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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Requiring the nurse to reapply for a new license is not the purpose of renewal. Renewal is a process of updating the existing license and verifying the nurse's qualifications and competencies. Reapplying for a new license is a different process that involves submitting a new application and meeting the initial requirements.
Choice B reason: Maintaining the nurse's right to practice nursing is the purpose of renewal. Renewal ensures that the nurse meets the standards of practice and the continuing education requirements. Renewal also protects the public from unqualified or incompetent nurses.
Choice C reason: Granting the nurse permission to practice in more than one state is not the purpose of renewal. Renewal applies to the license issued by the state where the nurse practices. To practice in more than one state, the nurse needs to obtain a multistate license or a license by endorsement from another state.
Choice D reason: Providing the nurse a new license in another state is not the purpose of renewal. Renewal does not change the state of licensure or the license number. To obtain a new license in another state, the nurse needs to apply for a license by endorsement or examination from that state.
Correct Answer is B
Explanation
Choice A reason: This statement does not demonstrate health literacy by the client, but rather a need for more health education. Health literacy is the ability to obtain, process, and understand basic health information and services needed to make appropriate health decisions. Requesting further information to improve their health indicates that the client may lack some knowledge or skills related to their condition.
Choice B reason: This statement demonstrates health literacy by the client, as it shows that they have learned and applied an important selfcare behavior for diabetes management. Taking blood glucose daily is a way to monitor and control blood sugar levels, which can prevent or delay complications of diabetes.
Choice C reason: This statement does not demonstrate health literacy by the client, but rather a need for more communication with their provider. Health literacy is not only about acquiring information, but also about using it effectively to make informed decisions. Asking to speak with their provider suggests that the client may have some questions or concerns that need to be addressed.
Choice D reason: This statement does not demonstrate health literacy by the client, but rather a need for more nutritional guidance. Health literacy is not only about understanding information, but also about acting on it to improve health outcomes. Requesting to speak with a nutritionist implies that the client may need some assistance with planning and following a healthy diet for diabetes.
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