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Leadership test 1 (Leadership test 1) Quiz am Chapter 3, erstellt von Esmeralda Espitia am 07/02/2020.

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Chapter 3

Frage 1 von 25

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1. The manager in the coronary care unit believes that the most important ethical considerations in performance evaluations are that they include the employees good qualities and that they give positive direction for professional growth. This belief is an example of:

Wähle eine der folgenden:

  • a. Justice.

  • b. Fidelity.

  • c. Beneficence.

  • d. Nonmaleficence.

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Frage 2 von 25

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2. A staff nurse in the area that you manage has excelled in the delivery of patient education. You are considering implementing a new job description that would broaden her opportunity to teach patients and orient new staff members to the value of patient education. The ethical principle that you are most directly reinforcing is:

Wähle eine der folgenden:

  • a. Justice.

  • b.Fidelity

  • c. Paternalism.

  • d. Respect for others.

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Frage 3 von 25

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3. A patient refuses a simple procedure that you believe is in the patients best interest. The two ethical principles that are directly in conflict in such a situation are:

Wähle eine der folgenden:

  • a. Fidelity and justice.

  • b. Veracity and fidelity.

  • c. Autonomy and beneficence.

  • d. Paternalism and respect for others.

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Frage 4 von 25

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4. An individual in a wheelchair is applying for the position of receptionist in an outpatient clinic. The nurse manager understands that the Americans with Disabilities Act of 1990 requires that employers:

Wähle eine der folgenden:

  • a. Make reasonable accommodations for persons who are disabled.

  • b. Allow modified job expectations for persons recovering from alcoholism.

  • c. Hire disabled individuals before hiring other qualified, non-disabled persons.

  • d. Treat, for purposes of employment, homosexuals and bisexuals as disabled.

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Frage 5 von 25

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5. A staff nurse who was fired for reporting patient abuse to the appropriate state agency files a whistleblower lawsuit against the former employer. Reasons that the court would use in upholding a valid whistleblower suit claiming retaliation include that the nurse:

Wähle eine der folgenden:

  • a. Had previously reported the complaint, in writing, to hospital administration.

  • b. Had threatened to give full details of the patient abuse to local media sources.

  • c. Was discharged after three unsuccessful attempts at progressive discipline had failed.

  • d. Had organized, before filing the complaint, a work stoppage action by fellow employees.

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Frage 6 von 25

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6. In keeping with standards of The Joint Commission (TJC), the nurse manager organizes an orientation for new staff members. As part of the orientation, the nurse manager reviews the employee handbook. Employers may be bound to statements in the employee handbook:

Wähle eine der folgenden:

  • a. Under the doctrine of apparent agency.

  • b. Under the doctrine of respondeat agency.

  • c. Based on the employees or the employers expectations.

  • d. Based on the theory that the handbook creates an explicit contract.

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Frage 7 von 25

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7. To reduce the incidence of falls in a skilled nursing unit, the nurse manager contacts the risk manager. Risk management is a process that attempts to identify potential hazards and:

Wähle eine der folgenden:

  • a. Compensate for previous injuries.

  • b. Eliminate these risks before anyone else is harmed.

  • c. Supersede the need for staff members to file incident reports.

  • d. Discipline staff members who have been involved in previous incident reports.

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Frage 8 von 25

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8. One means of ensuring that nurses floated to other patient care areas in healthcare organizations are qualified to work in those areas is:

Wähle eine der folgenden:

  • a. Employing additional staff to assist with orientation processes.

  • b. Cross-educating staff members to other areas of the institution.

  • c. Transferring patients to units where the staffing pattern is optimal.

  • d. Orienting staff members to all patient care areas as part of their general orientation to the institution.

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Frage 9 von 25

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9. A colleague asks you to give her your password access so that she can view her partners healthcare record. This request violates the patients right to:

Wähle eine der folgenden:

  • a. Privacy.

  • b. Confidentiality.

  • c. Undue authorization of treatment.

  • d. Protection against slander.

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Frage 10 von 25

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10. On your nursing unit, you employ LPNs, RNs, and advanced practice nurses. You will need to be familiar with at least:

Wähle eine der folgenden:

  • a. Two nursing practice acts.

  • b. Two nursing practice acts in most states.

  • c. At least one nursing practice act.

  • d. One nursing practice act and a medical act.

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Frage 11 von 25

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11. A nurse on your inpatient psychiatric unit is found to have made sexually explicit remarks toward a patient with a previous history of sexual abuse. The patient sues, claiming malpractice. Which of the following conditions may not apply in this situation?

Wähle eine der folgenden:

  • a. Injury

  • b. Causation

  • c. Breach of duty

  • d. Breach of duty of care owed

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Frage 12 von 25

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12. As a charge nurse, you counsel your RN staff member that he has satisfied his duty of care by notifying a childs physician of his concerns about deterioration in the childs status at 0330 hours. The physician does not come in. The child dies at 0630 hours. As the charge nurse, you could be held liable for:

Wähle eine der folgenden:

  • a. Professional negligence.

  • b. Assault.

  • c. Avoidance.

  • d. Murder.

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Frage 13 von 25

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13. The parents of a toddler who dies after being brought to the ER launch a lawsuit, claiming that the failure of nurses to pursue concerns related to their sons deteriorating condition contributed to his death. The senior nurse executive is named in the suit:

Wähle eine der folgenden:

  • a. As a global respondent.

  • b. Under the doctrine of respondeat superior.

  • c. As a frivolous action.

