PrepU Funds. Assignment 1 Ch.3

The client being admitted to the oncology unit conveys his wishes regarding resuscitation in the event of cardiopulmonary arrest. The nurse advises the client that it would be in his best interest to obtain which document?

A living will

When the nurse inserts an ordered urinary catheter into the client's urethra after the client has refused the procedure, and then the client suffers an injury, the client may sue the nurse for which type of tort?

Battery

A nurse is caring for a woman 28 years of age who has delivered a baby by Cesarean section. She describes her pain as a 9. The nurse medicates her for pain. This is an example of which ethical framework?

Beneficence

Which ethical principle refers to the obligation to do good?

Beneficence

The nurse fails to contact the physician regarding a client who had an open-reduction internal fixation of the tibia and has experienced increasing leg pain (unrelieved by pain medication) for the past 4 hours. Which element of liability has been violated?

Breach of duty

Which is the nurse's best legal safeguard?

Competent practice

Nurse Practice Acts are examples of which type of laws?

Statutory laws

Which is not true regarding Nurse Practice Acts?

They describe what medications nurses can prescribe.

A nurse is working on a medical surgical unit with a licensed practical/vocational nurse (LPN/LVN). Which action made by the nurse is considered negligent if injury results from this action?

asking the LPN/LVN to teach a new diabetic client how to administer insulin

To practice ethically, the nurse should:

avoid allowing her judgment to guide practice.

Professional regulations and laws that govern nursing practice are primarily in place for which reason?

to protect the safety of the public

Which clinical events constitute areas of potential liability for the nurses involved? Select all that apply.

-An elderly client develops skin breakdown on his coccyx because he was turned infrequently. -A client experiences a seizure after a missed dose of his scheduled anticonvulsant medication. -A confused client experiences a fall because her bed rails were left in a lowered position.

A nurse is caring for a client with a complete spinal cord injury that has caused paraplegia. The client is very distraught and asks the nurse, "Are they sure, even with therapy, I will never walk again?" Which statement made by the nurse demonstrates veracity?

"You have a complete injury, which results in a total loss of movement and sensation below the level of injury."

The student nurse tells her family about a client with AIDS that she cared for in clinical yesterday. Which tort has the student committed?

Invasion of privacy

A nurse working in a long-term care facility has an older adult male client who is very confused. Which ethical dilemma is posed when using restraints in a long-term care setting?

It threatens autonomy.

A client informs the nurse that he is leaving the health care facility because he is not satisfied with the treatment. The nurse knows that the client's treatment is incomplete and further testing and evaluations are scheduled. Which action by the nurse would be most appropriate to prevent false imprisonment?

Ask the client to sign a release without medical approval.

A client refuses to have pain medication administered by injection. A nurse says, "If you don't let me give you the shot, I will get help to hold you down and give it." With what crime might the nurse be charged?

Assault

A client age 46 years has been diagnosed with cancer. He has met with the oncologist and is now weighing his options to undergo chemotherapy or radiation as his treatment. This client is utilizing which ethical principle in making his decision?

Autonomy

A lawyer quotes a precedent for punishment of a crime committed by the defendant in a trial. What is court-made law known as?

Common law

A nurse on the oncology unit is caring for a client on hospice care. The client is weak and is resting. The client's daughter comes storming onto the unit and demands that the nurse do everything she can to treat her mother. This is an example of what type of values conflict?

Family conflict

A home health nurse performs a careful safety assessment of the home of a frail older adult client to prevent harm to the client. The nurse is acting in accord with which principle of bioethics?

Nonmaleficence

What is the legal source of rules of conduct for nurses?

Nurse Practice Acts

A nurse is caring for a client following endotracheal intubation. Before applying soft wrist restraints to prevent the client from pulling out the endotracheal tube, what is the most appropriate action of the nurse?

Obtain a medical order.

During the admission assessment of a female client age 40 years with a suspected mandibular fracture, the client discloses to the nurse that her injury came as a result of her husband hitting her. Which action should the nurse prioritize when responding to this disclosure?

Reporting the abuse to the appropriate authorities

Which accreditation is a legal requirement for a school of nursing to exist?

State Board of Nursing accreditation

Nursing students in an ethics class have been asked to define "ethics." What would be the best definition of ethics?

The formal, systematic study of moral beliefs.

A client is brought to the emergency department in an unconscious state with a head injury. The client requires surgery to remove a blood clot. What would be the appropriate nursing intervention in keeping with the policy of informed consent prior to a surgical procedure?

The nurse ensures that the client's family signs the consent form.

The nurse administered acetaminophen 15 mg/kg to a 2-year-old with a sore throat. After charting the medication, the nurse realized that the client has a documented allergy to the medication. The client breaks out in a rash 15 minutes later, his throat swells, and he must be intubated. Which best describes the nurse's actions?

The nurse is guilty of malpractice.

A client nearing the end of life requests that he be given no food or fluids. The physician orders the insertion of a nasogastric tube to feed the client. What situation does this create for the nurse providing care?

an ethical dilemma about inconsistent courses of action

A client admitted to the mental health unit has exhibited physical behaviors that put him and others at risk. The nurse applies four-point restraints on the client without obtaining a physician's order or the client's consent. The nurse is at risk of being accused of:

battery

A registered nurse enters a client's room and observes the unlicensed assistive personnel (UAP) pushing a client down on the bed. The client starts crying and informs the UAP that he needs to go to the bathroom. The UAP holds the client down and tells him he was just in the bathroom. The nurse observing this incident is aware that the UAP's action is an example of:

battery.

A nurse observes another nurse place an unused dose of narcotics in their pocket. If caught, the nurse could be charged with which type of crime?

felony

The foundation for decisions about resource allocation throughout a society or group is based on the ethical principle of:

justice

Which situation is an example of battery that the nurse may experience while performing her duties at the health care facility?

performing a surgical procedure without getting consent

Which of the following illustrates the activity of acting in values clarification?

respecting the human dignity of all clients

A nurse enters the client's room and finds the client lying on the floor with ongoing seizures. The nurse helps the client to get up, makes him comfortable, and then informs the physician. The physician advises the nurse to prepare an incident report. What is the purpose of an incident report?

to evaluate quality care and potential risks for injury to the client

The nurse reports a nursing colleague on the unit who is lethargic and verbally responds in a slow manner. This is an example of:

whistle-blowing.