week 7 legal issues
A group of nursing students is discussing the purpose and functions of a nurse practice act (NPA). Which nursing student's statement is accurate? Nursing practice is federally regulated through a nurse practice act. Nurse practice acts provide optional guidelines for nurses to follow. A nurse practice act addresses grounds for nursing licensure revocation. Each nursing education program must administer a nurse practice act.
"A nurse practice act addresses grounds for nursing licensure revocation."
The public affairs administrator at the hospital asks the cardiac care unit nurse if a local TV news anchor is still hospitalized. The public affairs administrator wants to visit the TV news anchor "to cheer him up." Which responses by the nurse are appropriate? (Select all that apply.) "I'll ask him if he wants you to visit him." "I'll check our current census list for his name." "Cheering up a client is not clinical care, so I can't answer you." "He's not taking any visitors right now." "I can't confirm for you if he's here or not."
"I can't confirm for you if he's here or not." "Cheering up a client is not clinical care, so I can't answer you."
Seventy-year-old Mr. John Paul Williams is an older adult in his church. He leads a gospel-themed support group for older adults. To help them cope with aging issues, he took a course in "Tips for Better Living" at his senior center. What statement to the support group by Mr. Williams shows his need for additional education? "If you have a living will, you will not need a durable power of attorney." "I will hand out the living will form that our state has created for us to use." "If you become incompetent to manage your affairs, you cannot write a new living will." "A living will tells what medical treatments you either want or don't want."
"If you have a living will, you will not need a durable power of attorney."
Erin Rollinson, a pediatric staff nurse, has been offered a travel nurse position. Should Erin accept the travel nurse position, she would continue to practice nursing in Utah, which is the only state in which she is licensed to practice. However, Erin also would be assigned to practice nursing in several Arizona healthcare facilities. Considering that both Utah and Arizona have entered the Nurse Licensure Compact(NLC), which statement best reflects Erin's correct understanding of the rules of the NLC? "The Arizona Board of Nursing would be responsible for administering disciplinary action against my nursing license." "When practicing nursing in Arizona, I would be required to adhere to Utah's nursing practice laws." "My nursing license would be monitored by the Utah Board of Nursing." "I would need to maintain nursing licensure in both Utah and Arizona."
"My nursing license would be monitored by the Utah Board of Nursing."
Additional laws have added requirements to the original HIPAA legislation and strengthened administrative simplification. Which laws have done that? (Select all that apply.) 1996 Health Insurance Portability and Accountability Act 2012 Congressional Reform Act 2010 Patient Protection and Affordable Care Act 2000 Reports Consolidation Act 2009 Health Information Technology for Economic and Clinical Health Act
2010 Patient Protection and Affordable Care Act 2009 Health Information Technology for Economic and Clinical Health Act
The mentor of the newly hired nurse is talking about the effects of privacy laws. What personal financial consequence may occur for a nurse who inadvertently violates a client's privacy? A nurse might have increased payroll deductions. A nurse might be responsible for calculating the costs of restoring privacy. A nurse might have to defend against a civil lawsuit. A nurse might be fined by hospital administration.
A nurse might have to defend against a civil lawsuit
A pediatric nurse works at a rural hospital that recently changed to an electronic health record(EHR) system. On a daily basis, how is the nurse's access to the EHR affected by a Health Insurance Portability and Accountability Act (HIPAA) regulation? Computer screen savers must be used at all time. A password is required to access the system. Monitor glare filters are required on all screens. Parental consent forms are required.
A password is required to access the system.
Two nurse case managers are discussing the implications of the Patient Protection and Affordable Care Act (ACA). In their discussion, what effect on the Health Insurance Portability and Accountability Act (HIPAA) standards could they remind each other of? ACA required healthcare providers to follow HIPAA standards. ACA increased penalties for noncompliance with HIPAA. ACA supplanted the previous Privacy Rule. ACA exempted health plans from HIPAA compliance.
ACA increased penalties for noncompliance with HIPAA.
