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Leading and Managing in Nursing 5th Edition Yoder-Wise Test Bank 1
Leading and Managing in Nursing 5th Edition Yoder-Wise Test Bank 1
Test Bank
MULTIPLE CHOICE
1. The manager in the coronary care unit believes that the most important ethical
considerations in performance evaluations are that they include the employee’s
good qualities and that they give positive direction for professional growth.
This belief is an example of:
a. Justice.
b. Fidelity.
c. Beneficence.
d. Nonmaleficence.
ANS: D
Nonmaleficence refers to “doing no harm.” By focusing only on good qualities, the
manager seeks to do no harm to the employee.
2. A staff nurse in the area that you manage has excelled in the delivery of client
education. You are considering implementing a new job description that would
broaden her opportunity to teach client and orient new staff members to the
value of client education. The ethical principle that you are most directly
reinforcing is:
a. Justice.
b. Fidelity.
c. Paternalism.
d. Respect for others.
ANS: C
Paternalism involves making decisions for others about what is best and, in this
instance, what is best for the nurse and her colleagues.
3. A client refuses a simple procedure that you believe is in the client’s best
interest. The two ethical principles that are directly in conflict in such a
situation are:
a. Fidelity and justice.
b. Veracity and fidelity.
c. Autonomy and beneficence.
d. Paternalism and respect for others.
ANS: C
Autonomy refers to the freedom to make a choice (e.g., refuse a procedure), and
beneficence to doing good (performing a procedure that will benefit the patient).
ANS: A
The purposes of the ADA are to eliminate discrimination against persons with
disabilities and to provide consistent, enforceable standards to address
discrimination in the workplace.
5. A staff nurse who was fired for reporting client abuse to the appropriate state
agency files a whistleblower lawsuit against the former employer. Reasons that
the court would use in upholding a valid whistleblower suit claiming retaliation
include that the nurse:
a. Had previously reported the complaint, in writing, to hospital administration.
b. Had threatened to give full details of the client abuse to local media sources.
c. Was discharged after three unsuccessful attempts at progressive discipline had
failed.
d. Had organized, before filing the complaint, a work stoppage action by fellow
employees.
ANS: A
6. In keeping with standards of The Joint Commission (TJC), the nurse manager
organizes an orientation for new staff members. As part of the orientation, the
nurse manager reviews the employee handbook. Employers may be bound to
statements in the employee handbook:
a. Under the doctrine of apparent agency.
b. Under the doctrine of respondeat agency.
c. Based on the employee’s or the employer’s expectations.
d. Based on the theory that the handbook creates an explicit contract.
ANS: C
The handbook is an implied contract and frames the employment contract.
REF: Page 71
TOP: AONE competency: Knowledge of the Healthcare Environment
7. To reduce the incidence of falls in a skilled nursing unit, the nurse manager
contacts the risk manager. Risk management is a process that attempts to
identify potential hazards and:
a. Compensate for previous injuries.
b. Eliminate these risks before anyone else is harmed.
c. Supersede the need for staff members to file incident reports.
d. Discipline staff members who have been involved in previous incident reports.
ANS: B
Risk management involves taking proactive steps to identify and eliminate risks
and liability.
REF: Page 83
TOP: AONE competency: Knowledge of the Healthcare Environment
8. One means of ensuring that nurses floated to other patient care areas in
healthcare organizations are qualified to work in those areas is:
a. Employing additional staff to assist with orientation processes.
b. Cross-educating staff members to other areas of the institution.
c. Transferring clients to units where the staffing pattern is optimal.
d. Orienting staff members to all client care areas as part of their general
orientation to the institution.
ANS: B
Nurses should be floated to units as similar as possible to their own to decrease the
potential for liability. Negotiating cross-training, a proactive approach to
temporary staffing problems, reduces the potential for liability.
REF: Page 78
TOP: AONE competency: Knowledge of the Healthcare Environment
9. A colleague asks you to give her your password access so that she can view her
partner’s healthcare record. This request violates the patient’s right to:
a. Privacy.
b. Confidentiality.
c. Undue authorization of treatment.
d. Protection against slander.
ANS: A
Privacy refers to the right to protection against unreasonable and unwarranted
interference with the patient’s solitude, which extends, in the medical context, to
protection against public disclosure of private facts about the patient to the public.
10. On your nursing unit, you employ LPNs, RNs, and advanced practice nurses.
You will need to be familiar with at least:
a. Two nursing practice acts.
b. Two nursing practice acts in most states.
c. At least one nursing practice act.
d. One nursing practice act and a medical act.
ANS: D
In all states, you will need to be familiar with at least one nursing practice act. In
some states, there may be two nursing practice acts if RNs and LPNs/LVNs come
under different licensing boards.
REF: Page 70
TOP: AONE competency: Knowledge of the Healthcare Environment
11. A nurse on your inpatient psychiatric unit is found to have made sexually
explicit remarks toward a patient with a previous history of sexual abuse. The
patient sues, claiming malpractice. Which of the following conditions would
likely not apply in this situation?
a. Injury
b. Causation
c. Breach of duty
d. Breach of duty of care owed
ANS: A
By virtue of employment, the nurse owes a duty of care to the patient; this care has
been breached by a nurse, who would be expected to know that this behavior
violates usual standards of care. If further distress can be directly linked to the
remarks, then causation is established. Because of the physical nature of the injury,
it may not be possible to establish injury in the suit.
Language: English
LIFE OF
HENRY W. GRADY
INCLUDING HIS
A Memorial Volume
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“THE CONSTITUTION,”
AND EDITED BY
THIS MEMORIAL VOLUME IS SOLD ONLY BY SUBSCRIPTION, AND IN THE INTERESTS OF THE FAMILY AND
MOTHER OF MR. GRADY.
NEW YORK:
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OF THE
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I M —Henry Watterson, 5
B S —Joel Chandler 9
Harris,
M S —Marion Verdery, 69
SPEECHES.
T A M M , 345
The Chi Phi Memorial, 347
Address of Hon. Patrick Walsh, 350
Address of Hon. B. H. Hill, 353
Address of Julius L. Brown, 356
Address of Hon. Albert Cox, 362
Address of Walter B. Hill, 365
Address of Judge Howard Van Epps, 369
Address of Prof. H. C. White, 373
Address of Hon. John Temple Graves, 378
Address of Governor Gordon, 382
M M M , G ., 385
Resolutions, 387
Alumni Resolutions, 389
Address of Mr. Richardson, 385
Address of Mr. Boifeuillet, 391
Address of Major Hanson, 396
Address of Judge Speer, 398
Address of Mr. Washington, 406
Address of Mr. Patterson, 409
PERSONAL TRIBUTES.
T H. W. G —By B. H. 417
Samett,
S S. P H W. G . 421
Similarity of Genius and Patriotism—By
Joseph F. Pon,
S —By Dr. T. DeWitt Talmage, 428
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