Chapter 6 Ethical and Legal Issues, Saunders NCLEX-PN; Lesson 1

Which identifies accurate nursing documentation notations? Select all that apply 1. The client slept through the night. 2. Abdominal wound dressing is dry and intact without drainage 3. the client seemed angry when awakened for vital sign measurement 4. The client appears to become anxious when it is time for respiratory treatment. 5. the client's left lower medial leg wound is 3 cm in length without redness, drainage, or edema.

1. The client slept through the night. 2. Abdominal wound dressing is dry and intact without drainage 5. the client's left lower medial leg wound is 3 cm in length without redness, drainage, or edema. (Strategy: Focus on the subject: Accurate Documentation notations.)

the nurse enters a clients room and notes that the clients lawyer is present and that the client is preparing a living will. the living will requires that the clients signature be witnessed, and the client ask the nurse to witness the signature. Which is the appropriate nursing action? 1. decline to sign the will 2. sign the will as a witness to the signature only 3. call the hospital lawyer before signing the will 4 sign the will, clearly identifying credentials and employment agency.

1. decline to sign the will (1 is the most appropriate action) 2&4 comparable or alike = eliminated

The nurse finds the client lying on the floor. the nurse calls the registered nurse, who checks the client and then calls the nursing supervisor and the primary health care provider to inform them of the occurrence. The nurse completes the incident report for which purpose? 1. providing clients with necessary stabilizing treatments 2 a method of promoting quality care and risk management 3. determining the effectiveness of interventions in relation to outcomes 4. the appropriate method of reporting to local, state, and federal agencies.

2 a method of promoting quality care and risk management (focus on subject, the purpose of completing incident reports. Elimination of 1&3 because of incident reports

The licensed practical nurse (LPN) enters a clients room and finds the client lying on the bathroom floor. The LPN calls the registered nurse, who checks the client thoroughly and then assists the client back into bed. The LPN completes an incident report, and the nursing supervisor and primary health care provider (PHCP) are notified of the incident. Which is the next nursing action regarding the incident? 1. Place the incident report in the client's chart 2. Make a copy of the incident report for the PHCP 3. Document a complete entry in the client's record concerning the incident. 4. Document in the clients record that an incident report has been completed.

3. Document a complete entry in the client's record concerning the incident. (hint: strategic word: NEXT)

An unconscious client, bleeding profusely, is brought to the Emergency Dept after a serious accident. Surgery is required immediately to save the clients life. with regard to informed consent for the surgical procedure, which is the best action? 1. call the nursing supervisor to initiate a court order for the surgical procedure. 2. try calling the clients spouse to obtain telephone consent before the surgical procedure. 3. ask the friend who accompanied the client to the emergency department to sign the consent form 4. transport the client to the operating dept immediately without obtaining an informed consent.

4. transport the client to the operating dept immediately without obtaining an informed consent. (hint: strategic word: best)

The nurse arrives at work and is told to report (float) to the pediatric unit for the day because the unit is understaffed and needs additional nurses to care for the clients. the nurse has never worked in the pediatric unit. which is the appropriate nursing action? 1. call the hospital layer. 2. call the nursing supervisor 3. refuse to float tot the pediatric unit 4. report to the pediatric unit and identify tasks that can be safely performed.

4. report to the pediatric unit and identify tasks that can be safely performed. (1&2 are = comparable or alike= eliminated, 3 = refusal is unacceptable behavior = eliminated)