Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A client is hospitalized and is in police custody after being arrested for driving while intoxicated for the third time. The nurse assigned to the client lost her brother to a drunk driver two years prior.
Which action on the part of the nurse aligns with the professional code of ethics for nurses?
A. The nurse refuses care of the client.
Choice A is wrong because the nurse refuses care of the client. This violates the principle of beneficence, which means doing good and preventing harm to others. The nurse has a duty to provide care to all patients who need it, regardless of their personal opinions or feelings.
B. The nurse delegates all care of the client to an assistant.
Choice B is wrong because the nurse delegates all care of the client to an assistant. This violates the principle of accountability, which means being answerable for one’s actions and decisions. The nurse cannot delegate tasks that require nursing judgment or assessment to an unlicensed person. The nurse is responsible for ensuring that the patient receives safe and competent care.
C. The nurse provides minimal care to keep the client alive.
Choice C is wrong because the nurse provides minimal care to keep the client alive. This violates the principle of non-maleficence, which means avoiding harm or injury to others. The nurse should not provide substandard care or neglect the patient’s needs or preferences. The nurse should strive to promote the health and well-being of the patient.
D. The nurse cares for the patient in the same manner as for other clients.
This aligns with the professional code of ethics for nurses, which states that nurses should respect the dignity, worth and rights of all human beings, regardless of the nature of their health problems or their social or legal status. The nurse should not let personal feelings or biases interfere with the quality of care or the ethical obligations of the profession.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom Sp23 N144 FINAL Proctored Exam. Take the full exam now
Full Explanation
This aligns with the professional code of ethics for nurses, which states that nurses should respect the dignity, worth and rights of all human beings, regardless of the nature of their health problems or their social or legal status. The nurse should not let personal feelings or biases interfere with the quality of care or the ethical obligations of the profession.
Choice A is wrong because the nurse refuses to care of the client. This violates the principle of beneficence, which means doing good and preventing harm to others.
The nurse has a duty to provide care to all patients who need it, regardless of their personal opinions or feelings.
Choice B is wrong because the nurse delegates all care of the client to an assistant. This violates the principle of accountability, which means being answerable for one’s actions and decisions. The nurse cannot delegate tasks that require nursing judgment or assessment to an unlicensed person.
The nurse is responsible for ensuring that the patient receives safe and competent care.
Choice C is wrong because the nurse provides minimal care to keep the client alive. This violates the principle of non-maleficence, which means avoiding harm or injury to others.
The nurse should not provide substandard care or neglect the patient’s needs or preferences.
The nurse should strive to promote the health and well-being of the patient.
Similar Questions
A new nurse is working in a hospital.
Which of the following actions by the nurse is NOT related to one of the National Patient Safety Goals?
A. Refraining from changing alarm settings.
Choice A is wrong because refraining from changing alarm settings is related to NPSG 06.01.01, which aims to improve the safety of clinical alarm systems.
B. Using 2 patient identifiers for medication administration.
Choice B is wrong because using 2 patient identifiers for medication administration is related to NPSG 01.01.01, which aims to improve the accuracy of patient identification.
C. Giving report to a provider in SBAR format.
Giving report to a provider in SBAR format is not related to one of the National Patient Safety Goals (NPSGs). The NPSGs are a set of standards developed by The Joint Commission to improve patient safety and
D. Arriving 15 minutes prior to the start of the shift.
Choice D is wrong because arriving 15 minutes prior to the start of the shift is related to NPSG 02.03.01, which aims to improve the effectiveness of communication among caregivers.
Full Explanation
Giving a report to a provider in SBAR format is not related to one of the National Patient Safety Goals (NPSGs). The NPSGs are a set of standards developed by The Joint Commission to improve patient safety and quality of care. They address specific areas of concern such as infection prevention, medication safety, patient identification, communication, and alarm management.
