospital. It is my hope that I can provide quality nursing care with attention to the body, mind, and spirit of the individual, moving him or her on a continuum to a state of health, and working with the environment to accomplish this task." What four elements are included in the nurse's philosophy? A) person, health, nursing, and environment B) personal knowledge , empirics, aesthetics, and ethics C) individual, environment, mission, and reflective thinking D) health, empirics, environment, and personal knowledge - A 5. A client, who is dying of cancer, wishes to have hospital personnel provide only comfort measur es. Respecting the client's request, the nurse is implementing which moral principle central to nursing? A) beneficence (to do good) B) compassion (caring) C) double effect (lesser evil) D) principalism (orientation) - A 6. A new graduate nurse enters the profession and begins the work of developing a personal nursing philosophy. The efforts they make to intellectually and effectively grow in this arena involves self -discovery. According to Carper as one of the patterns of knowing, which characteristic will this nurse continue to develop over time? A) personal knowledge B) values C) beliefs D) feelings - A 7. When dealing with an ethical decision regarding a complex client care issue, the nurse uses a traditional approach instead of a theoretical a pproach to assist in decision making. Which concept is used frequently in the traditional approach to ethical decision making that focuses on bringing about the greatest good? A) contextualism B) principalism C) deontology D) utilitarianism - D 8. A n urse is involved in an ethical decision -making process involving a client who does not wish to receive blood products for religious reasons. The client's laboratory values are dangerously low and without the blood, the client likely will to go into shock. The nurse at the ethics committee meeting states that "The client should have the blood regardless of personal reasons as without it the client may die. The committee should recommend disregarding the client's wishes as they do not know what is best for th em." This example represents what kind of fallacy? A) Arguing that because everybody does something, that something must be good. B) Making someone accept the conclusion of another based on force alone. C) Appealing to inappropriate authority to justify a decision. D) Refusing to allow evidence to be shared if it contradicts one's personal position. - B 9. A 75 -year-old client comes to the clinic to be examined for a decreased sensation in their right foot. The client is an insulin -dependent diabetic and was diagnosed with the condition 15 years ago. Which contextual element applies to this client and affects nursing practice? A) subcultural elements B) economic elements C) cultural elements D) demographic elements - D 10. A nurse is caring for a home less client with a history of diabetes who has a large foot wound. The health care provider prescribes sterile dressing changes and other treatments to prevent progression of the wound. Which contextual element may apply to this client's ability to obtain supplies and to have access to health care to prevent future amputation? A) economic elements B) cultural elements C) demographic elements D) subcultural elements - A 11. A hospice nurse is caring for a terminally ill client who is requesting minimal pain medication be administered while their family is visiting. Which ethical principle is designed to avoid using fallacies in ethical decision making? A) Not allowing the client to share in the health care decision. B) Serving the client in a manner tha t promotes harm. C) Devaluing the client's self -determination. D) Respecting the client's rights and treatment options - D 12. A client has been admitted to the coronary care unit (CCU) following myocardial infarction (MI). Which environmental element wil l affect the nurse and the client when care is being providing in the CCU? A) frequent interruptions B) insurance coverage C) age of onset D) health condition - A 13. A client with end -stage renal disease has decided to discontinue dialysis treatment. They have discussed this wish with their family. Which ethical principle is this client exercising? A) benevolence B) autonomy C) authority D) independence - B 14. A nurse working on an oncology unit has administered a high dose of narcotics to a terminally ill client with pancreatic cancer metastasized to the brain, liver, and bone. Shortly after the administration of the narcotic, the client passes away. During discussions with the hospital's ethics committee, the nurse notes that this decision was the lesser of two evils. Which ethical decision -making principle is the nurse using in this situation? A) double effect B) client advocacy C) principalism D) beneficence - A 15. A graduate nurse (GN) is working on a busy medical floor. Her personal go al is to save lives and help clients be an attribute to their society. The experienced nurses express their opinions that reality of the day -to-day work will soon change this GN attitude. The GN is primarily wanting to practice which type of philosophy tha t views nursing as a means for forming authentic and caring relationships with others? A) idealistic philosophy B) pragmatic philosophy C) existentialist philosophy D) realistic philosophy - A 16. During a discussion with a group of newly -employed gra duate nurses (GNs), the educational staff began a discussion on technological devices that have the potential of enhancing or distracting from the delivery of care to clients at the bedside. Which statement below is an example of an "enhancing" technologic device? A) Implementation of a bar -coding medication delivery system. B) Increasing the amount and expectations for