Published - Thu, 23 Feb 2023
NCLEX-PN Exam Questions - Part 102
1. A nursing advocate is one who:
A) makes decisions for others.
B) encourages persons to make decisions for themselves and acts with or on behalf of the person to support those decisions.
C) manages the care of others.
D) is the legal representative for a person.
2. A case management clinical pathway for congestive heart failure might include all of the following except:
A) physician follow-up appointments with transportation.
B) client education regarding medication use.
C) a nutritional consult for diet review and accommodation.
D) insurance review for reimbursement.
3. The nurse notices that a family is waiting at the nursing station desk for its loved one to be brought to the unit for admission during a change-of-shift report. The nurse should:
A) request that the family wait for its loved one in the client - s room and wait to resume the report until the family has left the desk area.
B) request that a nursing assistant bring coffee for the family while it waits at the desk and continue with the report.
C) request that the family have a seat in the station rather than stand while awaiting its loved one.
D) request that the family wait for its loved one in the Emergency Department waiting room.
4. The nurse belongs to a professional nursing organization that provides social, educational, and political venues for nurses. The nurse has been active in this organization for almost two years, during which time she meets and works with nurses from several different nursing agencies and health care institutions to achieve a variety of goals, including obtaining advice regarding a personal career choice. This is an example of:
A) professional nurturing.
B) networking.
C) mentoring.
D) collegiality.
5. A legal right to confidentiality of client information is waived when:
A) a court system subpoenas information.
B) a family member requests health care information of a client.
C) a living will takes effect.
D) the client is declared incompetent by the legal system.
A) makes decisions for others.
B) encourages persons to make decisions for themselves and acts with or on behalf of the person to support those decisions.
C) manages the care of others.
D) is the legal representative for a person.
2. A case management clinical pathway for congestive heart failure might include all of the following except:
A) physician follow-up appointments with transportation.
B) client education regarding medication use.
C) a nutritional consult for diet review and accommodation.
D) insurance review for reimbursement.
3. The nurse notices that a family is waiting at the nursing station desk for its loved one to be brought to the unit for admission during a change-of-shift report. The nurse should:
A) request that the family wait for its loved one in the client - s room and wait to resume the report until the family has left the desk area.
B) request that a nursing assistant bring coffee for the family while it waits at the desk and continue with the report.
C) request that the family have a seat in the station rather than stand while awaiting its loved one.
D) request that the family wait for its loved one in the Emergency Department waiting room.
4. The nurse belongs to a professional nursing organization that provides social, educational, and political venues for nurses. The nurse has been active in this organization for almost two years, during which time she meets and works with nurses from several different nursing agencies and health care institutions to achieve a variety of goals, including obtaining advice regarding a personal career choice. This is an example of:
A) professional nurturing.
B) networking.
C) mentoring.
D) collegiality.
5. A legal right to confidentiality of client information is waived when:
A) a court system subpoenas information.
B) a family member requests health care information of a client.
C) a living will takes effect.
D) the client is declared incompetent by the legal system.
1. Right Answer: B
Explanation: Nurse advocates work with clients to provide information and assistance is decision-making. The decisions and care that occur from these decisions are based on the right of the client to self-determination and the work of the nurse advocate supports this right. Coordinated Care
2. Right Answer: D
Explanation: Clinical pathways include maps of care outcomes to be achieved prior to discharge or movement through a health care system. Insurance review for reimbursement is a function of an outside agency from the health care provider related to the amount of expected monetary compensation for services rendered to a client. Coordinated Care
3. Right Answer: A
Explanation: To protect the privacy of clients and the confidentiality of the information shared in a change-of-shift report, the family should be asked to wait in the clients room, and the report should be resumed only after it can no longer hear what is said. Coordinated Care
4. Right Answer: B
Explanation: Networking involves the process of developing and using contacts throughout ones professional career for information, advice, and support. Nurturing and mentoring are both examples of assistance to other colleagues in formal and informal relationships for support and career building. Collegiality is the professional camaraderie or rapport established among persons through shared experiences. Coordinated Care
5. Right Answer: A
Explanation: The legal right to confidentiality is waived when the court requires information to be given to the court for legal proceedings to occur (summonses, court orders, litigation information necessary for the court, subpoenas, and so on), when the state requires mandatory reporting of certain illnesses, when sharing information is necessary because a client has revealed an intent to harm himself or others, or when a client cannot make a safe and rational decision (competence).Coordinated Care
Explanation: Nurse advocates work with clients to provide information and assistance is decision-making. The decisions and care that occur from these decisions are based on the right of the client to self-determination and the work of the nurse advocate supports this right. Coordinated Care
2. Right Answer: D
Explanation: Clinical pathways include maps of care outcomes to be achieved prior to discharge or movement through a health care system. Insurance review for reimbursement is a function of an outside agency from the health care provider related to the amount of expected monetary compensation for services rendered to a client. Coordinated Care
3. Right Answer: A
Explanation: To protect the privacy of clients and the confidentiality of the information shared in a change-of-shift report, the family should be asked to wait in the clients room, and the report should be resumed only after it can no longer hear what is said. Coordinated Care
4. Right Answer: B
Explanation: Networking involves the process of developing and using contacts throughout ones professional career for information, advice, and support. Nurturing and mentoring are both examples of assistance to other colleagues in formal and informal relationships for support and career building. Collegiality is the professional camaraderie or rapport established among persons through shared experiences. Coordinated Care
5. Right Answer: A
Explanation: The legal right to confidentiality is waived when the court requires information to be given to the court for legal proceedings to occur (summonses, court orders, litigation information necessary for the court, subpoenas, and so on), when the state requires mandatory reporting of certain illnesses, when sharing information is necessary because a client has revealed an intent to harm himself or others, or when a client cannot make a safe and rational decision (competence).Coordinated Care
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