W12 - Ch 7 Prep U

The nurse is providing care to a client who had orthopedic surgery. The nurse has medicated the client for pain. However, the client reports that the pain is unrelieved. The nurse takes no further action regarding assessment and intervention for the client's pain. The nurse does not notify the surgeon regarding the client's pain. The nurse's failure to take further action represents which element of liability in this case? a. Breach of duty b. Causation c. Damages d. Duty

a. Breach of duty

A nurse is preparing a presentation for a group of staff nurses about the rules affecting nursing practice and the parties involved. When describing the role of different sources for the rules, which issue would the nurse identify as being addressed specifically by state legislation? Select all that apply. a. Scope of practice b. Educational requirements of nurses c. Position statements related to medication administration d. Unprofessional conduct e. Clinical procedures

a. Scope of practice b. Educational requirements of nurses

A nurse witnesses a traffic accident and dresses the open wounds sustained by a child. Later, in the hospital, the child develops complications from an infection in the wound. The family holds the nurse responsible for the complications and attempts to file a lawsuit. Which statement is true regarding how the Good Samaritan law applies to this case? a. The Good Samaritan law will provide legal immunity to the nurse. b. The Good Samaritan law will not protect the nurse because the nurse did not accept compensation. c. The Good Samaritan law is not applicable to health care workers. d. The Good Samaritan law will provide absolute exemption from prosecution.

a. The Good Samaritan law will provide legal immunity to the nurse.

A health care provider is called to see a client with angina. During the visit the health care provider advises the nurse to decrease the dosage of atenolol to 12.5 mg. However, because the health care provider is late for another visit, the health care provider requests that the nurse write down the order for the health care provider. What should be the appropriate nursing action in this situation? a. The nurse should ask the health care provider to come back and write the order. b. The nurse should write the order and implement it. c. The nurse should inform the client of the change in medication. d. The nurse should remind the health care provider later to write the work order.

a. The nurse should ask the health care provider to come back and write the order.

While a client admitted to the medical-surgical unit is in the radiology department, a visitor claiming to be the client's cousin arrives on the medical-surgical unit and asks the nurse to provide a brief outline of the client's illness. Which response by the nurse would be most appropriate, both legally and professionally? a. "I will call the client and ask for permission to share this information with you." b. "I cannot give you that information due to client confidentiality." c. "Do you have any identification proving that you are related to the client?" d. "I'm busy right now but can talk later."

b. "I cannot give you that information due to client confidentiality."

A client being discharged from the hospital asks the nurse, "When I go visit my family out of state, should I take my living will with me, or do I need a new one for that state?" Which is the most appropriate response by the nurse? a. "A living will can only be used in the state in which it was created." b. "Take it with you. It is recognized universally in the United States." c. "As long as your family knows your medical wishes, you will not need it." d. "We have it on file here, so any hospital can call and get a copy."

b. "Take it with you. It is recognized universally in the United States."

The client being admitted to the oncology unit conveys wishes regarding resuscitation in the event of cardiopulmonary arrest. The nurse advises the client that it would be in the client's best interest to obtain which document? a. A will b. A living will c. Proof of health care power of attorney d. A proxy directive

b. A living will

Which statement about laws governing the distribution of controlled substances is true? a. When a nurse misuses controlled substances in the workplace and gets help, the nurse will not be charged with a criminal act. b. Nurses are responsible for adhering to specific documentation about controlled substances. c. Substance use is not treatable. d. The nurse is only at risk if diverting medication from the client; a nurse using the nurse's own personal drugs is not at risk.

b. Nurses are responsible for adhering to specific documentation about controlled substances.

A nurse is reviewing the nurse practice act of the state in which the nurse is licensed. The nurse understands that this act was derived from which source of law? a. Constitutional b. Statutory c. Administrative d. Common

b. Statutory

A nurse and the facility have been named as defendants in a malpractice lawsuit. In addition to the nurse's attorney, whom else would be appropriate for the nurse to talk with about the case? a. A colleague b. The agency's risk manager c. The plaintiff's lawyer d. The local press

b. The agency's risk manager

The nurse is preparing to administer a prescribed medication and notes the dosage is well above the suggested therapeutic range. Which action should the nurse take? a. Follow the facility medication reconciliation procedure. b. Document the occurrence in the client's medical record. c. Fill out an incident report and hold the medication. d. Call the provider to clarify the medication prescription.

d. Call the provider to clarify the medication prescription.

Which is an example of an unintentional tort? a. Nurses discuss a client's laboratory values in the elevator. b. A nurse tells a client that the client cannot leave the hospital until the client pays the bill. c. A nurse threatens to restrain a client if the client does not stop talking. d. A nurse gives the client a medication, and the client has an adverse reaction to it.

d. A nurse gives the client a medication, and the client has an adverse reaction to it.