Fon_Ch4PT

11) A nursing student incorrectly administered an intramuscular injection that resulted in nerve damage to the client. The nursing student told the nursing instructor, "Well, I'm just a student so I can't get in any trouble." What is the nursing instructor's best response? (1point) A."I hope you have learned from your mistake so you won't harm someone else when you graduate." B."Because of this mistake, you will not be able to be licensed." C."Even though you are a student, you are held to the same standard as a professional nurse when you perform a task." D."You are correct that you are not liable, but you should write a letter of apology to the client."

Answer(s): "Even though you are a student, you are held to the same standard as a professional nurse when you perform a task." Feedback: Rationale: Nursing students are responsible for their own actions and are liable for their own acts of negligence committed during the course of a clinical experience.

14) A nurse tells a loud, disruptive client that he must quiet down or a sedative will be administered to quiet the client. When the client continues the behavior, the nurse administers the sedative without the client's permission. Which of the following describes the torts that the nurse has committed, in the order they were committed? A.False imprisonment, then assault B.Battery, then invasion of privacy C.Assault, then battery D.Assault, then invasion of privacy

Answer(s): Assault, then battery Feedback: Rationale: Assault is the attempt or threat to touch another person unjustifiably. It often precedes battery. Battery is the willful touching of a person that may or may not cause harm.

25) After inserting a nasogastric tube declined by the competent client, the nurse is likely to be found guilty of: (1point) A.Assault. B.An unintentional tort. C.Invasion of privacy. D.Battery.

Answer(s): Battery. Feedback: Rationale: Battery is the willful touching of a person without permission. The nurse committed battery when touching the client against the client's wishes.

3) A physician orders a medicine that the nurse believes to be contraindicated for the client. The nurse's legal obligation is to: (1point) A.Call the physician to question the order. B.Disregard the order as an error. C.Administer the medication as ordered. D.Report the order to the supervisor.

Answer(s): Call the physician to question the order. Feedback: Rationale: The nurse has an obligation to practice and direct the practice of others under the nurse's supervision to prevent harm or injury to the client and to maintain standards of care. In this case, the nurse will call the physician and question the order.

5) Most statutes include conscience clauses that are designed to protect hospitals and nurses in matters dealing with abortion services. These clauses allow the nurse to be protected from: A.Prejudicial statements. B.Defamation or unjust prejudice. C.Discrimination or retaliation. D.Legal liability.

Answer(s): Discrimination or retaliation. Feedback: Rationale: The conscience clauses give hospitals the right to deny admission to abortion clients and give health care personnel, including nurses, the right to refuse to participate in abortions. When these rights are exercised, the statutes also protect the agency and employee from discrimination or retaliation.

17) The nurse is driving home from work one evening, still dressed in uniform. The car traveling in front of the nurse is involved in an accident, striking a pedestrian, and the person driving that car stops to provide assistance to the injured person. The nurse does not stop and continues home. The nurse is protected from litigation because what element of malpractice is missing? (1point) A.Duty B.Causation C.Harm or injury D.Foreseeability

Answer(s): Duty Feedback: Rationale: The nurse had no legal duty to the client in this situation, although some may argue there was an ethical duty. However, lack of legal duty will prevent litigation.

8) Click the thumbnail below to see a larger view of the image. A nurse is caring for a client who has just returned from surgery. The nurse does not assess this client's dressing. The client is later discovered to have internal bleeding and requires another surgery. Using the box shown, what category of negligence describes this nurse's actions? A.Failure to communicate B.Failure to document C.Failure to follow standards of care D.Failure to use equipment in a responsible manner

Answer(s): Failure to follow standards of care Feedback: Rationale: The nurse in this situation did not assess and monitor or follow the standards of care.

16) A rationale for defining the nursing scope of practice, standards of care, and licensing is: A.To explain specialty practice. B.To ensure accountability. C.For convenience in litigation. D.For public protection.

Answer(s): For public protection. Feedback: Rationale: Protecting the public is the legal purpose for defining the scope of nursing practice, licensing requirements, and standards of care. Nurses who know and follow their nurse practice act and standards of care provide safe, competent nursing care.

24) Two nursing students are riding the bus home after a stressful day of clinical. They are discussing the events of the day and laughing about the blood alcohol level of the school's basketball coach admitted after an accident. The client was never mentioned by name but common personal details about the client allowed everyone sitting near the students to know the name of their client. The students could be specifically charged with: (1point) A.Invasion of privacy. B.Slander. C.Libel. D.Defamation.

