Hesi Quiz: Health Policy/Systems - Health Care Law

Which questions are applicable in determining nursing malpractice? Select all that apply. One, some, or all responses may be correct.

- "Was reasonable care provided?" - "Was there a breach of nursing duty?" - "Was there an act of omission that resulted in harm?" - "Except for the nurse's action, would the injury have occurred?"

Which interventions are considered within the scope of practice for the basic psychiatric nurse? Select all that apply. One, some, or all responses may be correct.

- Holding a weekly therapy group that focuses on stress management - Role modeling-appropriate social boundaries for schizophrenic clients - Performing case management for a group of clients with newly diagnosed bipolar disorder

Which rights do clients have when they are admitted to an inpatient psychiatric facility? Select all that apply. One, some, or all responses may be correct.

- Receiving personal mail - Refusing treatment - Viewing written treatment plans - Being in the least restrictive environment - Having freedom from excessive or unnecessary medication

Place in order the steps the nurse would follow when developing a protocol in the electronic health record for clients with indwelling urinary catheters to decrease the risk of urinary tract infections.

1. Meets with the nursing staff 2. Selects an assessment tool 3. Interviews the nursing staff 4. Designs the assessment screens 5. Evaluates and determines data 6. Selects a standardized language 7. Adds a decision support rule

Which client would the nurse categorize as urgent level according to the 3-tiered triage system based on condition? Client A: Stroke Client B: Active hemorrhage Client C: Pneumonia Client D: Skin rash

Client C

When obtaining informed consent for sterilization from a developmentally challenged adult client, which condition must the nurse ensure has been met?

That the client is able to comprehend the outcome of the procedure

The nurse in the family planning clinic reviews the health history of a sexually active 16-year-old girl whose chief concern is a thick, burning vaginal discharge accompanied by low abdominal pain. After her examination, the girl is informed that she may have a sexually transmitted infection (STI) that requires treatment. The adolescent is concerned that her parents will discover that she is sexually active. She asks the nurse whether her parents will be contacted. How would the nurse respond?

"Your parents will not be contacted because treatment at the clinic is confidential."

After speaking with the parents of a child who is dying, the primary health care provider gives a verbal do-not-resuscitate order but refuses to put it in writing. Which action would the nurse take?

Assess the family's wishes, notify the nursing supervisor, and follow hospital policy.

Which information applies to psychiatric advance directives (PADs)?

Consent or refusal of treatments is outlined for future incapacitating mental crises.

Which member of the health care team has committed an action that would be considered a form of battery?

Despite the client's objection, a nurse gives an intramuscular pain medication, saying, "You know that this will make you more comfortable."

Twenty-four hours after a cesarean birth, a client elects to sign herself and her baby out of the hospital. Staff members are unable to contact her primary health care provider. The client arrives at the nursery and asks that her infant be given to her to take home. Which is the most appropriate nursing action?

Give the infant to the client and instruct her regarding the infant's care.

For which behavior would the nurse incur liability in handling an inpatient psychiatric client who is laughing loudly and making inappropriate comments to other clients and staff?

Placing the client in seclusion only until the client stops verbally attacking clients and staff

Which action would the school nurse take for a child who tells the nurse, "My father has been getting into bed with me at night and touching me"?

Report the child's conversation to child protective services.

Which legal implication would the nurse understand about applying restraints to a client?

The nurse can be charged with assault and battery for using restrains improperly.

A postpartum client who is scheduled for a tubal ligation has asked that her husband not be told about the procedure because she has told him that she is having exploratory surgery. How would the nurse respond to a question from the husband as to why his wife needs exploratory surgery?

"Have you talked to your wife about your concerns?"