foundations chapter 3 ethics, law, and delegation in nursing

During a home visit, the nurse is asked to deposit cash in the client's bank account at the end of the visit. Which should the nurse say in response? 1. "Maybe you will need the money at home. Don't deposit it." 2. "I won't be passing a bank today but will be able to do it over the weekend." 3. "Sure. I'll go through the drive through and bring your receipt the next time I visit." 4. "I cannot be held responsible for depositing money in your account. Can a family member do it?"

"I cannot be held responsible for depositing money in your account. Can a family member do it?"

The nurse manager is concerned about sexual harassment occurring on the care area. Which statement should be investigated further? Select all that apply. 1. "Would you please help me with one of my female clients? I need help with getting my client to the bathroom." 2. "If I take your client in Room 203 pain medication, what are you going to do for me?" 3. "When my client's physician arrives on the floor, let me know. I would like to make rounds with him." 4. "Could you help me with my client? She's very large and difficult to get up." 5. "Male nurses never carry their weight. I think they use the fact that a female client won't let them catheterize them as an excuse, so they don't have to put in a urinary catheter."

"If I take your client in Room 203 pain medication, what are you going to do for me? 5. "Male nurses never carry their weight. I think they use the fact that a female client won't let them catheterize them as an excuse, so they don't have to put in a urinary catheter."

A client requests a copy of the medical record for a family member. Which response should the nurse make? 1. "I'll get a copy made right away. How many copies do you need?" 2. "Only your lawyer can request a copy, so you need to contact them." 3. "The chart belongs to the hospital, but if you give written permission, a copy can be made for you." 4. "The Health Insurance Portability and Accountability Act, or HIPAA, prevents the hospital from copying your chart, but you could speak to your physician about it."

"The chart belongs to the hospital, but if you give written permission, a copy can be made for you."

The nurse walks into the staff lounge and overhears two nurses discussing events that occurred during the previous shift. For which situation should the nurse notify the manager? Select all that apply. 1. Having a cocktail during lunch 2. Documenting care before it occurred 3. Moving a call light beyond a client's reach 4. Having two people assist with repositioning a client 5. Doubling a client's dose of pain medication without an order

1. Having a cocktail during lunch 2. Documenting care before it occurred 3. Moving a call light beyond a client's reach 5. Doubling a client's dose of pain medication without an order

The nurse reviews a list of tasks to delegate to unlicensed assistive personnel (UAP). What should the nurse do first before assigning the tasks? Select all that apply. 1. Identify the right task. 2. Ensure that the client is stable. 3. Provide instructions to complete the task. 4. Check to see if the worker has time to perform the task. 5. Follow up to make sure that the task was completed as directed.

1. Identify the right task. 2. Ensure that the client is stable. 3. Provide instructions to complete the task. 5. Follow up to make sure that the task was completed as directed.

The nurse reviews information collected during the assessment of clients in the community clinic. Which information needs to be reported to the authorities? Select all that apply. 1. A client admits that injuries and broken bones are from an angry outburst by the spouse. 2. An older client is afraid of a family member. 3. There are multiple bruises of varying colors on the back and abdomen of a 9-year-old. 4. An adolescent has a black eye. 5. An older client refuses to answer the nurse's question because an adult child will become angry

2. An older client is afraid of a family member. 3. There are multiple bruises of varying colors on the back and abdomen of a 9-year-old. 5. An older client refuses to answer the nurse's question because an adult child will become angry

The legal department for a health-care organization is collecting information about standards of care. For which reason will these standards be used? 1. A presentation on the legality of standards of care 2. A court case involving care provided by a nurse to a client 3. A hearing to determine if computer information was breeched 4. A client complaint of having to wait to be seen in the emergency department

A court case involving care provided by a nurse to a client

The nurse has been reported to the board of nursing for performing skills that are outside the legal scope of practice. What should the nurse expect to occur next? 1. A lawsuit by the institution for malpractice 2. A hearing by the board of nursing to determine whether the charges are true 3. Immediate revocation of the nursing license 4. Requirement to complete a minimum of 10 continuing education units (CEUs)

A hearing by the board of nursing to determine whether the charges are true

The legal department of a hospital is preparing a seminar to review the different types of laws that must be followed while providing client care. Which could be used as an example of a criminal law? 1. A client being told that an opinion about care will not be considered for treatment 2. A nurse temporarily providing a client with excessive intravenous fluid to hasten death 3. A hospital failing to report surgical site errors performed by the same health-care provider 4. A nurse documenting that pain medication was provided even though the client reports it was not

A nurse temporarily providing a client with excessive intravenous fluid to hasten death

During lunch in the cafeteria, the nurse overhears two colleagues discuss the care issues of a client. Which action should the nurse take? 1. Join in the conversation. 2. Report the conversation to the manager. 3. Ask the colleagues to stop talking about the client in a public area. 4. Suggest that other staff members having lunch participate in the conversation also.

