Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which of the following is an example of autonomy?
A. A nurse administers a scheduled pain medication for a client who is having pain.
Administering a scheduled pain medication for a client who is in pain is an act of beneficence rather than autonomy. Beneficence focuses on doing good for the patient, while autonomy involves respecting the patient's right to make choices about their care.
B. A nurse fulfills a promise to a client that they will return with their pain medication.
Fulfilling a promise to a client to return with their pain medication is related to veracity and accountability rather than autonomy. Autonomy pertains to the patient's ability to make choices regarding their care.
C. A nurse gives a client the choice of when to take a pain medication.
D. A nurse provides nonpharmacological pain interventions to each client equally.
Providing nonpharmacological pain interventions equally to all clients is related to justice and fairness rather than autonomy. Autonomy involves respecting an individual's right to make decisions about their treatment. Now, let's move on to the next question.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom NSG 240 Final Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Administering a scheduled pain medication for a client who is in pain is an act of beneficence rather than autonomy. Beneficence focuses on doing good for the patient, while autonomy involves respecting the patient's right to make choices about their care.
Choice B rationale:
Fulfilling a promise to a client to return with their pain medication is related to veracity and accountability rather than autonomy. Autonomy pertains to the patient's ability to make choices regarding their care.
Choice D rationale:
Providing nonpharmacological pain interventions equally to all clients is related to justice and fairness rather than autonomy. Autonomy involves respecting an individual's right to make decisions about their treatment. Now, let's move on to the next question.
Similar Questions
A nurse is planning to use the nursing process to care for a client who is experiencing grief.
Which of the following actions should the nurse take first?
A. Establish whether the client's grieving is healthy or complicated.
Establishing whether the client's grieving is healthy or complicated is the first step in the nursing process when caring for a client experiencing grief. This step falls under the assessment phase of the nursing process and is essential for understanding the client's needs and planning appropriate care.
B. Develop client-specific goals and outcomes.
Developing client-specific goals and outcomes comes after the assessment phase in the planning stage of the nursing process. While important, it is not the first action the nurse should take in this situation.
C. Incorporate the treatment into the client's care.
Incorporating the treatment into the client's care occurs during the implementation phase of the nursing process and follows assessment and planning. This is not the first action.
D. Determine whether coping strategies were successful.
Determining whether coping strategies were successful is part of the evaluation phase of the nursing process, which occurs after the implementation of care. It is not the first step in this situation. Now, let's proceed to the final question.
Full Explanation
Choice A rationale:
Establishing whether the client's grieving is healthy or complicated is the first step in the nursing process when caring for a client experiencing grief. This step falls under the assessment phase of the nursing process and is essential for understanding the client's needs and planning appropriate care.
Choice B rationale:
Developing client-specific goals and outcomes comes after the assessment phase in the planning stage of the nursing process. While important, it is not the first action the nurse should take in this situation.
Choice C rationale:
Incorporating the treatment into the client's care occurs during the implementation phase of the nursing process and follows assessment and planning. This is not the first action.
Choice D rationale:
Determining whether coping strategies were successful is part of the evaluation phase of the nursing process, which occurs after the implementation of care. It is not the first step in this situation. Now, let's proceed to the final question.
A nurse is caring for a client who has impaired speech.
Which of the following actions should the nurse take?
A. Allow extra time to communicate with the client.
Allowing extra time to communicate with the client is a crucial action when caring for a client with impaired speech. This approach respects the client's autonomy and ensures that they have the time they need to express themselves. It is an appropriate and compassionate response to the client's condition.
B. Finish sentences for the client.
Finishing sentences for the client is not recommended because it interferes with the client's ability to communicate independently. It does not respect the client's autonomy and may lead to frustration.
C. Avoid using visual aids for communication.
Avoiding the use of visual aids for communication is not a best practice, especially for clients with impaired speech. Visual aids can enhance communication and should be used when appropriate.
D. Ask open-ended questions.
Asking open-ended questions is a good communication strategy, but it is not the first action to take. Allowing extra time for communication should be the initial step when caring for a client with impaired speech.
Full Explanation
Choice A rationale:
Allowing extra time to communicate with the client is a crucial action when caring for a client with impaired speech. This approach respects the client's autonomy and ensures that they have the time they need to express themselves. It is an appropriate and compassionate response to the client's condition.
Choice B rationale:
Finishing sentences for the client is not recommended because it interferes with the client's ability to communicate independently. It does not respect the client's autonomy and may lead to frustration.
Choice C rationale:
Avoiding the use of visual aids for communication is not a best practice, especially for clients with impaired speech. Visual aids can enhance communication and should be used when appropriate.
Choice D rationale:
Asking open-ended questions is a good communication strategy, but it is not the first action to take. Allowing extra time for communication should be the initial step when caring for a client with impaired speech.
A nurse is assessing a client who has a stage 1 pressure injury.
Which of the following findings should the nurse expect?
A. Full-thickness skin loss with visible adipose tissue.
Full-thickness skin loss with visible adipose tissue is not indicative of a stage 1 pressure injury. A stage 1 pressure injury involves intact skin with localized erythema. Full-thickness skin loss with visible adipose tissue is more characteristic of a stage 2 or higher pressure injury.
B. Intact skin with localized erythema.
Intact skin with localized erythema is the hallmark of a stage 1 pressure injury. In this stage, the skin is still intact, but there is non-blanchable erythema (redness) that indicates tissue damage. There is no full-thickness skin loss, and the underlying structures are not visible.
C. Full-thickness skin loss with visible bone.
Full-thickness skin loss with visible bone is not characteristic of a stage 1 pressure injury. This description is more in line with a stage 4 pressure injury, where there is extensive tissue loss, and bone or other underlying structures are visible.
D. Partial-thickness skin loss with red tissue in the wound bed.
Partial-thickness skin loss with red tissue in the wound bed is not indicative of a stage 1 pressure injury. This description is more typical of a stage 2 pressure injury, where there is partial-thickness skin loss, but the wound bed may contain pink or red tissue without visible adipose tissue.
Full Explanation
Choice A rationale:
Full-thickness skin loss with visible adipose tissue is not indicative of a stage 1 pressure injury. A stage 1 pressure injury involves intact skin with localized erythema. Full-thickness skin loss with visible adipose tissue is more characteristic of a stage 2 or higher pressure injury.
Choice B rationale:
Intact skin with localized erythema is the hallmark of a stage 1 pressure injury. In this stage, the skin is still intact, but there is non-blanchable erythema (redness) that indicates tissue damage. There is no full-thickness skin loss, and the underlying structures are not visible.
Choice C rationale:
Full-thickness skin loss with visible bone is not characteristic of a stage 1 pressure injury. This description is more in line with a stage 4 pressure injury, where there is extensive tissue loss, and bone or other underlying structures are visible.
Choice D rationale:
Partial-thickness skin loss with red tissue in the wound bed is not indicative of a stage 1 pressure injury. This description is more typical of a stage 2 pressure injury, where there is partial-thickness skin loss, but the wound bed may contain pink or red tissue without visible adipose tissue.