Review Test: Week 6 Practice Quiz 2 Course NURS 420 Principles of Leadership and Management 201810FAII OL-L Test Week 6 Practice Quiz 2 Results Displayed All Answers, Feedback, Incorrectly Answered Questions • Question 1 A nurse manager is explaining the importance and guidelines for use of incident reports to new graduate RNs during their orientation. In assessing their understanding of what she has told them, which of the following statements would indicate that more explanation/reinforcement is needed about incident reports? Answer s: A manager usually reviews the incident report and investigates the incident before sending it on to the risk manager for follow-up. Incident reports should not be shared with the client and the family. A copy of the incident report should be made by the person who initiates the report for future reference if there is a lawsuit. Only a factual description of the event should be documented in the client's health care record without any mention of an incident report. • Question 2 A RN is assessing a client's home situation, support systems and resources in preparation for discharge. Which of these observations should be given priority consideration? Answer s: Financial status overall Location of entries, exits, stairs Distance to the nearest hospital/emergency care Family's understanding of the client's needs • Question 3 A client is brought into the ED with a history of alcohol abuse. The client presents confused and disoriented. Wrist restraints were placed on the patient. After six hours had passed, the client requested to leave. The nurse refused to remove the wrist restraints. The client informed the nurse that he was going to report her to her supervisor. Which term below best describes the intentional tort that the client will be reporting? Answer s: Assault Invasion of privacy Battery False imprisonment • Question 4 A RN is planning care for a client this shift who was placed last night in wrist restraints for a behavior change that threatened the safety of others. Which one of the following actions should the RN do FIRST? Answer s: Release the restraints and perform bilateral range of motion. Document the client's current behavior in the medical record. Discuss the importance of client observation with the assigned sitter. Assess the patient and review current laboratory data. • Question 5 Which phrase best describes the meaning of the standard of care? Answer s: The directive that ensures that all nurses will act prudently The minimal level of expertise that may be delivered to a patient The intentions that the nurse will behave in a prudent manner The law that states that a nurse shall do no harm • Question 6 A nurse is caring for several clients in a walk-in clinic. Which client should the nurse have the provider see immediately? Answer s: A diaphoretic, obese middle-aged man with epigastric pain. A disruptive teenager with alcohol on her breath who is vomiting profusely. A crying toddler with a forehead scrape wound that is bleeding. A young adult presenting with extremely painful sunburned face. • Question 7 A nurse calls the physician regarding a new medication prescription because the dosage prescribed is higher than the recommended dosage. The nurse has called the physician several times without reaching him, and the medication is due to be administered. Which action should the nurse take first? Answer s: Administer the prescribed dose now. Continue trying to reach the physician and document attempts made. Inform the nursing supervisor. Administer the recommended dose until the physician can be contacted. • Question 8 A charge nurse receives a phone call from the emergency room where a client is being admitted. The admission diagnosis of the client is renal failure. The client is also confused and restless. Which is the safest room assignment for this client? Answer s: A semi-private room 50 feet from the nurse's station. A small, private room at the end of the hallway. A seclusion room that is monitored by a camera for client safety. A large private room within view of the nurse's station. • Question 9 The nursing staff of a Medical- Surgical unit is asked to make a recommendation regarding an installation of a computer work station. Which factor is a priority for staff ergonomics? Answer s: Availability of the chart rack and dictation equipment for healthcare providers. Distance from clients' rooms and number of chairs Height of the counter top and adjustable task chairs Location of the elevator relevant to the entrance of the nurse's station • Question 10 A client has just joined a health care maintenance organization (HMO) and asks for information about the payment obligations with this plan. The most accurate description of health care costs is that the client will be charged in which manner?