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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. This client should be assessed first. Chest pain is a serious symptom that could indicate a cardiac event. The new onset of indigestion, even if unrelated, warrants immediate assessment to rule out any cardiac complications.
B. While hypoglycemia is a serious condition, the client's blood glucose is now within a normal range after treatment. This client can be assessed after the client with chest pain.
C. Pneumonia is a serious condition, but the client's temperature has been managed, and there is no indication of immediate instability. This client can be assessed after the first two.
D. While the IV catheter needs to be replaced, this is not an emergent situation. The client can receive the famotidine orally until the IV is replaced.

A. A client who reports a severe migraine headache B. A client who has a suspected diagnosis of tuberculosis (TB) C. A client who sustained a head injury and is having periods of confusion D. A client who has a history of atrial fibrillation and is on continuous ECG monitoring.

Correct Answer is C

Explanation

A. While a severe migraine headache is certainly uncomfortable and may require medication and observation, it does not typically necessitate constant monitoring. The client might benefit from a quieter room and can often be managed effectively with scheduled visits by nursing staff. Therefore, this client does not necessarily need to be closest to the nurses' station.
B. A client with a suspected diagnosis of TB should be placed in a negative-pressure isolation room to prevent the spread of airborne pathogens. The proximity to the nurses' station is less critical for infection control purposes. Proper isolation procedures and equipment are more important for managing TB.
C. A client with a head injury and periods of confusion is at risk for complications such as falls, disorientation, or worsening of their condition. This client requires close monitoring to ensure their safety and to promptly address any changes in their condition. Assigning this client to a room closest to the nurses' station ensures that the staff can frequently observe and quickly respond to any potential issues.

D. A client on continuous ECG monitoring requires regular assessment of their heart rhythm and immediate intervention if there are any abnormalities. While close monitoring is needed, this client’s condition is managed with electronic equipment that can alert staff to significant changes, so proximity to the nurses' station is less critical compared to more acute or unpredictable conditions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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