In the phrase "healthcare advance directive," the word "advance" has a specific meaning. What does that word mean? Ahead of time Using personal values A legal document At a higher level
Ahead of time
The nurse is providing care for Mr. Davis, a 72-year-old man who is scheduled for a procedure tomorrow morning. Earlier in the day, Mr. Davis experienced a fall and was examined by the healthcare provider on call who observed no untoward effects. The nurse approaches Mr. Davis for informed consent about his procedure when he complains of dizziness and a headache. Mr. Davis has no memory of the fall that occurred earlier in the day. Which action by the nurse is the most appropriate in regards to obtaining informed consent? Read the informed consent to the client and allow the client to rest Alert the primary healthcare provider regarding the client's status Have the client sign the consent form without delay Delay informed consent, perform a pain assessment, and administer medication
Alert the primary healthcare provider regarding the client's status
A hospice client has no living relatives except for a nephew who has been put through college by the client, his generous uncle. Why would the majority of states have laws that affect the nephew having durable power of attorney for the client? In hospice, the client is expected to die anyway in less than 6 months. The nephew has already received a sizeable amount of money from his uncle. Sharing assets shows a bond exists between client and nephew. As an heir, the nephew might be biased in healthcare decisions.
As an heir, the nephew might be biased in healthcare decisions.
A client on a medical-surgical unit experiences a code blue situation unexpectedly. The emergency situation has ended and the client survived. The nurses are breaking for lunch and plan to process their feelings about the emergency. How should the nurses do this? Debrief about the situation at home. Talk while riding in the staff elevator. Ask management for the use of a private room to debrief. Discuss the event outside the hospital.
Ask management for the use of a private room to debrief.
Nursing student Edmond Chun, who is completing a clinical rotation in a hospital medical-surgical unit, demonstrates proficiency with safely and efficiently inserting and managing intravenous access devices. Edmond is assigned to care for Mrs. Lucinda Halvert, a35-year-old client who is scheduled to receive antibiotic therapy for treatment of bacterial bronchitis. Edmond notes that the healthcare provider has ordered insertion of an intravenous access device for Mrs. Halvert. Although his clinical nursing instructor is not immediately available, one of the staff nurses offers to observeEdmond's insertion of Mrs. Halvert's intravenous access device. Which action best reflects Edmond's correct understanding of the clinical guidelines for nursing students? Proceeding with Edmond's insertion of the intravenous access device under the staff nurse's supervision Asking the staff nurse to insert the client's intravenous access device and observing completion of the procedure Postponing insertion of the client's intravenous access device until the nursing instructor is available Notifying the nursing instructor that the staff nurse will observe Edmond's insertion of the intravenous access device
Asking the staff nurse to insert the client's intravenous access device and observing completion of the procedure
Claire is a nurse who works on a substance abuse unit. She sees all clients prior to admission and she must determine the last time each client used drugs, determine their drug ofchoice, and obtain urine and blood samples. Which step of the nursing process is Claire using during this process? Planning the client's care (developing a care plan) Assessing and collecting comprehensive data Analyzing the assessment data and choosing a diagnosis Evaluating the client's progress indicative of the stated outcomes
Assessing and collecting comprehensive data
The nurse is caring for a client who is recovering from open heart surgery. The client's extended family is large, and the nurse has heard heated hallway discussions about the client's end-of-life care. What is the role of the nurse in this situation? (Select all that apply.) Serve as a peaceful mediator between clients and families Contribute the nurse's opinion about the client's choices Assure both clients and families that written decisions are not irrevocable Advocate for clients and families to continue discussions Assess whether clients and families understand life-sustaining activities
Assure both clients and families that written decisions are not irrevocable Advocate for clients and families to continue discussions Assess whether clients and families understand life-sustaining activities
A group of nursing students is discussing how to prepare for the 1st day of a 6-week clinical rotation at a hospital inpatient psychiatric unit. Which nursing student's statement best reflects a correct understanding of clinical nursing performance guidelines? If I am unprepared to complete an assigned task, I should stop and notify my client's assigned nurse. My nursing instructor is responsible for teaching me about my client's medications, interventions, and treatments. I will review the hospital's policies and procedures by the end of the clinical rotation. Before providing any client care, I need to be knowledgeable about my client's diagnosis and any prescribed interventions.
Before providing any client care, I need to be knowledgeable about my client's diagnosis and any prescribed interventions.
