During a routine visit, the nurse notes that a child has several bruises at various stages of healing. The child reports having fallen down. Failure to report these findings is an example of
a. negligence.
b. reasonable prudence.
c. maintenance of confidentiality.
d. HIPAA regulation.
ANS: A
Failing to report suspected physical or sexual child abuse is an example of a negligent act. Reasonable prudence is a nursing action that a reasonably prudent nurse would perform. In a situation where a child has several bruises, confidentiality must be breached. HIPAA regulations protect the privacy of client records.
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Which of the following is the best example of the ethical principle of beneficence?
A) The nurses at City Hospital answer patients' call buttons "with all deliberate speed" B) The nursing supervisor fires an incompetent part-time nursing assistant, leaving a less than full complement of staff C) At a nursing home, the staff closes residents' doors before the body of a deceased resident is wheeled out D) The charge nurse documents all reported incidents at the end of the shift
You examine a “sleepy” patient. You note that she will open her eyes and look at you but responds slowly and is confused. She does not appear interested in her surroundings. How would you describe her level of consciousness?
A) Lethargic B) Obtunded C) Stuporous D) Comatose
Which position is usually preferred by persons with heart failure?
a. Supine b. Prone c. Side-lying d. Semi-Fowler's
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A) use individual variations in approaches to the patient. B) use the same approaches when caring for the patient. C) choose which staff members will work together in the care of the patient. D) agree that the plan of care is needed by the patient.