Mental Health EAQ #3

A nurse fails to act in a reasonable, prudent manner. Which legal principle is most likely to be applied? 1.Malice 2.Tort law 3.Malpractice 4.Case law

3.Malpractice

an adult client with schizophrenia is involuntarily admitted to the psychiatric unit. while off the unit for needed testing the client runs away. legally who should the nurse notify immediately? a. probate judge b. clients family c. clients psychiatrist d. law enforcement officer

d. law enforcement officer

in which situation does a living will become enforceable?

the client becomes legally incompetent

the nurse is having difficulty understanding a clients decision to have hospice care rather than extensive surgical procedure. which ethical principle does the clients behavior illustrate? a. justice b. veracity c. autonomy d. beneficence

c. autonomy

a client requires emergency cardiac surgery. the leader nurse wants to make the client aware of the situation and wants the client to decide what should be done. which ethical model does the leader nurse follow here? a. autonomy model b. paternalistic model c. social justice model d. patient benefit model

d. patient benefit model

A nurse who lacks confidence in her performance in a new position is worried about an upcoming review with the nursing director. What type of power does the nursing director hold in this scenario? a. expert power b. position power c. coercive power d. referent power

c. coercive power

A hospital has threatened to refuse the discharge of a newborn until the parents pay part of the hospital bill. The nurse is aware that the legal term that best describes this situation is: a. false threats b. assault and battery c. false imprisonment d. breach of confidentiality

c. false imprisonment

a nurse is teaching staff members about the legal terminology used in child abuse. what definition of battery should the nurse include in the teaching? a. maligning a persons character while threatening to do bodily harm b. a legal wrong committed by one person against property of another c. the application of force to another person without lawful justification d. behaving in a way that a reasonable person with the same education would not

c. the application of force to another person without lawful justification

a client who has undergone a craniotomy (removal part of bone in skull) is transferred from the postoperative unit to the neurology unit. which form should be filled out by the nurse? a. discharge form b. interagency transfer form c. intra-agency transfer form d. against medical advice form

c. intra-agency transfer form

A client is admitted voluntarily to a psychiatric unit. Later, the client develops severe pain in the right lower quadrant and is diagnosed as having acute appendicitis. How should the nurse prepare the client for the appendectomy? 1 Have two nurses witness the client signing the operative consent form. 2 Ensure that the health care provider and the psychiatrist sign for the surgery because it is an emergency procedure. 3 Ask the client to sign the operative consent form after the client has been informed of the procedure and required care. 4 Inform the client's next of kin that it will be necessary for one of them to sign the consent form because the client is on a psychiatric unit.

3 Ask the client to sign the operative consent form after the client has been informed of the procedure and required care.

a 2 year old child admitted with a diagnosis of pneumonia was administered antibiotics, fluids, and oxygen. the child temp increased until it reached 103 F when notified the HCP determined that there was no need to change treatment even though the child had a history of febrile seizures although concerned the nurse took no further action later the child had a seizure that resulted in neurological impairment legally who is responsible for the childs injury? 1.Health care provider, because this decision took precedence over the nurse's concernIncorrect 2.Health care provider, because of total responsibility for the child's health and treatment regimen 3.Nurse, because failure to further question the health care provider about the child's status placed the child at risk 4.Neither, because high fevers are common in children and the health care provider had little cause for concern

3.Nurse, because failure to further question the health care provider about the child's status placed the child at risk

a 20 year old woman with developmental disabilities is a resident in a group home. she has had four abortions in the past 2 years and the agency supervisor recommends that she be sterilized. it is obvious that the client is unable to exercise informed consent for sterilization. the nurse understands that the procedure cant be performed without legal consent from whom? A. Next of kin B. Court-appointed individual or group C. Agency designated to perform the abortion D. Organization or agency licensed to administer the group home

B. Court-appointed individual or group

a nonviolent client on the psychiatric unit suddenly refuses to take the prescribed antipsychotic medication what should the nurse so? a. honor the clients decision and document the behavior and all interventions b. use an authoritarian approach to induce the client to take the prescribed medication c. call the HCP and request that the client be discharged against medical advice d. start proceedings to have the client declared incompetent and seek a court order permitting medication

a. honor the clients decision and document the behavior and all interventions

a nurse is teaching a group of parents about child abuse. what definition of assault should the nurse include in the teaching plan? a. it is a threat to do bodily harm to another person b. its legal wrong committed by one person against the property of another c. its legal wrong committed against the public that is punishable by state law d. its the application of force to another person without lawful justification

a. it is a threat to do bodily harm to another person

a nursing supervisor sends an unlicensed healthcare worker to help relieve the burden of care on short staffed medical surgical unit. which tasks can be delegated to the health care worker? select all that apply a. taking routine VS b. applying a sterile dressing c. answering clients call lights d. administering saline infusions e. changing linens on an occupied bed f. assessing client responses to ambulation

a. taking routine VS c. answering clients call lights e. changing linens on an occupied bed