A client files a negligence lawsuit against a nurse for the long-term symptoms resulting from a ventilator-acquired pneumonia (VAP). Which element of professional negligence or malpractice will this client have difficulty proving in a court of law? Injury from breach of duty Foreseeability Causation Breach of duty
Causation
The nursing student is designing a poster that describes the process of how a nurse can become a member of a state's board of nursing (BON). Which statement is most appropriate for the nursing student to include on the poster? In most states, BON members are elected by licensed nurses. Consumers may be appointed to serve on a state's BON. BON members must maintain advanced practice registered nurse certification. Healthcare institutions determine who serves on each state's BON.
Consumers may be appointed to serve on a state's BON
A nurse is reviewing a medication order in the client's health record. The order is illegible, and the nurse calls the ordering healthcare provider to clarify the order. The nurse cannot reach the healthcare provider despite multiple calls and pages. Which action by the nurse is most appropriate in this situation? Continue calling the healthcare provider Ask a co-worker to attempt to decipher the order Fax the order to the pharmacy to decipher Contact the nursing supervisor
Contact the nursing supervisor
The nurse is caring for a client who is in excruciating pain from terminal cancer. The client's son has asked that his father receive every effort to prolong his life. The son has durable power ofattorney, and says that is what his father wants. The oncology nurse disagrees with this decision. Which action by the nurse is the most appropriate? Refuse to be assigned to the client's future care Confront the family member about the ramifications of his decision Continue to follow the documented healthcare directions for the client Let the client know how the nurse feels about the situation
Continue to follow the documented healthcare directions for the client
Which agency serves as the official central governmental hub for all HIPAA issues? Agency for Healthcare Research & Quality (AHRQ) The Joint Commission (TJC) Department of Health and Human Services (DHHS) National Institutes of Health (NIH)
Department of Health and Human Services (DHHS)
Which entity regulates nursing practice? The American Nurses Association Each healthcare facility Each state's board of nursing Nursing education programs
Each state's board of nursing
A nurse educator is teaching a group of student nurses regarding standards of care. Which statements made by the nursing students are correct regarding standards of care in nursing? (Select all that apply.) Employers can limit, but not expand, the nursing scope of practice. The nurse's specific job description will aid in defining the standard of care. The Joint Commission is the primary agency responsible for establishing nursing standards of care. The Nurse Practice Act and administrative rules form the basis of the standard of care for nurses. The American Nurses Association (ANA) Standards of Practice is the prevailing national nursing standard.
Employers can limit, but not expand, the nursing scope of practice. The nurse's specific job description will aid in defining the standard of care. The Nurse Practice Act and administrative rules form the basis of the standard of care for nurses. The American Nurses Association (ANA) Standards of Practice is the prevailing national nursing standard.
A code blue is called on an older client in the emergency department. As the code team begins resuscitation activities, the client's spouse reminds the triage nurse of the do not resuscitate(DNR) status of the client. What is the appropriate response from the triage nurse? Follow the client's DNR wishes by stopping the code Tell the spouse to wait until the code team finishes Ask the spouse if a change to the DNR status is wanted First verify the advance directive's placement in the chart
Follow the client's DNR wishes by stopping the code
There are certain relevant factors that contribute to why a client is prone to falling. Which factor is least related to client falls? Cognition problems causing falls Genetic trait for falls Falls caused by side effects of medication A history of falls
Genetic trait for falls
The evening shift nurse is caring for a client, Candace Horn. Mrs. Horn is a 57-year-old woman who is scheduled for discharge in the morning. Hospital protocol dictates that Mrs. Horn receives medication instruction the evening before the scheduled discharge. This policy minimizes incidents of professional negligence through the use of which applicablestrategy? Employing the use of effective communication as a strategy Developing a nurse-pharmacy rapport as a strategy Giving clear directions to the client Maintaining client safety as a strategy
Giving clear directions to the client
Renee Vasquez is an ED nurse manager and is not an avidmovie-goer, so she was unprepared for the crowds that packed the parking lot of the hospital when a celebrity was admitted after a car accident. The nurse overhears some personnel talking about getting autographs. What is the best response of the nurse? Go directly to the personnel who plan to get autographs and remind them about confidentiality. Go to the celebrity's room and make sure that the personnel have not arrived there yet. Go to the shift supervisor and describe details of the overheard conversation. Go to an experienced colleague and ask that individual to take the lead in assuring confidentiality.
