legel

The nurse is aware that which criteria are necessary for a situation to be classified as malpractice? Select all that appl

2,3,4,5

A client is being evaluated as a potential kidney donor for a family member. The donor asks the nurse why a different team of people other than the team working with the potential recipient is doing the evaluation. Which response should the nurse give to the client?

A conflict of interest by the team evaluating the recipient and the team evaluating the donor is avoided.

The nurse has just been licensed and has begun to practice in an acute health care facility. The nurse knows that which nursing specialties will require more specific defined standards of care and skills? Select all that apply.

Nurse-midwives 2.Nurse-anesthetists, Intensive care unit (ICU) nurses

A client asks the nurse to describe the preferred provider organization model of care because the client is unsure of the procedure involved in this form of health care. Which statement by the nurse indicates an inaccurate description of this form of organization?

"Beneficiaries are limited to those providers that are participating primary health care providers for any required health care services."

The nurse asks a nursing student to describe case management. Which student response indicates a lack of understanding about this concept?

"It represents a primary health prevention focus managed by a single case manager."

Which guidelines should the nurse follow when performing narrative documentation? Select all that apply.

1,2,3,5

The nurse is caring for a client who just returned from surgery for repair of a fractured arm. The client complains of severe pain in the arm and also that his hand is feeling numb. The nurse notes that the client's fingers are pale and that the pulse in his arm is very weak. The nurse notifies the registered nurse who attempts to contact the surgeon numerous times, but the surgeon does not return the call. The nurse anticipates that who should be notified at this point? Select all that apply.

1,4

The nurse finds the client lying on the floor. The nurse calls the registered nurse, who checks the client and then calls the nursing supervisor and the primary health care provider to inform them of the occurrence. The nurse completes the incident report for which purpose?

A method of promoting quality care and risk management

The nurse is assisting in reviewing the critical paths of the clients on the nursing unit. In performing a variance analysis, which indicates the need for further action and analysis?

A postoperative client who develops a cough and a fever

A nursing instructor asks a nursing student to describe accountability. Which statement by the student indicates an inaccurate description of accountability?

Accountability can be delegated

The nurse who works in a cardiac unit reports to work and is told that she needs to float to the neurological nursing unit because of a short-staffing problem on that unit. The nurse reports to the unit and receives a client assignment for the day from the nurse manager. The nurse is angry with the assignment because of a belief that the assignment is more difficult than the assignment delegated to other nurses on the unit. The nurse should carry out which action?

Ask the nurse manager of the neurological unit to discuss the assignment.

The nurse who works on the night shift enters the medication room and finds a coworker with a tourniquet wrapped around the upper arm. The coworker is about to insert a needle attached to a syringe containing a clear liquid into the antecubital area. Which action would be the appropriate initial action by the nurse?

Call the nursing supervisor.

The unlicensed assistive personnel (UAP) who has been employed in a long-term care facility for 8 weeks is consistently 10 to 20 minutes late for work. The UAPs lateness has caused unrest with other staff members in the nursing unit. The UAP is due to receive a 3-month probation evaluation in 1 month. Which is the most appropriate action by the nurse in charge of the nursing unit when dealing with this situation?

Confronting the UAP to discuss the lateness and initiate problem-solving measures

The nurse has been asked to serve on the health care facility ethics committee and knows that this committee serves which purposes? Select all that apply.

Education, 2.Case consultation, Process ethical dilemmas

The nurse manager asks a licensed practical nurse to work on her day off because of a short-staffing problem. The licensed practical nurse has already made plans and does not want to work on the day scheduled to be off. Which response by the licensed practical nurse to the nurse manager is assertive?

I have planned to take the day off and will not be able to work on that day."

The nurse is aware that criminal offenses would have which characteristics as opposed to civil offenses? Select all that apply.

It is offensive to society in general. 2.It is detrimental to society as a whole. It involves offenses such as robbery, murder, and assault. 5.It will result in punishment whose purpose is to deter further crimes.

A new nurse is employed at a local community hospital and is attending an orientation session. The nurse educator conducting the session asks the new nurse to describe an organization's mission statement. The new nurse appropriately responds with which statement?

It outlines what the organization plans to accomplish.

