A nurse is assisting with teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?
Explaining the steps of a surgical procedure to a client.
Witnessing a client consent for a surgical procedure.
Confirming that a client appears competent to consent to a surgical procedure.
Verifying that a client voluntarily gave consent to a surgical procedure.
The Correct Answer is A
Choice A reason: A nurse explaining the details or steps of a surgical procedure goes beyond their professional scope. Providing detailed procedural explanations is the role of the surgeon or primary provider, as they possess the medical expertise and legal responsibility to ensure informed consent. When a nurse provides such explanations, it can cause misinformation, legal liability, and confusion for the patient, making this behavior unprofessional.
Choice B reason: This is incorrect. Witnessing a client consent for a surgical procedure is not unprofessional, but a professional responsibility of a nurse. A nurse should act as a witness to the client's signature on the consent form, and ensure that the consent process was conducted properly, ethically, and legally².
Choice C reason: A nurse confirming client competency to provide consent is also within professional practice. This involves assessing whether the client is alert, oriented, and able to make decisions. Ensuring competency helps protect the client’s rights and supports ethical nursing practice.
Choice D reason: This is incorrect. Verifying that a client voluntarily gave consent to a surgical procedure is not unprofessional, but a professional obligation of a nurse. A nurse should ensure that the client's consent was given freely, without any coercion, manipulation, or undue influence from others². A nurse should also respect the client's right to withdraw or change their consent at any time².
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Related Questions
Correct Answer is D
Explanation
Choice A reason: This statement does not indicate an understanding of acute care, but rather a misconception and a lack of responsibility. Acute care is a level of health care that provides immediate and short-term treatment for severe or life-threatening conditions, such as asthma attacks. Acute care requires the parents to stay with their child and participate in their care plan.
Choice B reason: This statement does not indicate an understanding of acute care, but rather a denial and a delay of treatment. Acute care is not provided at home, but at a specialized facility that has the equipment and staff to handle emergencies. Waiting for the nurse to come may worsen the child's condition and increase the risk of complications.
Choice C reason: This statement does not indicate an understanding of acute care, but rather an exaggeration and a misunderstanding of the duration of treatment. Acute care is not meant to last for a long time, but only until the condition is stabilized or resolved. The length of stay at an acute care facility depends on the severity of the condition and the response to treatment, but it is usually less than a month.
Choice D reason: This statement indicates an understanding of acute care, as it reflects the main goal and intervention of acute care for asthma. Acute care for asthma involves administering medications that can quickly relieve the symptoms and prevent further inflammation of the airways. Medications may include bronchodilators, corticosteroids, oxygen, and others.
Correct Answer is D
Explanation
Choice A reason: Eddie Bernice Johnson is not the founder of the American Red Cross, but rather a contemporary politician and nurse. She is the first registered nurse elected to the United States Congress, where she represents Texas's 30th congressional district.
Choice B reason: Florence Nightingale is not the founder of the American Red Cross, but rather the founder of modern nursing. She is known for her pioneering work in nursing education, research, and reform, especially during the Crimean War, where she improved the sanitary conditions and reduced the mortality rate of wounded soldiers.
Choice C reason: Dorothea Dix is not the founder of the American Red Cross, but rather a social reformer and advocate for the mentally ill. She is known for her efforts to improve the treatment and care of the mentally ill in the United States and Europe, and for organizing nurses during the American Civil War.
Choice D reason: Clara Barton is the founder of the American Red Cross, as well as a nurse and humanitarian. She is known for her service as a nurse during the American Civil War, where she tended to the wounded on the battlefield and distributed supplies. She also founded the American Red Cross in 1881, after learning of the International Red Cross in Switzerland, and led the organization for 23 years.
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