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. Evaluate how well employees were able to perform duties outside of their job description: Performance appraisals should focus on the duties and responsibilities outlined in the employee’s job description.
B. Conduct the performance appraisal in a public setting to ease tension: Conducting appraisals in a public setting can lead to discomfort and should instead be done privately to respect confidentiality and ensure a constructive conversation.
C. Provide the staff member the opportunity to disagree with the evaluation: Allowing the staff member to provide their perspective or disagreement is an important part of a fair and balanced performance appraisal process.
D. Initiate a random time to conduct the performance appraisal to ensure authentic responses by the staff member: Performance appraisals should be scheduled and communicated in advance to allow for preparation and a constructive dialogue, not conducted randomly.

A. cultural awareness. B. cultural sensitivity. C. acculturation. D. cultural marginality.

Correct Answer is C

Explanation

A. Cultural awareness: Cultural awareness involves recognizing and understanding the differences and similarities between cultures, which is not directly related to imitating co-workers.
B. Cultural sensitivity: Cultural sensitivity refers to being aware of and respectful towards the cultural differences and needs of others, not necessarily imitating co-workers.
C. Acculturation: Acculturation is the process of adapting to and adopting the cultural traits or social patterns of another group, which fits the description of Mary imitating her co-workers.
D. Cultural marginality: Cultural marginality occurs when an individual feels they do not belong to any cultural group, which is not indicated by Mary's behavior of adapting to her co-workers.

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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

A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Mary is a newly-hired, new graduate nurse. Mary adapts her practice to imitate her co-workers on the unit. She is demonstrating:

Correct Answer is C

Explanation

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:

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

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?

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.)

A family is keeping vigil at a critically ill patient's bedside. The nurse speaks with the family members and asks if they would benefit from a chaplain visit or resources to aid with grief and coping. What role is the nurse assuming through this action?

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

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?