Go directly to the personnel who plan to get autographs and remind them about confidentiality.
A home healthcare case manager often receives documents that pertain to the care of clients on a shared fax machine. The case manager is aware of how important it is to protect eachclient's health information. Which action by the nurse ensures that HIPAA requirements are met in this situation? Take relevant information over the phone. Have sending agencies call ahead before any information is sent. Have the client sign a consent form for information to be released. Do not utilize the fax machine; depend on the mail system.
Have sending agencies call ahead before any information is sent.
An advance directive gives the chosen agent/surrogate authority to make many kinds of decisions. What kinds of decisions are usually included? (Select all that apply.) Hire or discharge medical providers Consent to transportation alternatives Access to all medical records Consent to pain relief measures Access to all financial records
Hire or discharge medical providers Access to all medical records Consent to pain relief measures
The Patient Self-Determination Act applies to many entities. Which ones does it apply to? (Select all that apply.) Home health agencies Nursing homes Health maintenance organizations Individual healthcare providers Hospitals
Home health agencies Nursing homes Health maintenance organizations Hospitals
A young couple receives the news of pregnancy. The couple's certified nurse midwife is a firm believer in adults having advance directives. What statement by the pregnant client shows the need for further education regarding advance directives? I am not at an advanced age. I will make plans when I am older. With my new responsibilities, I need to plan for my family's future. My husband and I do not agree about end-of-life decisions. I just found out about all the different options to prolong my life.
I am not at an advanced age. I will make plans when I am older
Which statement accurately explains nursing student responsibilities? In most cases, student licensure is required to practice in the clinical setting. State Nurse Practice Acts do not address nursing students' responsibilities and duties. Many programs allow the nursing student to practice on the nursing instructor's license. In the clinical setting, nursing students are responsible for their own actions.
In the clinical setting, nursing students are responsible for their own actions.
A per diem nurse is assigned to a unit for the first time and is unsure of the names and positions of all the staff on the unit, but hears a staff conversation in the hallway about panic lab values for a client. The nurse hears the client's name and diagnosis, and realizes that everyone in the area can hear that information as well. Which priority action should the nurse take at this time? Interrupt the conversation and remind staff about privacy rights Realize staff could get upset at reports of panic lab values Go to the unit's nurse manager and report a breach of privacy Find a colleague to ask about which staff belong on the unit
Interrupt the conversation and remind staff about privacy rights
The nurse is providing care for a young adult client who just learned she has breast cancer. The client decides to "put her house in order" She fills out a living will that spells out her future healthcare treatment desires. What kinds of decisions are likely to be covered in the living will? (Select all that apply.) Cremation Intubation Parenteral nutrition Resuscitation Funeral home
Intubation Parenteral nutrition Resuscitation
The nursing student is preparing a classroom presentation about the functions of a board of nursing (BON). When listing the functions of a BON, which activities should the nursing student include in the presentation? (Select all that apply.) Maintaining the Nursys database of publicly available nurse licensure information. Developing the National Council Licensure Examination for Registered Nurses (NCLEX-RN) Investigating alleged violations of the nurse practice act (NPA) Directing the National Council of State Boards of Nursing (NCSBN) Holding disciplinary hearings for license suspension
Investigating alleged violations of the nurse practice act (NPA) Holding disciplinary hearings for license suspension
A student nurse must understand the importance of providing safe nursing care consistent with legal requirements. Which statements are true regarding nursing negligence? (Select all that apply.) It is defined as conduct deviating from the standard of practice dictated by the profession. It is defined as conduct that deviates from what a reasonable individual would do in a particular circumstance. It is considered an intentional tort. It occurs without the deliberate intent to bring harm against another individual. It is considered an unintentional tort.
It is defined as conduct that deviates from what a reasonable individual would do in a particular circumstance. It occurs without the deliberate intent to bring harm against another individual. It is considered an unintentional tort.
The nursing instructor is explaining the student's practice in the clinical setting. Which statement is most appropriate for the nurse educator to include in the discussion? It is sometimes acceptable to ask a staff nurse to complete a task on behalf of the nursing student. If the nursing student is practicing safely and competently, the instructor does not need to supervise medication administration. Nursing students are held accountable for meeting a different standard of care than licensed nurses. Because nursing students practice on the nursing instructor's license, instructors are liable for students' actions in the clinical setting.
