A nurse learns in orientation that an incident report does not "blame" anyone but concisely documents the events leading up to an occurrence. Which events would warrant completion of an incident report? (select all that apply)

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Ethics & Issues in Contemporary Nursing Questions

Question 1 of 9

A nurse learns in orientation that an incident report does not "blame" anyone but concisely documents the events leading up to an occurrence. Which events would warrant completion of an incident report? (select all that apply)

Correct Answer: B

Rationale: The correct answer is B because it involves a medical error that could potentially harm the patient. An incident report is necessary to document such events for quality improvement and patient safety. Choice A does not involve a preventable adverse event, so it does not require an incident report. Choice C is related to communication issues and can be resolved without an incident report. Choice D involves a patient fall, which is a reportable event, but the client was informed not to get up alone, making it less urgent for an incident report compared to a medication error.

Question 2 of 9

A patient observes the practitioner burning a dried herb on the needle during an acupuncture session and asks about this practice. The practitioner responds, "I am inciting the acupuncture points and this is referred to as:

Correct Answer: B

Rationale: The correct answer is B: moxibustion. Moxibustion is a traditional Chinese medicine technique that involves burning dried herbs on or near acupuncture points to stimulate them. This practice helps to improve the flow of Qi and promote healing. Doshas (choice A) and kapha (choice D) are terms from Ayurveda, not related to acupuncture. Yoga (choice C) is a separate practice that involves physical postures and breathing exercises, not burning herbs on acupuncture points.

Question 3 of 9

It is important for nurses to know the functions of the branches of the federal government. At a local meeting of the state nurses' association, an officer reminds members that the branch that is capable of originating major policy initiatives is thebranch.

Correct Answer: B

Rationale: The correct answer is B: legislative. The legislative branch, which consists of Congress, is responsible for creating and enacting laws, including major policy initiatives. This branch has the power to propose, debate, and pass legislation that shapes public policy. The executive branch (choice A) enforces laws, the judicial branch (choice C) interprets laws, and the administrative branch (choice D) oversees the implementation of laws. In this context, the legislative branch is the primary entity for originating major policy initiatives, making it crucial for nurses to understand its functions.

Question 4 of 9

Which statements concerning licensure as a registered nurse are correct? (select all that apply)

Correct Answer: A

Rationale: Rationale: A: Correct. Nurses with different education levels (e.g., associate vs. bachelor's degree) have varied scope of practice. BSN-prepared nurses typically have a broader scope compared to ADN-prepared nurses. B: Incorrect. Nursing licenses can be revoked or suspended for various reasons such as misconduct or negligence. C: Incorrect. Nurse practice acts outline licensure requirements, but not specifically for initial licensure. D: Incorrect. States may inquire about the mental or physical status of applicants to ensure they are fit to practice safely.

Question 5 of 9

The length of the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination is based on the:

Correct Answer: B

Rationale: The correct answer is B because the length of the NCLEX-RN exam is based on the location of testing. This is because different testing centers may have varying procedures, schedules, and regulations that can affect the overall length of the exam. The length is standardized by location to ensure fairness and consistency for all candidates. Incorrect Answers: A: The last four numbers of the candidate's social security number have no relevance to the length of the exam. C: The candidate's educational preparation may impact their readiness for the exam but does not determine the length of the exam. D: The performance of the candidate is assessed during the exam and does not determine the initial length of the exam.

Question 6 of 9

A nurse on the unit is heard saying, "I am not going to document that I used four catheters to start that IV; it doesn't matter anyway." What action can help the staff nurse understand the financial budget goals of the unit?

Correct Answer: C

Rationale: Rationale: Choice C is correct because asking the nurse to represent the unit on the budget planning committee will directly expose them to the financial budget goals. This involvement will provide insight into the importance of accurate documentation and resource utilization. It offers a practical understanding of how decisions impact the unit's financial health. Summary: A: Working in payroll does not directly connect the nurse to the unit's financial goals. B: Personal finance CEUs are not specific to the unit's budget goals. D: Monitoring supplies is important but does not provide a comprehensive understanding of the unit's financial budget goals.

Question 7 of 9

In the triad of health care, which would be considered the third-party payer?

Correct Answer: C

Rationale: The correct answer is C: Insurance company. In the triad of health care, the third-party payer refers to an entity outside of the patient and health care provider that pays for the health care services. Insurance companies typically serve as third-party payers by covering a portion or all of the costs associated with medical treatments. The other choices (A, B, D) are not considered third-party payers in this context. Choice A refers to the client/patient receiving the health care services, choice B refers to the health care provider delivering the services, and choice D refers to a government agency that sets reimbursement rules but does not directly pay for the services rendered.

Question 8 of 9

A nurse is hoping for a promotion and seeks the help of a coach to improve time management skills. The first task assigned by the coach is for the nurse to list all external distractors that prevent organization and completion of tasks. The nurse would include:

Correct Answer: A

Rationale: The correct answer is A because waiting for the oncoming shift to start walking rounds is an external distractor that can affect time management. The nurse cannot control when the shift starts, leading to potential delays in task completion. Incorrect choices: B: Failure to delegate tasks is an internal issue, not an external distractor. C: Talking with a patient's family member who is a personal friend is a boundary issue, not necessarily an external distractor. D: Thinking about a vacation is also an internal distraction, not an external one. In summary, the correct answer focuses on an external factor that the nurse cannot directly control, affecting time management, while the other choices are related to internal issues or personal boundaries.

Question 9 of 9

A patient informs the nurse, "I can't sit in the yard for even 10 minutes without my skin turning red and tender." The nurse would assess for the use of which complementary alternative medicine (CAM)?

Correct Answer: C

Rationale: The correct answer is C: Feverfew. Feverfew is commonly used for its anti-inflammatory properties and may help reduce skin sensitivity to sunlight, which could be the cause of the patient's skin turning red and tender. St. John's wort is used for depression, Ginkgo biloba for memory, and Echinacea for immune support, none of which are directly related to the patient's symptom.

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