Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
On finding multiple bruises on a client's arms and back, the nurse suspects that the client is being abused by a daughter who lives with the client. When questioned, the client denies any abuse. Despite the client's denial, the nurse should report the suspected abuse on the basis of which rationale?
A. The nurse wants peers to see the nurse as a hero.
Reporting for personal recognition is not appropriate or ethical.
B. The nurse has a legal and ethical responsibility to report the suspected abuse.
Nurses are mandated reporters and have a legal and ethical duty to report suspected abuse.
C. The client does not want anyone to know what is happening in the client's home.
While the client may not want others to know, the nurse's responsibility is to ensure the client's safety.
D. The client is ashamed to admit to the abuse by the daughter.
Although the client may feel ashamed, the priority is their safety and wellbeing.
This question is an excerpt from Nurse Dive's nursing test bank - Ati fundamentals proctored exam. Take the full exam now
Full Explanation
A. Reporting for personal recognition is not appropriate or ethical.
B. Nurses are mandated reporters and have a legal and ethical duty to report suspected abuse.
C. While the client may not want others to know, the nurse's responsibility is to ensure the client's safety.
D. Although the client may feel ashamed, the priority is their safety and wellbeing.
Similar Questions
A nurse is delegating client care assignments for the shift. Which of the following teks should the nurse delegate to an assistive personnel (AP)?
A. Measure and record intake and output for a client.
Measuring and recording intake and output is within the scope of practice for an AP.
B. Teach a client about low-sodium foods.
Teaching requires professional knowledge and is the responsibility of a nurse.
C. Evaluate pain relief for a client following the administration of a pain medication.
Evaluating pain relief requires critical thinking and assessment skills, which are within the nurse's scope of practice.
D. Perform wound irrigation for a client.
Wound irrigation is a skilled task that requires the expertise of a nurse.
Full Explanation
A. Measuring and recording intake and output is within the scope of practice for an AP.
B. Teaching requires professional knowledge and is the responsibility of a nurse.
C. Evaluating pain relief requires critical thinking and assessment skills, which are within the nurse's scope of practice.
D. Wound irrigation is a skilled task that requires the expertise of a nurse.
A nurse is caring for a client who states, "My doctor was just here, but I still do not understand my diagnosis." The nurse contacts the provider to return to speak with the client. Which of the following principles is the nurse demonstrating?
A. Confidentiality
Confidentiality pertains to protecting client information.
B. Advocacy
Advocacy involves acting on behalf of the client's needs and ensuring they receive appropriate information and care.
C. Fidelity
Fidelity involves being faithful to commitments and promises, which could apply here, but advocacy is a more precise term.
D. Accountability
Accountability involves being responsible for one's actions, which the nurse is demonstrating, but the primary principle in this situation is advocacy.
Full Explanation
A. Confidentiality pertains to protecting client information.
B. Advocacy involves acting on behalf of the client's needs and ensuring they receive appropriate information and care.
C. Fidelity involves being faithful to commitments and promises, which could apply here, but advocacy is a more precise term.
D. Accountability involves being responsible for one's actions, which the nurse is demonstrating, but the primary principle in this situation is advocacy.
A nurse is caring for a client who is about to have a colonoscopy. The client states, "I am so nervous about what the doctor might find during the test." The nurse asks the client, "Are you feeling anxious about the results of your colonoscopy?" With this question, the nurse is using which of the following communication techniques?
A. Confrontation
Confrontation involves addressing discrepancies or conflicts directly, which is not what the nurse is doing here.
B. Providing information
Providing information involves giving facts or details, which is not the primary focus of the nurse's question.
C. Clarification
Clarification is used to ensure understanding, which the nurse is seeking by confirming the client's feelings.
D. Summarizing
Summarizing involves briefly restating the main points, which is not what the nurse is doing in this instance.
Full Explanation
A. Confrontation involves addressing discrepancies or conflicts directly, which is not what the nurse is doing here.
B. Providing information involves giving facts or details, which is not the primary focus of the nurse's question.
C. Clarification is used to ensure understanding, which the nurse is seeking by confirming the client's feelings.
D. Summarizing involves briefly restating the main points, which is not what the nurse is doing in this instance.