It is sometimes acceptable to ask a staff nurse to complete a task on behalf of the nursing student.
Which nursing actions could be negligence that results in malpractice? (Select all that apply.) Lacking appropriate communication skills Failing to follow the standard of practice Using equipment without appropriate training Documenting client care in the electronic medical record Assessing and monitoring a client who has returned from surgery
Lacking appropriate communication skills Failing to follow the standard of practice Using equipment without appropriate training
A nurse ignores a client's persistent complaint of back pain because the client "complains too much." The next day the client is diagnosed with kidney stones. What negligence prevention strategy did the nurse fail to implement? Using effective communication Minimizing client discomfort Maintaining client safety Minimizing the risk of medication errors
Maintaining client safety
Sandra Davis is a registered nurse (RN) who is running behind in administering her medications at a long-term care facility. When she arrives in the last client's room, the client is in the restroom. Sandra asks the nursing assistant if she would mind giving the cardiac glycoside to the client, and leaves the room. The client's pulse was 48 beats per minute. The medication was administered, and the client died. Which unintentional tort did Sandra commit during this incident? Battery Malpractice False imprisonment Assault
Malpractice
Which of the following is unintentional conduct deviating from the standard of nursing practice? False imprisonment Battery Assault Malpractice
Malpractice
What are the functions of a state board of nursing? (Select all that apply.) Monitoring the remediation of nursing practice issues Protecting the public from unprepared healthcare providers Standardizing nursing education programs Administering programs for impaired nurses Defending nurses who are accused of misconduct
Monitoring the remediation of nursing practice issues Protecting the public from unprepared healthcare providers Standardizing nursing education programs Administering programs for impaired nurses
What best describes the function of the state board of nursing? Maintains the Nursys® database Monitors mandatory licensure renewal Ensures excellence in nursing Develops a national examination for nursing licensure
Monitors mandatory licensure renewal
The nurse administrator is explaining the Nurse Licensure Compact (NLC) to the hospital's credentialing specialist. Which statement should the nurse administrator include in theexplanation? Nurses at all practice levels are included in the same interstate compact. When multistate licensure is enacted, the participating state's nurse practice act is revised to conform to other states. Multistate licensure privilege means the nurse is granted an additional nursing license. Multistate licensure requires the nurse to follow the laws of the state in which the client is located.
Multistate licensure requires the nurse to follow the laws of the state in which the client is located.
The majority of states have limitations on selecting witnesses for an advance directive. In these states, who would be allowed to serve as witnesses? Relatives Heirs Primary care providers Neighbors
Neighbors
Why might advocating for client confidentiality be difficult for nurses? Nurses can control and monitor their own behavior easier than confronting others. Other ways of maintaining confidentiality are simpler to implement than advocacy. Advocacy is always more work, since nurses need to join a group. Advocacy can be a lonely position if medical staff does not support nurses.
Nurses can control and monitor their own behavior easier than confronting others.
What are the guidelines for clinical performance for nursing students? (Select all that apply.) Staff nurses are authorized to supervise the nursing student's client care. Nursing students should know the facility's policies prior to accepting any client assignment. Nursing students and licensed nurses are held accountable to the same standard of care. Nursing faculty are responsible for appropriate supervision of nursing students. Nursing students must know the assigned client's condition, interventions, medications, and treatments
Nursing students should know the facility's policies prior to accepting any client assignment. Nursing students and licensed nurses are held accountable to the same standard of care. Nursing faculty are responsible for appropriate supervision of nursing students. Nursing students must know the assigned client's condition, interventions, medications, and treatments
The nursing instructor is explaining the student's practice in the clinical setting. Which statement is most appropriate for the nurse educator to include in the discussion? Nursing students must be supervised by either a nursing instructor or by a nurse who is employed by the clinical site. In most states, nursing students must obtain some form of licensure to practice nursing in the clinical setting. When nursing students engage in clinical practice, they are practicing on the license of the client's staff nurse. Nursing students who are completing their clinical training are held accountable for maintaining the same standard of care as licensed nurses.
Nursing students who are completing their clinical training are held accountable for maintaining the same standard of care as licensed nurses.
