NCLEX RN Test Bank Questions PDF
Question 1 of 5.
You are caring for a client at the end of life. The client tells you that they are grateful for having considered and decided upon some end of life decisions and the appointments of those who they wish to make decisions for them when they are no longer able to do so. During this discussion with the client and the client's wife, the client states that 'my wife and I are legally married so I am so glad that she can automatically make all healthcare decisions on my behalf without a legal durable power of attorney when I am no longer able to do so myself' and the wife responds to this statement with, 'that is not completely true. I can only make decisions for you and on your behalf when these decisions are not already documented on your advance directive.' How should you, as the nurse, respond to and address this conversation between the husband and wife and the end of life?
A. You should respond to the couple by stating that only unanticipated treatments and procedures that are not included in the advance directive can be made by the legally appointed durable power of attorney for healthcare decisions.
B. You should be aware of the fact that the wife of the client has a knowledge deficit relating to advance directives and durable powers of attorney for healthcare decisions and plan an educational activity to meet this learning need.
C. You should be aware of the fact that the client has a knowledge deficit relating to advance directives and durable powers of attorney for healthcare decisions and plan an educational activity to meet this learning need.
D. You should reinforce the wife's belief that legally married spouses automatically serve for the other spouse's durable power of attorney for health care decisions and that others than the spouse cannot be legally appointed while people are married
Explanation: The client's statement reflects a misunderstanding that a spouse automatically assumes the role of durable power of attorney for healthcare decisions without a legal designation. The wife's response is correct in that an advance directive takes precedence, and a durable power of attorney is only effective for decisions not covered by the advance directive. The nurse should recognize the client's knowledge deficit and plan education to clarify the roles of advance directives and durable power of attorney, as stated in option C.
Question 2 of 5.
You are the chair person for the healthcare facility's newly formed multidisciplinary Safety Committee. During the Forming stage of this group's development major conflicts have arisen. Which technique of conflict resolution should you use to resolve these conflicts?
A. Passivity
B. Compromise
C. Competition
D. Accommodating Others
Explanation: During the Forming stage, where group members are establishing relationships, compromise is the most effective conflict resolution technique to promote collaboration and consensus while addressing conflicts constructively.
Question 3 of 5.
Which is most closely aligned with ethics?
A. Morals
B. Laws
C. Statutes
D. Client rights
Explanation: Ethics is most closely aligned with morals , as both involve principles of right and wrong that guide behavior, whereas laws and statutes are legal frameworks, and client rights are specific entitlements.
Question 4 of 5.
Which statement about Respondeat Superior is accurate?
A. Respondeat Superior does not mean that a nurse cannot be held liable.
B. Respondeat Superior does not mean that a nurse cannot be held libel.
C. Respondeat Superior is an ethical principle.
D. Respondeat Superior is a law.
Explanation: Respondeat Superior is a legal doctrine holding employers liable for employees' actions within the scope of employment, but it does not absolve nurses from personal liability for negligence.
Question 5 of 5.
Which of the following is considered an internal disaster?
A. A tornado that has touched down on the healthcare facility
B. A severe cyclone that has destroyed nearby homes
C. A massive train accident that brings victims to your facility
D. An act of bioterrorism in a nearby factory
Explanation: An internal disaster is an event within the healthcare facility, such as a tornado directly affecting it, requiring internal emergency protocols.