An emaciated older adult with dementia develops a large pressure ulcer after refusing to change position for extended periods of time. The family blames the nurses and threatens to sue. What is considered when determining the source of blame for the pressure ulcer? a. the client should have been turned regularly b. older clients freq develop pressure ulcers c. the nurse is not responsible to the clients family d. nurses should respect a clients right not to be moved

a. the client should have been turned regularly

a client in the terminal stage of cancer is admitted to the hospital in severe pain. the client refuses the prescribed intramuscular analgesic for pain because it puts her to sleep and she wants to be awake. one day despite the clients objection a nurse administers the pain medication saying " you know that this will make you more comfy." what could the nurse in this situation be charged with? a. assault b. battery c. invasion of privacy d. lack of informed consent

b. battery

a client on the psychiatric unit is undergoing a pretreatment evaluation for electroconvulsive therapy because of the clients profoundly depressed behavior the nurse doubts that the client can provide informed consent what should the nurses initial intervention be? a. consulting with the hospitals legal staff and following their recommendation b. having the client verbalize her understanding and the outcomes of the procedure c. asking the client to sign the consent form because the client has not been declared incompetent d. suggesting to the HCP that a family member sign the consent form for the client

b. having the client verbalize her understanding and the outcomes of the procedure

a client expresses concern about the surgical consent that the client signed. how should the nurse respond? a. share the clients concern with the family b. inform the HCP of the clients concern c. reassure the client that the surgery will be successful d. cancel the surgery until the client feels more comfy w the decision

b. inform the HCP of the clients concern

a RN is educating a nursing student about assault what information should the RN provide? a. assault refers to any action of intentional touching without consent b. a procedure performed without the consent of the client is considered assault c. assault refers to any action that places a client in apprehension of harmful contact without consent d. threatening a client before performing a medical procedure is not considered assault

c. assault refers to any action that places a client in apprehension of harmful contact without consent

a staff member is planning to start a new job but is worried about the impact it might have on future growth opp. the nurse leader is helping the staff member understand all the implications. which ethical principle is the nurse manager as a leader following? a. justice b. veracity c. paternalism d. non-maleficence

c. paternalism

an adolescent is taken to the emergency department after stepping on a nail the puncture wound is cleanses and a sterile dressing applied. the adolescent reports that all immunizations are up to date. penicillin is administered and the client is sent home with instructions to return if there is any change in the wound area. a few days later the client is admitted to the hospital with a diagnosis of tetanus. legally, what is the nurses responsibility in this situation? a. the nurses judgment was adequate and the client was treated accordingly b. the possibility of tetanus was not foreseen because the client was immunized c. nurses should routinely administer immunization against tetanus after such an injury d. data collection by the nurse was incomplete and as a result the treatment was insufficient

d. data collection by the nurse was incomplete and as a result the treatment was insufficient

what should the nurse do initially when obtaining consent for surgery a. describe the risks involved in the surgery b. explain that obtaining the signature is routine for any surgery c. witness the clients signature which the nurses signature will document d. determine whether the clients knowledge level is sufficient to give consent

d. determine whether the clients knowledge level is sufficient to give consent

what action by a home care nurse would be considered an act of euthanasia? a. implementing a "do not resuscitate" order in the home health setting b. abiding by the decision of a living will signed by the clients family c. encouraging a client to consult an attorney to document and assign a power of attorney d. knowing that a dying client is overmedicating and not acting on this info

d. knowing that a dying client is overmedicating and not acting on this information

The nurse prepares to give a prescribed capsule of hydroxyzine to a client. The client begins to vomit, so the nurse holds the oral medication. The nurse has not opened the medication package. What does proper and safe disposal of the capsule of hydroxyzine require the nurse to do? a. drop the capsule into the sharps contained b. crush the capsule and flush it into the sewer system c. place the capsule into a red biohazard bag and tie it shut d. return the capsule to the pharmacy

d. return the capsule to the pharmacy