Question

1. A nurse is teaching a nursing student about Nursing’s Social Policy Statement. Which of the following statements should the nurse include?
   1. “It contains standards for nursing-sensitive care.”
   2. “It reports quality and safety of nursing care.”
   3. “It informs consumers about regulations of nursing.”
2. A nurse reports wrongdoing to the charge nurse. Which of the following explains the Code of Ethics for Nurses with Interpretive Statements?
   1. Explains legal issues regarding nursing
   2. Defines the nursing ethical decision-making process
   3. Describes primary goals, values, and obligations of nursing
3. A student nurse is preparing for a clinical experience by interviewing Mr. Williams. Which of the following Standards of Practice is this interview an example of?
   1. Planning
   2. Diagnosis
   3. Assessment
4. The staff nurse on duty interacts with the student nurse during the pre-clinical experience. Which of the following Standards of Professional Nursing Practice does the staff nurse exhibit?
   1. Ethics
   2. Leadership
   3. Resource utilization
5. A charge nurse and nurse are having a conversation. Which of the following is an appropriate response to the nurse’s final question?
   1. “Reporting is federally mandated.”
   2. “Reporting is an ethical responsibility of nurses.”
   3. “Reporting is within Nursing’s Social Policy Statement.”
6. A nurse describes a federal mandate that protects individuals when changing jobs. Which of the following is the nurse describing?
   1. Patient Self-Determination Act
   2. Americans with Disabilities Act
   3. Health Insurance Portability and Accountability Act
7. A nurse asked a question about informed consent. Which of the following is an appropriate response by the attorney?
   1. “The nurse should explain the procedure prior to obtaining written consent.”
   2. “Consent can be assumed in an emergency situation.”
   3. “The nurse ensures the client is aware of risks before obtaining consent.”
8. An attorney is teaching newly hired nurses about the elements of malpractice. Which of the following statements by a newly hired nurse indicates a need for further teaching?
   1. “Proximate cause is an element of malpractice.”
   2. “Duty to the nurse is an element of malpractice.”
   3. “Damage to the client is an element of malpractice.”
9. An attorney is explaining malpractice to newly hired nurses. Which of the following describes the hospital’s level of accountability?
   1. Respondent superior
   2. Res ipsa loquitur
   3. Intentional tort
10. An attorney is teaching about nurse practice acts. Which of the following statements by a newly hired nurse indicates a need for further teaching?
    1. “Nurse practice acts define the scope of practice.”
    2. “Nurse practice acts identify grounds for disciplinary action.”
    3. “Nurse practice acts are governed at the federal level.”
11. A nurse wants to tell the client’s family about the situation. Which of the following describes this action?
    1. Interpreting without validation
    2. Crossing boundaries
    3. Breach of confidentiality
12. Two nurses are discussing a situation involving a peer. When reviewing the events of the situation, one nurse is participating in which of the following?
    1. Self-reflection
    2. Biofeedback
    3. Naturopathy
13. A nurse voices anger over the situation. The way the nurse would like others to treat   the impaired nurse, if she returns to work on the same unit, is an example of which of the following?
    1. Dissonance
    2. Lateral violence
    3. Battery
14. A nurse is upset about the actions of the nurse who was practicing while impaired. By   practicing while impaired, the nurse damaged which of the following essential nursing values?
    1. Human dignity
    2. Social justice
    3. Personal integrity
15. Two nurses are discussing the procedures for reporting coworker who is impaired. Which of the following is the primary reason for a nurse to report suspicious behaviors of coworkers?
    1. Being an advocate for peer workers
    2. Professional nursing obligation
    3. Safety of clients
16. A nurse is learning about interprofessional teams. Which of the following indicates an understanding of the teaching?
    1. “I don’t have to worry about being the leader of a team because I am new.”
    2. “Clients will provide information to the team.”
    3. “There will be an assigned person to make the final decision.”
17. Two nurses are discussing interprofessional teams. Which of the following is an appropriate statement?
    1. “Agendas are identical for the team members.”
    2. “Team members have different roles.”
    3. “The goals are prioritized by the team leader.”
18. A nurse is teaching another nurse about a residency program. Which of the following statements indicates a need for further teaching?
    1. “A residency program builds self-confidence.”
    2. “A residency program allows for job security.”
    3. “A residency program assists in professional identity.”
19. Two nurses are discussing medication errors. Which of the following is the primary cause of serious medication errors?
    1. Inadequate orientation
    2. Overtime hours
    3. High-acuity clients
20. The two nurses are also new employees. Which of the following describes their relationship?
    1. Mentoring
    2. Coaching
    3. Networking

Answer 1

Question number	Correct response
1.	A
2.	C
3.	C
4.	B
5.	A
6.	A
7.	C
8.	A
9.	A
10.	C
11.	B
12.	A
13.	B
14.	C
15.	C
16.	A
17.	A
18.	B
19.	A
20.	C

1. Correct response is it contains standards for nursing-sensitive care. Nursing's Social Policy Statement is about the many ways that nursing helps others. It is about the relationship—the social contract—between the nursing profession and society and their reciprocal expectations.