The nurse is aware that the ethical philosophy of deontology is composed of which "right-making characteristics"? Select all that apply

Justice,Truthfulness,Fidelity to promises

A client reports having had two bowel movements this morning and refuses a dose of docusate sodium. After appropriately charting in the medication administration record, which action should the nurse take?

Make a notation regarding the client's refusal in the nurse's notes.

The nurse shares with a client that violation of a civil law usually results in which types of penalty? Select all that apply.

Monetary fine 2.Public service 3.Replacement of property

The licensed practical nurse (LPN) is obtaining a client's signature on an informed consent for a total knee replacement surgery. The client has many questions and seems reluctant to sign the consent. Which best action should the LPN take?

Notify the surgeon that the client has many questions about the procedure.

The nurse suspects that a coworker is substance impaired and is self-administering opioid medications rather than administering them to clients as prescribed. Which action should the nurse take?

Report the information to a supervisor.

The nurse is observing an unlicensed assistive personnel (UAP) communicating with a client who is deaf. The nurse should intervene if which behavior is observed?

The UAP stresses words by over enunciating them when speaking.

The nurse has delegated care of a client with chronic obstructive pulmonary disease (COPD) to an unlicensed assistive personnel (UAP). The UAP notifies the nurse that the client's vital signs are elevated, and the client is complaining of pain and dyspnea. Which is appropriate regarding the nurse's next action?

The nurse checks the client and gathers additional data before calling the primary health care provider.

The nurse is employed in a long-term care facility as a charge nurse of the night shift. The nurse determines that as a charge nurse, authority appropriately refers to which explanation?

The official power to approve an action, command an action, or to see that a decision is enforced

The nurse is documenting information regarding a client's care into the computerized medical record. Which actions by the nurse would be most effective in ensuring client confidentiality? Select all that apply.

Use own user name and password when logging into the computer system. Change the password for entering computer files at least monthly.

The nurse observes an outburst by a client with a history of schizophrenia, during which the client uses extreme foul language. Which appropriate documentation should the nurse make for this occurrence?

Use quotation marks, exact words, and additional objective information about affect and nonverbal behavior.

Place in correct order the steps the nurse should use to resolve an ethical dilemma. Arrange the actions in the order that they should be performed. All options must be used.

determine

A vascular surgeon repeatedly asks the nurse to obtain signed consent forms on his surgical clients. The nurse is uncomfortable with obtaining the informed consents and explains this to the surgeon, but the surgeon tells the nurse that she will be reported if the consents are not obtained. The nurse should appropriately manage this situation by taking which action?

Discuss the situation with the nurse manager.

The nurse is aware that which criteria are necessary for a situation to be classified as malpractice? Select all that apply.

he client sustained an injury. 3. The nurse owed a duty to the client. 4. The nurse did not carry out a duty to a client. 5. The client's injury was caused by the nurse's failure to carry out a duty.

The nurse collecting data on a child suspects physical abuse. The nurse understands that which is a primary and legal nursing responsibility

Report the case in which the abuse is suspected.

A nurse lawyer provides an education session to the nursing staff regarding client rights with emphasis on invasion of client rights. The nurse lawyer asks a staff nurse to identify a situation that represents an example of invasion of client privacy. Which situation, if identified by the student, indicates an understanding of a violation of this client right?

Taking photographs of the client without consent

The nurse is completing a medication reconciliation form for a client. Which is a primary purpose of this process?

To compare a client's medication prescriptions to all of the medications the client is taking at home

A client with a diagnosis of cystitis has an indwelling urinary catheter and is being cared for by an unlicensed assistive personnel (UAP). The nurse observes the UAP care for the client and intervenes if the UAP performs which action?

Allows the drainage tubing to rest under the leg

The nurse knows that litigation involving nurses is common because of which reasons? Select all that apply.

Clients are better educated about health care. 2.Clients are better informed about their rights., Clients have a higher expectation about the care they receive

The nurse sees another nurse administer an incorrect medication to a client. The nurse who administered the incorrect medication does not report the error. Which would be the initial action by the nurse who observed the error?

Ask the nurse if he or she intends to report the error.

The nurse discovers that one of her assigned clients is bleeding excessively from an abdominal incision. The nurse gives specific prescriptions to an unlicensed assistive personnel (UAP) to attend to the other clients and tells another nurse to call the primary health care provider immediately. In this situation, the nurse is implementing which leadership style?

