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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. One of the core goals of the Magnet Recognition Program is to recognize and identify healthcare organizations that provide excellent nursing care and achieve superior patient outcomes. This aligns
with the program’s emphasis on distinguishing organizations that exhibit high standards of practice and
innovation in nursing care.
B. The Magnet Recognition Program encourages organizations to share and implement best practices in nursing. This involves promoting evidence-based practices and creating an environment where innovative approaches to care are developed and shared. Thus, disseminating best practices aligns well with the goals of Magnet recognition.
C. While decreasing the length of hospital stays can be a positive outcome of high-quality care, it is not a primary goal of the Magnet Recognition Program. The focus of Magnet is more on improving the overall quality of nursing care and patient outcomes rather than specifically targeting length of stay metrics.
D. Promoting high standards of quality in healthcare settings is a fundamental goal of the Magnet Recognition Program. Magnet-recognized organizations are known for their commitment to delivering exceptional care and improving patient outcomes, which inherently promotes overall quality in healthcare.
E. Prioritizing patient or client needs is a critical component of providing high-quality nursing care. While Magnet recognizes organizations that excel in this area, it is more about the broader commitment to nursing excellence and patient-centered care rather than just the prioritization of client needs alone.
Correct Answer is D
Explanation
A. Evaluating pain relief involves assessing the effectiveness of pain management, which requires clinical judgment, assessment skills, and an understanding of the client’s response to medication. This task involves interpreting changes in pain levels and making decisions about further interventions, which is beyond the scope of an AP’s responsibilities.
B. Wound irrigation involves a clinical procedure that requires specialized knowledge and skills, including understanding wound care techniques and infection control practices. This task requires a level of assessment and clinical decision-making that APs are not trained to perform.
C. Teaching a client about dietary changes, such as low-sodium foods, requires specialized knowledge about nutrition and the ability to tailor information to the client’s specific needs. This type of education involves clinical judgment and expertise in dietary management, which is not within the scope of an AP’s role.
D. Measuring and recording intake and output (I&O) involves tracking the volume of fluids consumed and excreted by a client. This task is a basic responsibility that APs are trained to perform, as it involves straightforward data collection without requiring clinical judgment. The recorded data can then be used by RNs or LPNs to make further clinical decisions.
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