The pediatric staff nurse is licensed to practice nursing in South Carolina, which is part of the Nurse Licensure Compact (NLC). Upon accepting a travel nurse position, the pediatric staff nurse will be required to provide nursing care to clients in North Carolina and in Tennessee, both of which are also part of the NLC. The pediatric staff nurse intends to maintain a primary residence in Tennessee. Which action must the pediatric staff nurse complete in order to have multistate licensure privileges? Maintain a current nursing license only in South Carolina Maintain an additional interstate compact nursing license Obtain nursing licensure from Tennessee Obtain nursing licensure from both North Carolina and Tennessee
Obtain nursing licensure from Tennessee
Helen and Chuck Winston are the parents of a 4-year-old child with cerebral palsy. They recently received a mailing from a national organization that advocates for children with mobility issues. The mailing was addressed directly to theirson, and included a request for a donation. They are adamant that their child's medical status not be known by anyone outside the immediate family. To which governmental agency could they direct a complaint about possible violation of theirchild's right to privacy? Office for Civil Rights Centers for Disease Control and Prevention Agency for Healthcare Research and Quality National Institute of Disability Health
Office for Civil Rights
An experienced nurse remembers the many nursing education efforts that took place when the Health Insurance Portability and Accountability Act (HIPAA) was passed in 1996. With education refreshers, what would the nurse identify as HIPAA's goals? (Select all that apply.) Establish universal health insurance coverage Overcome pre-existing conditions as a barrier to health insurance Determine reasonable caps for health insurance premiums Eliminate medical underwriting in group plans Help those who lose health insurance coverage
Overcome pre-existing conditions as a barrier to health insurance Eliminate medical underwriting in group plans Help those who lose health insurance coverage
The nurse educator is planning a presentation that describes the original and expanded functions of a board of nursing (BON). Which expanded functions of a BON should the nurse educator include in the webinar? (Select all that apply.) Issuing nursing licenses Participating in multistate licensure compacts Establishing nursing practice standards Remediating practice issues Standardizing nursing education
Participating in multi-state licensure compacts Remediating practice issues
Which activities are functions of the National Council of State Boards of Nursing (NCSBN)? (Select all that apply.) Providing leadership to advance regulatory excellence for public protection Revoking or suspending licenses of nurses who engage in negligent practice Taking action against nurses who do not meet licensure renewal requirements Promoting uniformity in the regulation of the practice of nursing Developing the National Council Licensure Examination for Practical Nurses (NCLEX-PN)
Promoting uniformity in the regulation of the practice of nursing Developing the National Council Licensure Examination for Practical Nurses (NCLEX-PN) Providing leadership to advance regulatory excellence for public protection
The nursing student is completing a clinical rotation in an extended care facility. The nursing student's client is scheduled to receive a medication. Although the nursing student is prepared to safely administer the medication, the nursing instructor is not available. Which action by the nursing student is most appropriate? Notify the nursing instructor that the nursing student is administering the medication Request that the client's assigned primary care nurse administer the client's medication Ask the client's assigned primary care nurse to supervise the student during medication administration Hold the medication until the nursing instructor is available to supervise the nursing student
Request that the client's assigned primary care nurse administer the client's medication
The nurse is asked to participate on a committee to ensure that no breaches of client confidentiality occur when providing care. Which actions help ensure client confidentiality when providing care? Select all that apply. Restricting the discussion of client care to the report room Sharing the name and diagnosis of clients upon request Discussing client care with nurses on other units Withholding private information from other staff unless needed for care Reviewing the client's care needs with a designated health insurance agent
Restricting the discussion of client care to the report room Withholding private information from other staff unless needed for care Reviewing the client's care needs with a designated health insurance agent
A student nurse is reviewing the Nurse Practice Act and its influence on the standards of care for nurses. How does the Nurse Practice Act influence the practice of nursing? Sets the requirements for licensure, including educational requirements of nurses Regulates institutional policies concerning nurse's job responsibilities Regulates the accreditation standing of nursing programs Develops client care policies and procedures
Sets the requirements for licensure, including educational requirements of nurses
Ten years ago, 20-year-old college junior Margo Harrison discovered a lump in her breast. Worried about its significance, she completed her state-specific documents for an advance directive. The biopsy proved negative. Since then, she hasgraduated, gotten married, and moved to another state. What is the likely status of her advance directive? Since Ms. Harrison moved and married, she should investigate her new state's format. The advance directive document expired when Ms. Harrison moved. Since Ms. Harrison is still competent, she does not have to review and update it. Since the biopsy proved negative, it cancelled Ms. Harrison's advance directive.
