The patient at 30 weeks' gestation expresses a desire for the registered nurse to independently manage her perinatal care and the birth of her baby
When the nurse explains she is not credentialed to independently manage the patient's perinatal care and delivery, the nurse is recognizing principles related to:
1. Standards of care.
2. Scope of practice.
3. Right to privacy.
4. Informed consent.
Correct Answer: 2
Rationale 1: Standards of care pertain to established minimum criteria for competent, proficient actions related to delivery of nursing care.
Rationale 2: Scope of practice is defined as the limits of nursing practice set forth in state statutes.
Rationale 3: Right to privacy involves the legal right of a person to keep her or his person and property free from public scrutiny.
Rationale 4: Informed consent is a legal concept that protects a patient's right to autonomy and self-determination in terms of his or her care.
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The state board of nursing has brought action against a nurse's license based upon violation of a regulation. What is true about this scenario?
1. These rules and regulations have the force of law. 2. Rules and regulations are internal to the state board, not the nurse. 3. Violation of a rule or regulation is not the same as violation of the state nursing practice act. 4. Rules and regulations are only suggested standards of care and do not have to be followed.
The home care nurse making a follow-up visit to a client 2 weeks postoperative from a total knee replacement finds the client has resumed many home care and self-care activities. Which activity cited by the client requires clarification?
A. Washing the dishes B. Running the vacuum cleaner C. Scrubbing the bathroom floor D. Doing the laundry in the basement
A nurse wakes the patient for a focused assessment. The patient, trying to rest, tells the nurse, "I wish you would quit waking me up. Do you really need to keep bothering me?" The nurse appropriately responds:
1. "Most patients would love to get the attention that you are getting." 2. "I understand your frustration, but this has been ordered by your physician." 3. "It is necessary that I do a head-to-toe assessment from which I can determine whether there are any changes in your condition." 4. "It is important to assess your blood pressure and pulse since we just started your new blood pressure medicine."
A high school senior is diagnosed with anorexia nervosa and is hospitalized for severe malnutrition. The treatment team is planning to use behavior modification. What rationale should a nurse identify as the reasoning behind this therapy choice?
A. This therapy will increase the client's motivation to gain weight. B. This therapy will reward the client for perfectionist achievements. C. This therapy will provide the client with control over behavioral choices. D. This therapy will protect the client from parental overindulgence.