A nurse is trying to encourage a client with paraplegia who is depressed and not adhering to the treatment program to join a support group. Which statement by the nurse is most appropriate?

"What do you know about support groups?"

“I am sure you would feel better if you joined a support group."

"Support groups are for people like you who are depressed."

“I am going to sign you up for a support group."

Answer and Explanation

The Correct Answer is A

A. Asking the client what they know about support groups is open-ended and encourages discussion.
B. This statement is presumptive and may not be true for all clients.
C. This statement is stigmatizing and may be perceived as judgmental.
D. This statement takes away the client's autonomy and may lead to resistance.

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Correct Answer is C

Explanation

A. Fidelity refers to faithfulness and keeping promises made to clients.
B. Autonomy respects a client's right to make their own decisions about their care.
C. Nonmaleficence is a core principle in healthcare ethics and emphasizes the primary duty of healthcare providers to do no harm to their clients. This means carefully considering the potential risks and benefits of any treatment or intervention before administering it.
D. Justice ensures fair and equitable access to care for all individuals.

A. The nurse administers the wrong medication to a client, who then has one episode of vomiting 5 minutes later but no further adverse reactions. B. The nurse applies an ice pack to a client's lower back without an order and the client feels better. C. The nurse, using proper body mechanics, assists a client into a locked bed. The client slips and breaks a femur. D. The nurse administers amoxicillin to a client with known allergies to penicillin. The client has a seizure with resulting respiratory arrest.

Correct Answer is D

Explanation

A. While this is an error, it did not result in a serious or lasting harm.
B. This action, though without an order, resulted in a positive outcome.
C. This incident was an accident despite the nurse's proper body mechanics and safety measures.
D. Administering a medication to which the client is known to be allergic, resulting in a seizure and respiratory arrest, constitutes a serious breach of standard care and demonstrates malpractice.

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A nurse is trying to encourage a client with paraplegia who is depressed and not adhering to the treatment program to join a support group. Which statement by the nurse is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse using the principle-based approach to client care seeks to avoid causing harm to clients in all situations. What is this principle known as?

Correct Answer is C

Explanation

Which best exemplifies malpractice?

Correct Answer is D

Explanation

A nurse is caring for a client who has a mental health disorder. The client asks about his medications and their effects. The nurse asks the client why he needs to know this. Which of the following nontherapeutic communication techniques is the nurse using?

A nurse is trying to encourage a client with paraplegia who is depressed and not adhering to the treatment program to join a support group. Which statement by the nurse is most appropriate?

A nurse checks with assistive personnel on the unit throughout the shift to determine if they are completing tasks. The nurse is demonstrating which of the following rights of delegation?

A nurse is providing care to a client who is on strict bed rest following surgery. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. Which of the following types of torts has the nurse committed?

A charge nurse is making client care assignments. Which of the following tasks should the nurse delegate to assistive personnel (AP)? (Select all that apply.)

A nurse is caring for a client who states, "I have got to get out of this hospital! They have found my address and are coming for my family!" The nurse responds, "Don't worry, no one will harm your family." Which of the following types of communication breakdown does this response represent?

A nurse is caring for a client who states, "My doctor was just here, but I still do not understand my diagnosis." The nurse contacts the provider to return to speak with the client. Which of the following principles is the nurse demonstrating?