Answer(s): Invasion of privacy. Feedback: Rationale: An invasion of privacy has occurred by public disclosure of private fact. Private information is given to others who have no legitimate right to know the coach's blood alcohol level.

13) A nurse documents in the client's chart that the physician is incompetent because he did not respond promptly to the nurse's calls regarding a client. This is an example of: (1point) A.Assault. B.Invasion of privacy. C.Libel. D.Slander.

Answer(s): Libel. Feedback: Rationale: Libel is defamation by means of print, writing, or pictures.

23) A nurse responded to the alarm on the client's IV pump that sounded during the entire shift by silencing the alarm and saying "this pump is always beeping at me; if I turn the alarm off I don't have to come in here every few minutes." The client received extensive damage to her arm from the IV that was infiltrated and not infusing correctly. The nurse may be liable and charged with: A.A misdemeanor. B.Malpractice. C.Felony. D.Failure to communicate.

Answer(s): Malpractice. Feedback: Rationale: Malpractice is negligence that occurs while the person was performing as a professional.

18) The client believes that his hospital-acquired infection was the result of a nurse who did not perform appropriate hand hygiene. What charges will the client bring against the nurse? (1point) A.Invasion of privacy B.Malpractice C.Negligence D.Felony

Answer(s): Negligence Feedback: Rationale: Negligence is misconduct or practice that is below the standard expected of an ordinary, reasonable, and prudent person. Such conduct places another person at risk for harm. Both nonmedical and professional persons can be liable for negligent acts.

19) Two nurses need to discuss a client's plan of care and choose what environment to hold the discussion in order to prevent a possible HIPAA violation? (1point) A.Nursing unit hallway B.Cafeteria C.Elevator D.Nursing unit conference room

Answer(s): Nursing unit conference room Feedback: Rationale: HIPAA protects a client's confidentiality. A nurse may discuss a client's diagnosis or condition if it impacts client care but it may not occur in a place where the public can overhear the conversation. The nursing unit conference room would be an appropriate place for such a conversation.

12) When a nurse moves to another state in the country, he or she will: (1point) A.Practice for up to 60 days using his or her license from the original state of licensure. B.Use his or her existing license if the home state is part of the multistate nurse compact. C.Obtain a new license in the new state. D.Work with the license from the original state of licensure.

Answer(s): Obtain a new license in the new state. Feedback: Rationale: Nurses who move to a new state must obtain a license in that state and follow that state's regulations. The nurse may not practice in the new state until the license for that state is obtained.

4) A nurse kows that the main purpose of an advance care directive is to: (1point) A.Require a "do-not-resuscitate" (DNR) order from one institution to be implemented in another. B.Serve as a substitute for a "do-not-resuscitate" (DNR) order by a doctor. C.Outline a client's wishes about treatment. D.Provide a form on which a family member gives permission for a client's treatment.

Answer(s): Outline a client's wishes about treatment. Feedback: Rationale: Advance health care directives allow persons to specify aspects of care they wish to receive should they become unable to make or communicate their preferences.

6) The nurse, caring for a client with a progressive degenerative disease, correctly explains that the purposes of the ADA is to: (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected. (1point) A.Provide a clear and comprehensive national mandate for eliminating discrimination against individuals with disabilities. B.Ensure that people with disabilities receive greater pay for their work because they must overcome challenges. C.Provide clear, strong, consistent, and enforceable standards that address discrimination against individuals with disabilities. D.Prevent people with disabilities from being fired or discharged from their job. E.Ensure that the federal government plays a central role in enforcing standards established under the act.

Answer(s): Provide a clear and comprehensive national mandate for eliminating discrimination against individuals with disabilities. , Provide clear, strong, consistent, and enforceable standards that address discrimination against individuals with disabilities. and Ensure that the federal government plays a central role in enforcing standards established under the act. Feedback: Rationale: The Americans with Disabilities Act provides a clear and comprehensive national mandate for eliminating discrimination against individuals with disabilities. The Americans with Disabilities Act provides clear, strong, consistent, and enforceable standards that address discrimination against individuals with disabilities. The Americans with Disabilities Act ensures that the federal government plays a central role in enforcing standards established under the act. The Americans with Disabilities Act does not prevent people from being fired or discharged, but does ensure they do not lose their jobs as a result of their disability. The Americans with Disabilities Act does not ensure that people with disabilities will earn more, but it does ensure they will be paid the same as those without disabilities and are not taken advantage of.

21) What is the est way for the nurse to obtain informed consent for a client who cannot read? A.Ask a relative to sign the form. B.Use picture cards that explain the procedure to the client. C.Read the consent form to the client. D.Assume that the client gives consent if he nods his head in agreement.