Ask the colleagues to stop talking about the client in a public area.

The nurse is planning to move to another state. Which action should be done to ensure that the nurse can legally practice nursing in the new state? 1. Nothing because the license covers practice in all states 2. Plan to take the NCLEX examination in the new state 3. Contact the state board of nursing of the new state to request state licensure 4. Ask the nurse manager to write a letter to the new state about the nurse's performance

Contact the state board of nursing of the new state to request state licensure

During evening rounds the nurse finds a client lying on the floor next to the bed. What should the nurse do when documenting this situation? 1. Complete an incident report. 2. Document in the medical record that an incident report was completed. 3. Document that the supervisor was notified of the incident in the medical record. 4. Document the incident in the medical record but not mention an incident report was completed.

Document the incident in the medical record but not mention an incident report was completed

A multi-organization health-care system learns that the billing department computer software was hacked and confidential information about 10,000 current and former clients was obtained. Which should be reviewed to handle this situation? 1. NPA 2. HIPAA 3. HITECH 4. The U.S. Constitution

HITECH

The charge nurse is concerned that client information was inappropriately shared with family. Which would the nurse observe to come to this conclusion? 1. Nurse provided medication to a client while family at the bedside 2. Nurse instructed family on the correct way to prepare an insulin syringe for injection 3. Nurse asked family to please leave the room while the client's abdominal dressing is changed 4. Nurse left the computer screen with laboratory data in view at the bedside with family present

Nurse left the computer screen with laboratory data in view at the bedside with family present

An adolescent client is injured during a football game. What should the nurse do before providing this client with treatment? 1. Have a stepparent sign the informed consent. 2. Have the client sign the informed consent. 3. Obtain a custodial parent's signature on the informed consent. 4. Solicit the signature of the noncustodial parent on the informed consent.

Obtain a custodial parent's signature on the informed consent.

. The LPN/LVN is assisting an RN who is caring for a mentally competent client with a terminal illness. The client refuses to take prescribed medications. Which action should the nurse take? 1. Ask the RN if the physician should change the client's medications so they can be given intravenously. 2. Speak to the family about the client refusing medications. 3. Report the client's decision to the RN in charge and the primary health-care provider and continue to provide appropriate compassionate care. 4. Explain to the client the unwise nature of the decision and the effect that it will have family members.

Report the client's decision to the RN in charge and the primary health-care provider and continue to provide appropriate compassionate care

The nurse witnesses a coworker taking a narcotic medication prescribed for a client. Which action should the nurse take first? 1. Ask the other nurses on the unit what they would do. 2. Tell the coworker that the incident will be reported the next time it happens. 3. Offer to care for the nurse's clients until the medication is no longer effective. 4. Report the incident to the nurse supervisor

Report the incident to the nurse supervisor

The LPN/LVN is told to provide an intravenous push medication through a client's central line. Which action should the nurse take? 1. Read the indications for the medication. 2. Prepare the medication for administration. 3. Suggest that an RN provide the medication. 4. Review the procedure in the policy manual.

Suggest that an RN provide the medication.

The nurse is caring for an adolescent client who is married, in the military, and has a new baby. Which should the nurse consider when providing care to this client? 1. The client's parent needs to sign the consent to treatment forms. 2. The client can sign the informed consent form for a blood transfusion. 3. The client's spouse must be in attendance when completing the assessment. 4. The client's military supervisor should be notified of all pending treatments.

The client can sign the informed consent form for a blood transfusion

. The nurse feels that a client needs to be placed in a protective-restraint device to be protected from injury. Which action should the nurse take to use the restraints? 1. The client must give consent for restraints to be used. 2. A family member must give consent to use restraints. 3. The nurse must have documentation that other methods have been used and failed to protect the client. 4. The client must be alert and oriented

The nurse must have documentation that other methods have been used and failed to protect the client

A client telephones the home care agency to find out why the nurse did not arrive as scheduled to change a foot wound dressing. For which situation should the agency manager investigate? 1. Assault 2. Negligence 3. Abandonment 4. Overscheduling

abandonment

After providing morning care, the nurse forgot to put the bed in the lowest position and left one of the bed rails down causing the client to fall. For which reason could the nurse be reported to the board of nursing? 1. Assault 2. Battery 3. Negligence 4. Libel

negligence