A nurse is teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?
Confirming that a client appears competent to consent to a surgical procedure.
Verifying that a client voluntarily gave consent to a surgical procedure.
Witnessing a client consent for a surgical procedure.
Explaining the steps of a surgical procedure to a client.
The Correct Answer is D
A. This is a professional and important action. Ensuring that a client is competent to consent means that the nurse is verifying that the client understands the nature, purpose, risks, and benefits of the procedure. Competence to consent is a legal and ethical requirement, and it is part of the nurse’s role to support and facilitate the informed consent process.
B. This is also a professional and necessary action. It involves checking that the client’s consent is given freely, without coercion or undue pressure. This step ensures that the consent is valid and ethical. It is part of the nurse's responsibility to ensure that the consent process respects the client's autonomy.
C. The nurse as a witness is there to observe that the consent is signed by the client and that the client understands what they are consenting to. However, the nurse should not be the one explaining the procedure or the risks involved unless they are specifically trained and authorized to do so.
D. This is generally not considered professional behavior for a nurse unless they have specific training and authorization to provide detailed information about surgical procedures. Typically, detailed explanations of the procedure are provided by the surgeon or a qualified healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Blood pressure is a measurable physiological parameter that can be accurately recorded by the nurse using a sphygmomanometer. It provides concrete evidence of the client’s current condition compared to their preoperative baseline.
B. The swelling and warmth of the calf are observable and measurable physical signs that the nurse can assess through physical examination. These findings can be documented and evaluated independently of the client's personal feelings or reports.
C. Nausea is a symptom experienced and reported by the client. It cannot be directly measured or observed by the nurse but rather is based on the client's personal sensations and experiences.
D. Pain is a personal experience and is reported by the client. The description of pain, including its intensity and quality, is based on the client's own perception and cannot be directly measured by the nurse.
E. Urine output is a quantifiable measurement that can be recorded and assessed by the nurse. It
provides concrete information about the client’s fluid balance and renal function over a specific period.
Correct Answer is A
Explanation
A. Negligence occurs when a person fails to perform their duties to the standard expected of a reasonable professional, leading to harm or potential harm. In this scenario, leaving a shift early without permission could be considered a breach of professional duty. Although the clients are stable, the action of leaving early without proper handoff could potentially create risks or gaps in care.
B. Battery involves the intentional and unauthorized physical contact with another person that causes harm or offense. This legal tort does not apply to the situation described because leaving a shift early does not involve physical contact or harm to the clients. Battery is more related to physical acts rather than administrative or procedural issues.
C. Libel refers to defamation through written statements that harm a person's reputation. This tort does not apply to the situation of leaving a shift early. Libel is concerned with false statements published in writing that damage someone's reputation, which is unrelated to the issue of leaving a shift early without notification.
D. Slander involves verbal defamation that harms a person's reputation. Like libel, slander is concerned with damaging someone’s reputation through spoken false statements. The scenario of leaving a shift early does not involve verbal defamation or reputational harm, so slander is not applicable here.
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