Answer(s): Read the consent form to the client. Feedback: Rationale: The client is unable to read, but there is nothing that prevents him from signing his name or marking his name with an X. The consent form must be read to the client to ensure that consent is being given voluntarily and that the client understands and is competent to give consent. The nurse should then document that the consent form was read to the client.

7) The client tells the nurse she is considering having surgery and mentions the name of the surgeon who will perform the surgery. The nurse tells the client she should find a different doctor because this particular surgeon is not very skilled. This is an example of: (1point) A.Libel. B.Invasion of privacy. C.Assault. D.Slander.

Answer(s): Slander. Feedback: Rationale: Slander is defamation by means of the spoken word. When a nurse expresses an opinion about another member of the health care team, they risk a possible lawsuit.

9) A nurse recently disagreed with a physician concerning a client's plan of care. The nurse then tells everyone that this particular physician is completely incompetent and should not be trusted. This is an example of: (1point) A.Negligence. B.Libel. C.Slander. D.Assault.

Answer(s): Slander. Feedback: Rationale: Slander is defamation by means of the spoken word; that is, speaking false words that damage a person's reputation.

2) An off-duty nurse is in a grocery store parking lot and notices an elderly woman lying on the ground with her leg at an unnatural angle. The woman is crying in pain. What is the nurse's priority action? (1point) A.Stay with the woman, offer emotional support, and call for medical assistance. B.Observe the client from a distance until emergency responders arrive. C.The nurse does not need to do anything because the woman is not an assigned client. D.Assist the woman into the nurse's car and take the woman to the hospital.

Answer(s): Stay with the woman, offer emotional support, and call for medical assistance. Feedback: Rationale: The nurse may render the type of care that would be provided by any other nurse. In this case, the nurse should stay with the woman, offer emotional support, and obtain medical assistance.

15) A lawsuit has been brought against a nurse for inserting a urinary catheter without using lidocaine lubricant at the beginning of the procedure and causing the client unnecessary pain. As the nurse's lawyer prepares for the case, the standard of practice for this procedure must be confirmed. An appropriate source to determine standard of practice is: (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected. (1point) The 10-year-old textbook the nurse used in nursing school. A.A survey of peers. B.The nurse practice act. C.The agency's policy and procedure manual. D.An expert witness.

Answer(s): The agency's policy and procedure manual., An expert witness. and The nurse practice act. Feedback: Rationale: Current literature is an appropriate source of information to establish the current standard of practice. Nursing experts are appropriate sources of information to establish the current standard of practice. Agency policy is an appropriate source of information to establish the current standard of practice. The state's nurse practice act is an appropriate source of information to establish the current standard of practice.

20) The client confides in the nurse that she had unprotected sexual intercourse while on vacation and is afraid that she has a sexually transmitted infection. With whom may the nurse share this information without violating HIPAA? (1point) A.The client's physician B.The unit secretary C.The pharmacist D.The laboratory technician

Answer(s): The client's physician Feedback: Rationale: Confidential information may be shared with other health care workers on a "need to know" basis. The client's physician needs to know this information so that the appropriate tests and treatments can be ordered.

10) After disclosing a substance addiction problem to the nursing supervisor, what can the nurse anticipate will occur? (1point) A.The nurse will enter a supervised treatment program for 6 weeks. B.The nurse will be encouraged to enter a diversion program. C.The nurse's license will be revoked. D.The nurse will continue to work as before but must submit to regular, random drug screening.

Answer(s): The nurse will be encouraged to enter a diversion program. Feedback: Rationale: In many states, impaired nurses who voluntarily enter a diversion program (sometimes called a peer assistance program) do not have their nursing license revoked if they follow treatment requirements. Their practice, however, is closely supervised within specific guidelines (e.g., working on a general nursing unit versus critical care area, no overtime, work only day shift, not administering or having access to narcotics).

22) When signing an informed consent after witnessing the client's signature, the nurse is confirming that: (1point) A.The nurse has sufficiently explained the surgery. B.The signature on the form came from the client. C.The client fully understands the procedure to be performed. D.The client appears competent to give consent.

Answer(s): The signature on the form came from the client. Feedback: Rationale: The nurse signs the form to signify witnessing that the person who signed the consent was the client.

1) In order to reduce the risk of legal action, the nurse's priority action is to: (1point) A.Obtain written informed consent before performing any procedure. B.Clarify all physician's orders. C.Document care provided at the end of the shift. D.Deliver competent care following the nursing process.

Deliver competent care following the nursing process. Rationale: The best way for the nurse to avoid legal action is to provide competent care using the nursing process.