  • d. Under the element of causation.

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Frage 14 von 25

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14. During a staff shortage, you hire an RN from a temporary agency. The RN administers a wrong IV medication that results in cardiac arrest and a difficult recovery for the patient. Liability in this situation:

Wähle eine der folgenden:

  • a. Is limited to the temporary agency.

  • b. Is restricted to the RN.

  • c. Could include the RN, the agency, and your institution.

  • d. May depend on the patients belief regarding the employment relationship.

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Frage 15 von 25

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15. You volunteer at a free community clinic. A 13-year-old girl claims to have been diagnosed with SLE and presents with chlamydia. The team leader at the clinic advises that:

Wähle eine der folgenden:

  • a. The state-defined age of legal consent is 18; therefore, no treatment can be delivered.

  • b. The teen is underage and should be referred to the family general practitioner.

  • c. Care can be provided as long as consent is voluntary and information about treatment and options is provided.

  • d. Treatment is provided as long as telephone consent is obtained from a parent or legal guardian.

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Frage 16 von 25

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16. Three gravely ill patients are candidates for the only available bed in the ICU. As the supervisor, you assign the bed to the patient with the best chance of recovery. This decision reflects which of the following ethical principles?

Wähle eine der folgenden:

  • a. Beneficence

  • b. Autonomy

  • c. Veracity

  • d. Nonmaleficence

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Frage 17 von 25

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17. Which ethical principle is primarily involved in informed consent?

Wähle eine der folgenden:

  • a. Veracity

  • b. Autonomy

  • c. Beneficence

  • d. Nonmaleficence

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Frage 18 von 25

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18. The principle that requires nurses to uphold a professional code of ethics, to practice within the code of ethics, and to remain competent is which of the following?

Wähle eine der folgenden:

  • a. Veracity

  • b. Autonomy

  • c. Fidelity

  • d. Honesty

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Frage 19 von 25

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19. Mr. M. complains to you that one of your staff asked him details about his sexual relationships and financial affairs. He says that these questions were probing and unnecessary to his care, but he felt that if he refused to answer, the nurse would be angry with him and would not provide him with good care. Mr. M.s statements reflect concern with:

Wähle eine der folgenden:

  • a. Privacy.

  • b. Confidentiality.

  • c. Veracity.

  • d. Informed consent.

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Frage 20 von 25

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20. To satisfy duty of care to a patient, a nurse manager is legally responsible for all of the following except:

Wähle eine der folgenden:

  • a. Notifying staff of changes to policies related to medication administration.

  • b. Scheduling and staffing to ensure safe care.

  • c. Delegating in accordance with practice acts.

  • d. Supervising the practice of the physician.

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Frage 21 von 25

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21. In a telehealth organization, a nurse who is licensed in New York and Pennsylvania provides teaching to a patient who resides in Pennsylvania. The patient charges that the teaching failed to provide significant information about a potential side effect, which led to delay in seeking treatment and untoward harm. Under which state nurse practice act and standards would this situation be considered?

Wähle eine der folgenden:

  • a. New York

  • b. Pennsylvania

  • c. Neither New York nor Pennsylvania

  • d. Both New York and Pennsylvania

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Frage 22 von 25

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22. A member of a patients family calls the nurse manager of the palliative care unit to express concern that a member of the family, who died on the weekend, had requested analgesics from the RNs on duty. An RN came with the analgesic nearly 45 minutes later, just after the patient had died. The manager is aware that the unit was especially busy that weekend because many patients were seriously ill, staff had called in ill, and the staffing manager was unable to completely replace staff who were absent. The manager is deeply troubled that the family member had to die in pain because it violates what she knows should have been done. This manager is experiencing:

Wähle eine der folgenden:

  • a. Compromised agency.

  • b. Moral distress.

  • c. Moral sensitivity.

  • d. Moral dilemma.

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Frage 23 von 25

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23. While walking past a patients room, you overhear one of the RN staff telling a patient that the patient has no right to refuse chemotherapy treatment because the family and the doctor think the treatment is the best option for the patient. This patient is 40 years of age and alert. When you meet later to discuss what you heard with the RN, it is important to:

Wähle eine der folgenden:

  • a. Discuss how statute law enforces the right of the doctor, but not of families, to ensure that patients comply with recommended treatment plans.

  • b. Discuss that statute law provides for patient autonomy and refusal of treatment.

  • c. Remind the nurse to provide clearer explanations to aid in the patients comprehension of the treatment and compliance.

  • d. Acknowledge the nurses role in ensuring that she does not fail in her duty of care for the patient.

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Frage 24 von 25

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1. One of your staff nurses asks for your advice because a patient refuses to sign a consent for surgery. The patient says that he wont sign because he doesnt understand the nature of the surgery. You advise that (select all that apply):

Wähle eine oder mehr der folgenden:

  • a. Consent must not be coerced.

  • b. The patient has a right to choose not to consent.

  • c. The patient must sign the consent because the doctor wants him to sign.

  • d. Witnessing a consent is related only to the voluntary nature of the signature.

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Frage 25 von 25

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2. With regard to nursing practice, nurse managers are held responsible for (select all that apply):

Wähle eine oder mehr der folgenden:

  • a. Practicing within legal guidelines established under state law and nurse practice acts.

  • b. Ensuring that nursing staff under their supervision are currently licensed to practice.

  • c. Referring all errors in nursing judgment to state discipline boards.

  • d. Ensuring that physicians are properly licensed to provide care on patient care units.

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