Since Ms. Harrison moved and married, she should investigate her new state's format.
All clients have the right to care by a competent and safe nurse. What ensures that a nurse is both competent and safe to practice? Standards of Practice Code of ethics Nurse Practice Act Licensing process
Standards of Practice
Which statement is true of the mutual recognition model? States that are part of the Nurse Licensure Compact follow the mutual recognition model. The mutual recognition model prohibits LPNs from inclusion in the Nurse Licensure Compact. Unless a state opts out, it is automatically included in the mutual recognition model. The mutual recognition model requires nurses to hold nursing licenses in multiple states.
States that are part of the Nurse Licensure Compact follow the mutual recognition model
A client accuses a nurse of incompetency and files a lawsuit of malpractice. If the nurse is found incompetent, what document or act has been broken regarding nursing standards of care? The Nurse Practice Act National counsel licensure Accreditation certification The American Nurses Association (ANA) Standards of Practice
The American Nurses Association (ANA) Standards of Practice
The nurse practice act and administrative rules form the basis of the standard of care. Which phrase is an aspect of the nurse practice act? The identification of activities for all levels of hospital workers, including administrative personnel The definition of professional conduct for nurses The disclosure of NCLEX scores for all nursing personnel employed by the facility The scope of the healthcare provider's practice
The definition of professional conduct for nurses
A client has designated a member of the family as a healthcare surrogate. In making this decision, which rationale is the priority? The individual's knowledge about the client's intended decisions. The individual's familiarity with the client's complex medical history. The client's feeling that the individual would know the latest medical innovations. The client's feeling that the individual would be accepting of death or disability.
The individual's knowledge about the client's intended decisions.
When a nurse obtains informed consent, the client should be provided with all pertinent and relevant information. Which information is not relevant? The diagnosis or condition that requires treatment The insurance payment methods The purposes of the treatment The intended benefits of the treatment
The insurance payment methods
A nurse is administering a medication to a pediatric client. The nurse verifies the client's armband and confirms the correct medication by checking the prescribed order and the medication vial. Which actions by the nurse correctly exemplify the "Six Rights" of medication administration? (Select all that apply.) The nurse checks for right documentation by documenting administration of the prescribed order in the client record. The nurse checks for right time by checking the prescribed order and looking at the time. The nurse checks for right dose by checking the prescribed order, performing a dose calculation, and checking the medication. The nurse verifies the right medication by asking the client open double quoteis this what you normally take at home?" The nurse checks for right frequency by looking at the client's chart.
The nurse checks for right documentation by documenting administration of the prescribed order in the client record. The nurse checks for right time by checking the prescribed order and looking at the time. The nurse checks for right dose by checking the prescribed order, performing a dose calculation, and checking the medication.
The nurse is caring for a client who experienced an anaphylactic reaction to a medication. The nurse did not ask the client about allergies prior to administering the medication. Which statement is true regarding this nurse's actions? The nurse committed an act of negligence, but not malpractice. The nurse committed negligence due to a failure to communicate. The nurse committed acts of negligence and malpractice. The nurse committed malpractice, but not an act of negligence.
The nurse committed acts of negligence and malpractice
A nurse is accused of failing to assess and monitor. Which clinical scenario causes this type of malpractice? The nurse fails to document a client's allergy, and the client subsequently has an allergic reaction to a medication administered. The nurse fails to notify the healthcare provider in a timely manner when conditions warrant it. The nurse fails to treat the client complaining of a headache, and the client subsequently has a stroke. The nurse fails to act on prescribed orders, and the client suffers an adverse event.
The nurse fails to document a client's allergy, and the client subsequently has an allergic reaction to a medication administered. The nurse fails to treat the client complaining of a headache, and the client subsequently has a stroke.