documentation on client culture. C) Placing metal -detecting devices at all entrances of the hospital. D) Review of proper handwashing prac tices on all clinical units. - A 17. A nurse working in a busy ED is assessing a female who has injuries consistent with spousal abuse. Having just returned from an in -service, the nurse is struggling to provide the knowledge and courage to take action in this situation. The nurse encourages the woman to go to a shelter for battered women and seek legal counsel. However, the woman refuses help and plans to return home with her spouse. This nurse is trying to implement which concept related to ethical decis ion making? A) deontology B) principalism C) utilitarianism D) ethical competence - D 18. A public health nurse is considering offering an educational program for a fairly large group of Hispanic members of the community. This group speaks Spanish primarily. While researching and planning the program, the nurse will need to consider which contextual elements about this Hispanic group? A) Money, they have available for healthcare and their ability to access healthcare. B) Limited work opportunities imp acting their ability to purchase food and medicine. C) Biophysiologic variations related to specific health problems and medication metabolism of this ethnic group. D) How worried the group is when it comes to no social security available for retirement si nce they are immigrants. - C 19. A student nurse gathers a client's medication and administers them without notifying the clinical faculty. In doing so, the student did not utilize the electronic scan prior to giving the client their medications. When the student does scan the medications under supervision of the faculty, the device elicits an "Error....Wrong Client" warning. The faculty will likely document that the student violated which ethical principle? A) nonmaleficence B) beneficence C) autonomy D) justice - A 20. A woman is admitted to the postpartum area in premature labor. The client, who is a practicing Jehovah Witness, progresses to active labor and delivers a premature infant. The client begins to hemorrhage and does not respond to IV Pito cin or fundal massage. Sadly, the client dies having refused blood products for religious reasons. This is an example of a clash with which major contextual element of professional nursing practice? A) demographic elements B) economic elements C) cultur al elements D) environmental elements - C 1. A colleague approaches a nurse on the unit and asks about a specific client. The nurse assumes the colleague knows this client outside the hospital setting. According to Ceccio and Ceccio, what is the purpose of the colleague's communication? A) inform B) inquire C) persuade D) entertain - B 2. A caregiver brings a 2 -year-old child to a clinic for a well -child visit. The nurse notes the child can follow simple directions like, "What is under your chair?" I t is also observed that the child uses 2 - to 3-word sentences when conversing with the mother. The nurse documents which assessments from this observation? A) The child is displaying language skills normally expected of 3 to 4 years old. B) The child's c ulture has limited their ability to develop English language skills. C) The child is meeting the cognitive developmental tasks of a toddler. D) The child is functioning at the 12 -month range for language skills - C 3. A nurse approaches a client who is fr om another country, and the client backs away. The nurse realizes that the client may have space issues that make the client uncomfortable when the nurse gets too close. When giving report to the oncoming team, the nurse will utilize which term to convey t he client's uncomfortable expression when someone gets too close? A) proxemics B) kinesics C) object association D) tactile stimulation - A 4. An infant is taken to its parents for the first time, and the mother holds the baby. The mother caresses the baby's cheek and observes the baby sleeping. The nurse watching this exchange understands that the most primitive sensory process developed by humans is which of the following? A) apprehensiveness B) verbal communication C) tactile stimulation D) list ening for audible cues - C 5. A nurse instructs a client, originally from India, to call the health care provider's office if the client develops signs of infection such as a fever of 101°F (38.3°C), redness, swelling at the incision site, and any drainag e from the incision site. While giving these directions, the client does not look at the nurse. What cultural difference may have caused this perceived barrier to nonverbal communication in this scenario? A) proximity B) eye contact C) silence D) touch - B 6. A nurse is talking to a client about the client's history of abuse as a child. The nurse is engaged in the conversation and nonverbally supporting the client as they share this information. This interaction allows the nurse to develop a helping re lationship with the client and would be classified as displaying which principle of communication? A) Getting client to relax. B) Helping the client to move on to more positive interactions. C) Encouraging the client to make a profound change from within. D) Displaying empathy by trying to understand and accept the client's feelings . - D 7. A client returns to the hospital room from surgery following a cervical fusion for a herniated disc. When the nurse receives report and attends to the client following surgery, the nurse assumes the role of caregiver as the client cannot take care of himself at this time. As the nurse begins discharge planning, they collect data about the client's job, lifting requirements and assistance at home. This is an example of which helping role the nurse is providing to promote independence as they heal from surgery?