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. Evidence-based practice should focus solely on the advancement of the nursing profession, while prohibiting involvement of other healthcare disciplines: Evidence-based practice involves a multidisciplinary approach to improve patient outcomes, not limited to nursing alone.
B. Evidence-based practice replaces continuous quality improvement: Evidence-based practice complements continuous quality improvement rather than replacing it, as both aim to enhance patient care and outcomes.
C. Evidence-based practice integrates the best research evidence with clinical expertise and the patient's unique values and circumstances in making care decisions: This definition accurately describes evidence-based practice, highlighting the integration of research, clinical expertise, and patient preferences.
D. Evidence-based practice began with medicine and assists in determining which medical models can be applied in nursing practice: While evidence-based practice has roots in medicine, it has evolved to be a fundamental aspect of nursing and other healthcare disciplines, emphasizing a broader application beyond medical models.

A. Assuming the thoughts and behaviors of individuals based on their race or ethnicity. B. Encouraging the potential in all staff. C. Being conscious of the dynamics when culture interacts. D. Conducting a cultural self-assessment. E. Fostering unity by imposing American values upon all staff members.

Correct Answer is ["B","C","D"]

Explanation

A. Assuming the thoughts and behaviors of individuals based on their race or ethnicity: This approach is based on stereotypes and can lead to misunderstandings and discrimination, hindering effective management of a diverse staff.
B. Encouraging the potential in all staff: By recognizing and fostering the abilities of each individual, a nurse manager can create an inclusive environment that respects and values diversity.
C. Being conscious of the dynamics when culture interacts: Understanding how different cultures interact helps in managing conflicts and promoting effective communication and collaboration among staff.
D. Conducting a cultural self-assessment: This allows a nurse manager to reflect on their own cultural biases and improve their ability to manage a culturally diverse team.
E. Fostering unity by imposing American values upon all staff members: Imposing a single cultural perspective can lead to cultural insensitivity and resentment, negatively impacting staff morale and unity.

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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

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

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.)

Correct Answer is ["B","C","D"]

Explanation

To help staff nurses prepare for evidence-based practice, which strategy is NOT appropriate for the nurse manager to recommend?

Feedback from staff suggests that the new scale is too difficult for patients who have limited language skills and who are already under duress to understand. The difficulty in implementing the new scale refers to testing:

A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?

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 manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?

To help nurse managers better manage their time, the chief nursing officer suggests that they:

A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by an outcome audit?

Which of the following is an effective approach in the appraisal of research studies?