Question 1

A student nurse working in an ER takes a picture of a visiting friend in the middle of the crowded waiting room while posing with eight patients. Everyone in the photo us smiling and waving at the camera. The student nurse posts the photo on Facebook later to show how much fun working in an ER can be. Which statement best applies to this described scenario?

Accepted Answer

A)   Nurses breach patient privacy when they post enough information to allow recognition of a patient.
B)   Postings on social media platforms are an everyday happening that is innocent and harmless.
C)   Social media is transforming traditional nurse-patient interactions and how they are demonstrated.
D)   Extreme caution is required when discussing or demonstrating any patient-related experience. A

Question 2

Which of the following shows the correct progression of the nursing process' phases?

Accepted Answer

A)   Evaluation, implementation, outcome identification/planning, problem identification/diagnosis, assessment
B)   Assessment, problem Identification/diagnosis, outcome identification/planning, implementation, evaluation
C)   Assessment, problem identification/diagnosis, outcome identification/planning, implementation, evaluation
D)   Problem identification/diagnosis, evaluation, assessment, implementation, outcome identification/planning C

Question 3

Which of the following statements does NOT adequately describe evidence-based practice?

Accepted Answer

A)   A conscious choice to use the most current research to provide "best care."
B)   Guidelines to clinical behaviors compiled from the best current research evidence available and the expertise of clinicians.
C)   Translating knowledge into practice using findings from multiple empirical studies to help solve clinical problems.
D)   Application of standards of professional communication necessitates use of critical thinking and problem-solving skills in all aspects of care. D

Question 4

Under what circumstances would result in a nurse not securing a signed informed consent from a client scheduled for a bilateral inguinal hernia repair?

Accepted Answer

A)   The client voluntarily came to the surgery center and suggested the need for a hernia repair.
B)   The client completely understands the necessity of the procedure, but is nervous and unhappy about going through with the surgery.
C)   The client has been diagnosed with early-onset dementia.
D)   The client is a month away from his 18th birthday.

Question 5

How is social media transforming traditional nurse-patient interactions?

Accepted Answer

A)   By transforming the way people interact.
B)   By communicating health care information and support with many at once.
C)   Governmental agency privacy regulations make decision making related to confidentiality easier.
D)   Nursing students are expected to engage clients in a more social manner.

Question 6

Whose code of ethics for nurses establishes principled guidelines designed to protect the integrity of patients related to their care, health, safety, and rights?

Accepted Answer

A)   American Nurses Association
B)   American Health Insurance Portability and Accountability Act
C)   National Academy of Medicine Division of the National Academies of Science, Engineering and Medicine
D)   Evidence-Based Practice

Question 7

What can be defined as "a patient safety issue", , but primarily a legal right protected by common law and "case law" and "giving care acquiescence knowing the purpose, the extents of the risks and benefits, and possible alternatives of treatment"?

Accepted Answer

A)   Evidence-based practice (EDP) 
B)   Mandatory reporting
C)   Informed consent
D)   Privacy cautions

Question 8

A preoperative assessment shows that a patient's hemoglobin level is dropping. The anesthetist orders 3 units of blood to be administered. The nurse administers the first unit before discovering that the patient is a Jehovah's Witness, as documented in the record. This scenario is referred to using what phrase?

Accepted Answer

A)   Professional conduct.
B)   A negligent act.
C)   Physical abuse.
D)   Breaching patient confidentiality.

Question 9

During a routine visit, the nurse notes that a child has several bruises at various stages of healing. The child reports, " Mommy doesn't like me when I don't do my chores". Failure to report these findings is an example of what form of nursing malpractice?

Accepted Answer

A)   Negligence
B)   Slander
C)   Liable
D)   Defamation

Question 10

In regard to informed consent, which of the following statements is true?

Accepted Answer

A)   Only legally incompetent adults can give consent.
B)   Only parents can give consent for minor children.
C)   It is not required that the patient be told about costs and alternatives to treatment.
D)   Consent must be voluntary.

Question 11

What may be the consequences for a simple patient privacy violation through social media? Select all that apply.

Accepted Answer

A)   Dismissal from nursing school
B)   Jail time
C)   Revocation of nursing license
D)   Monetary fine
E)   State Board of Nursing censure

Question 12

Which of these statements is NOT true regarding nurses' use of social media?

Accepted Answer

A)   Confidentiality and privacy laws, such as HIPAA, apply to online postings.
B)   Clicking "restricted access" does not quality as a private site.
C)   A state board may act on complaints of privacy violations.
D)   Privacy laws apply to photos, but not to videos if you avoid showing a face.

Question 13

A 16-year-old trauma victim arrives in the emergency department with a life-threatening condition and requires emergency surgery. The nurse knows that

Accepted Answer

A)   a parent/guardian must give consent.
B)   the patient can give consent if she provides proof of emancipation.
C)   the patient must first be evaluated for competency before obtaining consent.
D)   surgery can be performed without consent.

Question 14

The nurse is teaching a patient who is alert and oriented about the medication, warfarin. When teaching the patient about this drug, the nurse emphasizes the need to be consistent with Vitamin K intake, which is found primarily in green leafy vegetables. When the patient's spouse comes to visit, the patient states, "I can no longer consume green leafy vegetables." This is an example of what type of failure caused by a communication problem?

Accepted Answer

A)   System failure
B)   Reception failure
C)   Transmission failure
D)   Global aphasia

Question 15

Reporting what information is a violation of patient confidentiality?

Accepted Answer

A)   Certain communicable diseases.
B)   Child abuse.
C)   Gunshot wounds.
D)   Patient data in a nonprofessional setting.

Question 16

A nurse is required to provide all information specific to a prescribed treatment, and offer the chance to ask questions or share concerns before requesting a signature on a consent form to which client?

Accepted Answer

A)   A physically disabled 30-year-old.
B)   A 17 year old child a sudden life-threatening injury.
C)   An emancipated minor.
D)   An adult who fell and fractured a femur whose blood alcohol level is 0.13%

Question 17

The nurse fails to demonstrate effective communication by engaging in what activity?

Accepted Answer

A)   Implementing a two-way exchange of information among patients and health providers.
B)   Making sure that unilateral information is exchanged between patients and nurses.
C)   Baking sure that the expectations and responsibilities of all are clearly understood.
D)   Recognizing that effective communication is an active process for all involved.

Exam 3: Professional Guides for Nursing Communication