Choice A is wrong because refraining from changing alarm settings is related to NPSG 06.01.01, which aims to improve the safety of clinical alarm systems. Choice B is wrong because using 2 patient identifiers for medication administration is related to NPSG 01.01.01, which aims to improve the accuracy of patient identification.
Choice D is wrong because arriving 15 minutes prior to the start of the shift is related to NPSG 02.03.01, which aims to improve the effectiveness of communication among caregivers.
The nurse knows that the first-line treatment for localized inflammation (for example, on a patient’s ankle) is RICE.
This acronym means:
A. Removal (of object), Integrity checks, Condition (treat underlying), Edema relief.
Choice A is wrong because Removal (of object), Integrity checks, Condition (treat underlying), Edema relief are not related to RICE and do not form a coherent treatment regimen.
B. Rest, Ibuprofen, Circulatory checks, Elevation.
Choice B is wrong because Ibuprofen is not part of RICE and may have side effects such as stomach irritation or bleeding. Circulatory checks are not necessary unless the compression bandage is too tight.
C. Redness, Immune response, Cellular regulation, Event.
Choice C is wrong because Redness, Immune response, Cellular regulation, Event are not treatments but symptoms or processes of inflammation.
D. Rest, Ice, Compression, Elevation.
This is a method of self-care to use right after you experience a minor injury such as a sprain or strain, a minor bone injury, or a sports injury. It quickly treats pain and swelling by reducing inflammation.
Full Explanation
This is a method of self-care to use right after you experience a minor injury such as a sprain or strain, a minor bone injury, or a sports injury. It quickly treats pain and swelling by reducing inflammation.
Choice A is wrong because Removal (of object), Integrity checks, Condition (treat underlying), Edema relief are not related to RICE and do not form a coherent treatment regimen.
Choice B is wrong because Ibuprofen is not part of RICE and may have side effects such as stomach irritation or bleeding.
Circulatory checks are not necessary unless the compression bandage is too tight.
Choice C is wrong because Redness, Immune response, Cellular regulation, Event are not treatments but symptoms or processes of inflammation.
A nurse is utilizing the cognitive domain of learning to teach a patient about the prevention of inflammation.
Which of the following is an appropriate goal for this patient?
A. Patient will check his blood sugar every day until his follow-up appointment.
Choice A is wrong because it belongs to the psychomotor domain of learning, which reflects learning behavior achieved through neuromuscular motor activities. Checking blood sugar is a physical skill, not a cognitive one.
B. Patient will discuss their feelings about required dietary changes (anti inflammatory diet) by discharge.
Choice B is wrong because it belongs to the affective domain of learning, which characterizes the emotional arena reflected by learners’ beliefs, values and interests. Discussing feelings about dietary changes is an affective outcome, not a cognitive one.
C. Patient will state 3 ways to avoid his known triggers (cat dander and pollen) by the end of the shift.
This is because the cognitive domain of learning involves knowledge and understanding of information. By stating 3 ways to avoid his triggers, the patient demonstrates that he has learned and comprehended the information about prevention of inflammation.
D. Patient will demonstrate proper use of inhaler by end of the shift.
Choice D is wrong because it also belongs to the psychomotor domain of learning, as it involves demonstrating proper use of inhaler, which is another physical skill.
Full Explanation
This is because the cognitive domain of learning involves knowledge and understanding of information. By stating 3 ways to avoid his triggers, the patient demonstrates that he has learned and comprehended the information about prevention of inflammation.
Choice A is wrong because it belongs to the psychomotor domain of learning, which reflects learning behavior achieved through neuromuscular motor activities. Checking blood sugar is a physical skill, not a cognitive one.
Choice B is wrong because it belongs to the affective domain of learning, which characterizes the emotional arena reflected by learners’ beliefs, values and interests.
Discussing feelings about dietary changes is an affective outcome, not a cognitive one.
Choice D is wrong because it also belongs to the psychomotor domain of learning, as it involves demonstrating proper use of inhaler, which is another physical skill.