One of your staff nurses asks for your advice because a patient refuses to sign a consent for surgery. The patient says that he won't sign because he doesn't understand the nature of the surgery. You advise that: (Select all that apply.)

The patient has a right to choose not to consent.

Consent must not be coerced.

Consent for life-saving surgery is always mandatory.

The patient must sign the consent because the doctor wants him to sign.

Minors can consent to procedures in the absence of parents or guardians.

Answer and Explanation

Correct Answer : A,B

A. The patient has a right to choose not to consent: Patients have the right to refuse consent if they do not understand the procedure or do not agree to it, reflecting the principle of autonomy in medical decision-making.
B. Consent must not be coerced: Consent must be given voluntarily and with full understanding; coercion undermines the validity of the consent.
C. Consent for life-saving surgery is always mandatory: While consent is crucial, there are exceptional cases where procedures may be performed without explicit consent if a patient is incapacitated and the surgery is urgent.
D. The patient must sign the consent because the doctor wants him to sign: The patient's understanding and voluntary consent are more important than the doctor's request; the process cannot be rushed or forced.
E. Minors can consent to procedures in the absence of parents or guardians: Generally, minors cannot consent to medical procedures without parental or guardian consent, with some exceptions based on state laws and the nature of the procedure.

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Correct Answer is C

Explanation

A. Restrain patients at risk for falls: Restraining patients can lead to physical and psychological harm and is not an evidence-based intervention for fall prevention.
B. Recognize that errors are solely the result of the actions of individual people: This approach ignores systemic issues and does not address the root causes of falls, making it an ineffective strategy.
C. Provide an in-service that informs nurses of the current, best practices of fall prevention: Educating staff on best practices for fall prevention is an evidence-based intervention that can help reduce the number of falls.
D. Punish the staff who are caring for the patients who fall: Punishment creates a blame culture, which can reduce staff morale and does not effectively address the factors contributing to falls.

A. Encouraging the patient to attend group therapy. B. Monitoring for thoughts of self-harm. C. Preventing fluid and electrolyte imbalance. D. Fostering feelings of self-respect.

Correct Answer is C

Explanation

A. Encouraging the patient to attend group therapy: While group therapy is important for long-term recovery and psychological support, it is not the immediate priority in acute care.
B. Monitoring for thoughts of self-harm: This is a critical aspect of care, but maintaining physical health through stabilizing fluid and electrolyte balance takes precedence due to the immediate life-threatening risks associated with anorexia nervosa.
C. Preventing fluid and electrolyte imbalance: Addressing fluid and electrolyte imbalances is the highest priority as these imbalances can lead to severe complications, including cardiac arrest, which is a primary concern in clients with anorexia nervosa.
D. Fostering feelings of self-respect: This goal is essential for long-term recovery, but it is secondary to immediate physical health concerns that could pose life-threatening risks.

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One of your staff nurses asks for your advice because a patient refuses to sign a consent for surgery. The patient says that he won't sign because he doesn't understand the nature of the surgery. You advise that: (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls. What interventions might assist to reduce the number of falls on the unit?

Correct Answer is C

Explanation

A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?

Correct Answer is C

Explanation

As a nurse manager, you have to be effective in managing a culturally diverse staff. Which of the following nurse manager attributes would assist you in addressing the cultural needs of your staff? (Select all that apply.)

The chief nursing officer at a local hospital seeking Magnet® status creates staff development classes concerning translation of research into practice (TRIP). What best describes TRIP?

Which of the following is most accurate regarding evidence-based practice?

A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take for implementation of this change?

A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?

The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia. After developing a spirit of inquiry and identifying a problem, what is the next step to effectively gather evidence for guiding practice (i.e., evidence-based inquiry)?

A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?