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 A

Explanation

A. Evaluate the quality of the research against the standards for that type of research: Assessing research quality based on established standards ensures that the study's design, methodology, and findings are reliable and valid for its particular research type.
B. Select only studies with a sample size of at least 100 people: While sample size is important, it is not the sole determinant of a study's quality. Other factors like study design, methodology, and relevance also play crucial roles.
C. Discard systematic reviews and meta-analyses since they are the weakest form of evidence: Systematic reviews and meta-analyses are actually considered high levels of evidence as they synthesize data from multiple studies, providing comprehensive insights.
D. Accept only studies that use a randomized controlled trial design: While RCTs are a gold standard for certain types of research, other study designs are also valuable and appropriate depending on the research question and context.

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 an effective approach in the appraisal of research studies?

Correct Answer is A

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

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

A floor manager discovers widespread dissatisfaction and a high turnover rate amongst LPN and certified nursing assistants (CNA). Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?

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)?

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?

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: