网站首页  |  关于我们  |  最新公告  |  新闻动态  |  备考指南  |  下载中心  |  考点简介  |  培训基地展示  |  在线留言  |  联系我们
ISPN学习中心
护理名人堂
    最新公告
    新闻动态
    下载中心
    法律声明
    备考指南
    考点简介
    培训基地展示
 
    
 
  

  

 
 
 首页信息中心 备考指南知识题库
 
ISPN考试模拟试题(七)


Questions

1.The family of an older adult who is aphasic reports to the nurse manager that the primary nurse failed to obtain a signed consent before inserting an indwelling catheter to measure hourly output. What should the nurse manager consider before responding?

A. Procedures for a client’s benefit do not require a signed consent.

B. Clients who are aphasic are incapable of signing an informed consent.

C. A separate signed informed consent for routine treatments is unnecessary.

D. A specific intervention without a client’s signed consent is an invasion of rights.


2. The spouse of a comatose client who has severe internal bleeding refuses to allow transfusions of whole blood because they are Jehovah’s Witnesses. What action should the nurse take?

A.Institute the ordered blood transfusion because the client’s survival depends on volume replacement.

B. Clarify the reason why the transfusion is necessary and explain the implications if there is no transfusion.

C. Phone the health care provider for an administrative order to give the transfusion under these circumstances.

D. Give the spouse a treatment refusal form to sign and notify the health care provider that a court order can now be sought.

 

3. What should the nurse consider when obtaining an informed consent from a 17-year-old adolescent?

A. If the client is allowed to give consent

B. The client cannot make informed decisions about health care.

C. If the client is permitted to give voluntary consent when parents are not available

D. The client probably will be unable to choose between alternatives when asked to consent.


 

Rationales

1.C 

This is considered a routine procedure to meet basic physiologic needs and is covered by a consent signed at the time of admission.

A,The need for consent is not negated because the procedure is beneficial.

B, D,This treatment does not require special consent.

Client Need: Management of Care; 

Cognitive Level: Analysis; 

Integrated Process: Communication/Documentation; 

Nursing Process:Evaluation/Outcomes; 

Reference: Ch 2, Clients’ Rights


2.D 

The client is unconscious. Although the spouse can give consent, there is no legal power to refuse a treatment for the client unless previously authorized to do so by a power of attorney or a health care proxy; the court can make a decision for the client.

A, C,This alternative is without legal basis, and the nurse may be held liable.

B,Explanations will not be effective at this time and will not meet the client’s needs.

Client Need: Management of Care; 

Cognitive Level: Analysis; 

Integrated Process: Communication/Documentation; 

Nursing Process:Planning/Implementation; 

Reference: Ch 2, Clients’ Rights

 

3. A

A person is legally unable to sign a consent until the age of 18 years unless the client is an emancipated minor or married. The nurse must determine the legal status of the adolescent.

B,Although the adolescent may be capable of intelligent choices, 18 is the legal age of consent unless the client is emancipated or married.

C,Parents or guardians are legally responsible under all circumstances unless the adolescent is an emancipated minor or married.

D,Adolescents have the capacity to choose, but not the legal right in this situation unless they are legally emancipated or married.

Client Need: Management of Care; 

Cognitive Level: Application; 

Integrated Process: Communication/Documentation; 

Nursing Process:Planning/Implementation; 

Reference: Ch 2, Clients’ Rights

小编寄语:只要坚持向前,路途再远,也能和梦想见面。Fighting!


 

 

时间:2019-05-08 15:51:23
 
上一篇:ISPN考试模拟试题(六)                          下一篇:【护理名人堂第八期开讲啦】…  
 
  
邮箱:cgfnscn2012@126.com   法律声明 Copyright 2012   版权所有  All Rights Reserved