Maria Pulaski, a staff nurse, is charged with a crime that is considered a form of defrauding the public. In response to the criminal charges, the staff nurse enters a plea of nolo contendere. When considering the professional implications of the criminal charges and the staff nurse's plea of nolo contendere, which statement is most accurate? The nurse should expect legal guidance from the state board of nursing regarding licensure protection. The nurse should anticipate facing disciplinary action by the state board of nursing. Nolo contendere is reflective of innocence and warrants no discipline by state boards of nursing. Nolo contendere pleas protect nurses from disciplinary action by state boards of nursing.
The nurse should anticipate facing disciplinary action by the state board of nursing.
The dialysis nurse looks across the treatment area and recognizes the pastor of the local church. The pastor is being interviewed by the unit admission nurse. The dialysis nurse knows that the nature of his treatment will bring them into some contact with each other on a regular basis. Which action by the nurse is most appropriate in this situation? The nurse should ignore the client's presence on the unit if not assigned to him. The nurse should ask to not be assigned to the care of this client. The nurse should always go over to welcome the client, regardless of clinical assignment. The nurse should not talk about the care of this client to members of his church.
The nurse should not talk about the care of this client to members of his church
Two night shift nurses are talking about the recent discharge of a celebrity from the substance abuse treatment facility where they work. The celebrity disguised his face and used a false name. The nurses did not find out about the celebrity's treatment while on duty. They read about it on the front page of a national tabloid. Now that the story has been published, is it appropriate for the nurses to discuss this client while on duty? The nurses should not discuss what they read, since someone could accuse them of being the information leak. The nurses should fill out an incident report about the tabloid story. The nurses can discuss what they read, since they are not sharing information from the workplace. After they check out the truth or falsehood of the story with their colleagues, they can discuss it.
The nurses can discuss what they read, since they are not sharing information from the workplace
Medication administration has been identified as a high-risk activity for error. What are the rights of medication administration that every nurse should follow? (Select all that apply.) The right client The right time The right dose The right drug The right room
The right client The right time The right dose The right drug
What conditions can add to the potential risk of nurses not maintaining confidentiality? (Select all that apply.) Unusual medical conditions Previous hospital admissions Notoriety International travelers Celebrity status
Unusual medical conditions Notoriety Celebrity status
A novice nurse wants to use the nursing process while caring for clients. How can the nurse prevent medicine errors during the implementation phase of the nursing process? Instruct the client to tell the nurse the reason why the client is taking the medication being administered Hold the medication if the client is in the bathroom Leave the client's oral medication at the bedside only if the client is oriented and able to swallow Urge the client to question the nurse if a pill being administered looks different from what is normally taken
Urge the client to question the nurse if a pill being administered looks different from what is normally taken
A client is admitted to the hospital for an organ transplant. At the time of admission, the nurse asks the client if there is a current advance directive. The client states that there is a completedone, but a copy is not available. Which response by the nurse is the most appropriate? You can give us a copy any time that is convenient for you. You need to give us a copy before you have the transplant surgery. You must fill out a new advance directive, so that we can put it into your chart. You are required to revise your advance directive in view of your upcoming surgery.
You can give us a copy any time that is convenient for you
The nurse is caring for a client on a medical-surgical unit that has just implemented the electronic medical record for client documentation. The client asks the nurse about the facility's computerized system for keeping client information, especially in regard to confidentiality. Which is the best response by the nurse? "Don't worry; your information is always safe." "I can see why you're worried, with all the computer hackers out there these days." "Our system was designed with a lot of input from nursing staff." "Information in the electronic medical record requires a password to retrieve."
"Information in the electronic medical record requires a password to retrieve."
The nursing student asks the nurse educator to describe the purpose of nursing licensure. Which response from the nurse educator is most accurate? "Nursing licensure reflects fulfillment of the requirement to pass a national examination." "Nursing licensure means you will protect the safety of your clients and provide competent client care." "Nursing licensure confirms your status as an expert in the nursing field." "Nursing licensure gives you the right to practice nursing in the state that issued the license."
"Nursing licensure reflects fulfillment of the requirement to pass a national examination."
The nurse educator is teaching a class about the history and purpose of boards of nursing (BONs). Which statement is most appropriate for the nurse educator to include in the teaching? BONs exist to defend nurses against allegations of misconduct. BONs were first established 50 years ago. Initially, BONs served as regulatory agencies to monitor impaired nurses. Primarily, BONs serve to protect the public.
Primarily, BONs serve to protect the public.
