Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client whose informed consent form has been signed in preparation for a procedure. The client states, "I have decided not to have the procedure." Which of the following actions should the nurse take?
A. Inform the provider that the client is withdrawing consent.
Informing the provider is the correct action, as the provider needs to be aware of the client's decision to withdraw consent.
B. Remind the client the consent form has already has been signed.
Reminding the client about the signed consent form does not respect their autonomy to change their mind.
C. Discuss alternatives to the procedure.
Discussing alternatives might be helpful later, but the immediate action should be to inform the provider.
D. Explain why this procedure is necessary.
Explaining the necessity of the procedure may be coercive and does not honor the client's current decision.
This question is an excerpt from Nurse Dive's nursing test bank - Ati fundamentals proctored exam. Take the full exam now
Full Explanation
A. Informing the provider is the correct action, as the provider needs to be aware of the client's decision to withdraw consent.
B. Reminding the client about the signed consent form does not respect their autonomy to change their mind.
C. Discussing alternatives might be helpful later, but the immediate action should be to inform the provider.
D. Explaining the necessity of the procedure may be coercive and does not honor the client's current decision.
Similar Questions
Which best exemplifies malpractice?
A. The nurse administers the wrong medication to a client, who then has one episode of vomiting 5 minutes later but no further adverse reactions.
While this is an error, it did not result in a serious or lasting harm.
B. The nurse applies an ice pack to a client's lower back without an order and the client feels better.
This action, though without an order, resulted in a positive outcome.
C. The nurse, using proper body mechanics, assists a client into a locked bed. The client slips and breaks a femur.
This incident was an accident despite the nurse's proper body mechanics and safety measures.
D. The nurse administers amoxicillin to a client with known allergies to penicillin. The client has a seizure with resulting respiratory arrest.
Administering a medication to which the client is known to be allergic, resulting in a seizure and respiratory arrest, constitutes a serious breach of standard care and demonstrates malpractice.
Full Explanation
A. While this is an error, it did not result in a serious or lasting harm.
B. This action, though without an order, resulted in a positive outcome.
C. This incident was an accident despite the nurse's proper body mechanics and safety measures.
D. Administering a medication to which the client is known to be allergic, resulting in a seizure and respiratory arrest, constitutes a serious breach of standard care and demonstrates malpractice.
A nurse is caring for a client who has a mental health disorder. The client asks about his medications and their effects. The nurse asks the client why he needs to know this. Which of the following nontherapeutic communication techniques is the nurse using?
A. Asking for an explanation
Asking for an explanation can make the client feel defensive and is nontherapeutic.
B. Changing the subject.
Changing the subject involves redirecting the conversation to a different topic.
C. Behaving defensively
Behaving defensively involves justifying or defending one's actions, which is not evident here.
D. Arguing
Arguing involves expressing a contrary opinion in a confrontational manner.
Full Explanation
A. Asking for an explanation can make the client feel defensive and is nontherapeutic.
B. Changing the subject involves redirecting the conversation to a different topic.
C. Behaving defensively involves justifying or defending one's actions, which is not evident here.
D. Arguing involves expressing a contrary opinion in a confrontational manner.
A nurse is providing care to a client who is on strict bed rest following surgery. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. Which of the following types of torts has the nurse committed?
A. Assault
Assault involves the threat of harm, which is not the case here.
B. Invasion of privacy
Invasion of privacy involves the unauthorized disclosure of personal information.
C. Negligence
Negligence involves failing to provide the standard of care, leading to client harm, which is the situation described.
D. Battery
Battery involves unauthorized physical contact, which is not applicable here.
Full Explanation
A. Assault involves the threat of harm, which is not the case here.
B. Invasion of privacy involves the unauthorized disclosure of personal information.
C. Negligence involves failing to provide the standard of care, leading to client harm, which is the situation described.
D. Battery involves unauthorized physical contact, which is not applicable here.