2. When nurses become aware of questionable or inappropriate practice the concern must be expressed to the responsible manager or competent higher authority as it is a thret for patients well being and safety.

3. Student nurse is preparing for interview which is a part of assessment phase of nursing process. Assessment is the first step and involves critical thinking skills and data collection; subjective and objective. Diagnosis is employing clinical judgment on assessment findings to arrive at conclusion. In planning phase is goals and outcomes are formulated and appropriate interventions to achieve these goals are identified.

4. Nurse leader specialty oversees the integration of patient care, including development of treatment plans, collecting and evaluating treatment results, and managing patients' medical teams. These nurses can also lead health promotion and disease prevention effortall All nurses are leaders, visionaries, critical thinkers, skilled communicators and teachers and when a staff nurses approaches students in preclinical experience she is demonstrating leadership role.

5. Correct response is reporting is federally mandated. Documentation is the written and legal recording of the interventions that concern the patient and it includes a sequence of processes. Documentation has legal significance.

6. Correct response is Patient Self-Determination Act which was/is to inform patients of their rights regarding decisions toward their own medical care, and ensure that these rights are communicated by the health care provider. he Americans with Disabilities Act (ADA) prohibits discrimination against people with disabilities in several areas, including employment, transportation etc. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient’s consent or knowledge.

7. correct response is that nurse ensure that client is aware of risks involved before giving consent.

8. Anyone suing a health care provider for malpractice must prove four elements :(1) a professional duty owed to the patient; (2) breach of such duty; (3) injury caused by the breach; and (4) resulting damages. Proximate cause means “legal cause,” or one that the law recognizes as the primary cause of the injury. It may not be the first event that set in motion a sequence of events that led to an injury, and it may not be the very last event before the injury occurs. Instead, it is an action that produced foreseeable consequences without intervention from anyone.

9. Respondeat superior (Latin: "let the master answer"; plural: respondeant superiores) is a doctrine that a party is responsible for (has vicarious liability for) acts of their agents. res ipsa loquitur (Latin for “the thing itself speaks” but more often translated as “the thing speaks for itself”); in such cases, the legal proceeding is abbreviated and the jury can proceed to determining damages since the breach of duty is plainly obvious. An intentional tort is a category of torts that describes a civil wrong resulting from an intentional act

10. NPAs scope varies among states nut it covers standards and scope of nursing practice, grounds for disciplinary action, other violations, and possible remedies, requirements for licensure, educational program standards etc. But is not governed at the federal level but at level of board of nursing (BON) .

11. Correct responcse is violation of boundaries. Professional boundaries are the spaces between the nurse’s power and the patient’s vulnerability. The power of the nurse comes from the nurse’s professional position and access to sensitive personal information. The difference in personal information the nurse knows about the patient versus personal information the patient knows about the nurse creates an imbalance in the nurse–patient relationship. Boundary violations can result when there is confusion between the needs of the nurse and those of the patient. Such violations are characterized by excessive personal disclosure by the nurse, secrecy or even a reversal of roles. Boundary violations can cause distress for the patient. Interpretation without validation Without validation( that is confirming accuracy and reliability), we risk presenting erroneous results, which could be detrimental to the interpretation. Breach of confidentiality is improper disclosure of patients highly sensitive or confidential information could harm patients’ reputation or result in lost opportunities, financial commitments, and even personal humiliation

12. Correct response is self reflection. Self reflection is like looking into mirror and describing what you see. It is a way of assessing yourself, your ways of working and how you act. To put it simply 'reflection' means to think about something. Naturapathy and biofeedback are treatment modalities. Biofeedback is a mind-body technique that involves using visual or auditory feedback to gain control over involuntary bodily functions. Naturopathy is an art and science of healthy living and a drugless system of healing .

13. Correct response is lateral violence. American Nurses Association (ANA) defines lateral violence as acts that occur between colleagues (distinguished from acts perpetrated by those in a position of authority). It includes withholding information, scapegoating, and gossiping.Most common forms of lateral violence include non-verbal insinuation, verbal disrespect, undermining behaviors, withholding information, sabotage, bickering, blaming others, backstabbing, failure to respect privacy, and broken trust. Dissonance refers to a situation involving conflicting attitudes, beliefs or behaviors. This produces a feeling of mental discomfort leading to an alteration in one of the attitudes, beliefs or behaviors to reduce the discomfort and restore balance. For example you may have a strong belief that you eat healthily, and then feel ashamed, embarrassed or uncomfortable when someone points out the size of the cake that you ate yesterday. Battery is the intentional act of causing physical harm to someone.

Correct response is personal integrity. It means having respect for human individuality and treating each individual as a unique human being. Personal Integrity is the quality of being truthful and honest with yourself and others