Autocratic

When caring for clients, the nurse knows that which ethical philosophies focus on understanding relationships and the use of personal narratives? Select all that apply.

Ethics of care 4.Feminist ethics

The nurse educator determines that a newly hired licensed practical nurse (LPN) in a local hospital demonstrates an accurate understanding of professional liability insurance when which statement is made?

I should obtain my own malpractice insurance."

The primary health care provider writes a prescription for the nurse to obtain a consent for a colonoscopy. Which are the nurse's responsibilities to obtain an informed consent? Select all that apply.

To ensure the client is the age of consent 3.To ensure the client is signing voluntarily

A client brought to the emergency department is dead on arrival (DOA). The family of the client tells the primary health care provider that the client had terminal cancer. The emergency department primary health care provider examines the client and asks the nurse to contact the medical examiner regarding an autopsy. The family of the client tells the nurse that they do not want an autopsy performed. Which response to the family is appropriate?

Your request will be given to the medical examiner when their office is contacted".

The nurse reviews the nursing care plan developed by a nursing student caring for a client who is receiving continuous tube feedings via a nasogastric (NG) tube. The nurse intervenes if the student documents which intervention in the plan?

Keep the feeding bag filled with at least 100 mL of feeding continuously so that it does not run dry.

An adult client is brought to the emergency department by ambulance after being hit by a car. The client is unconscious and is in shock. A perforated spleen is suspected, and emergency surgery is required immediately in order to save the client's life. No family members are present. In regard to informed consent for the surgical procedure, the nurse plans to take which best nursing action?

Transport the client to the operating room immediately.

Emergency surgery is scheduled for a client with a bowel obstruction. The licensed practical nurse (LPN) tells the registered nurse (RN) that she is unable to obtain informed consent from the client because the client has received opioid analgesics and is sedated. The LPN understands that which action should be implemented?

Obtaining a telephone consent from a family member and ensuring that the oral consent is witnessed by two persons

A nursing student is planning care for a client with paraplegia who is at risk for injury because of spasticity of his leg muscles. The nurse intervenes if the student plans to include which intervention to minimize the risk of injury to the client?

Use of padded restraints to immobilize the limb

A client receives meperidine by the intramuscular route. Thirty minutes after receiving the medication, the client's temperature is 101° F, and the skin is warm and flushed with a notable rash on the chest and back. The nurse further assesses the client and contacts the registered nurse, who then contacts the primary health care provider. The nurse completes an incident report and accurately documents which?

Thirty minutes after receiving meperidine, the temperature is 101° F, skin is warm and flushed, and a rash is noted on the chest and back; the primary health care provider was notified.

A client had a colon resection. A Salem tube was in place when a regular diet was brought into the client's room. The client did not want to eat solid food and asked that the primary health care provider be called. The nurse persisted in the belief that the solid food was the correct diet. The client ate two meals and subsequently had additional surgery due to complications. The nurse understands that the determination of negligence in this situation is based on what?

A duty existed and it was breached

The home care nurse observes that an older male client is confined to his room by his daughter-in-law. When the nurse suggests that he walk to the den and join the family, he says, "I'm in everyone's way, and my son needs me to stay here." Which is the best nursing intervention for this situation?

Suggest appropriate resources such as respite care and a senior citizens' center to the client and daughter-in-law.

The nurse is caring for a client with severe cardiac disease. While the nurse is caring for the client, the client states, "If anything should happen to me, please make sure that the doctors do not try to push on my chest and revive me." Which is the appropriate nursing action?

Tell the client that it is necessary to notify the primary health care provider of the client's request.

After pleading for information, a visitor learns from the nurse that his friend (the client) has died from human immunodeficiency virus (HIV). Inadvertently, the visitor informs the client's family about the client's HIV diagnosis. Which is the most serious potential consequence of possible damages caused by these events?

The state convicts the nurse for invasion of privacy.

The nurse is aware that the Americans with Disabilities Act provides which rights? Select all that apply.

1,2,4

The nurse posted a comment on a social media site that was unflattering to another nurse. Which accusations can the second nurse bring against the first nurse? Select all that apply.

1,4

The nurse is told in intershift report that a client has been appointed a legal guardian. The nurse looks for what evidence that supports this information?

A judicial decision in a court of law

The nurse enters a client's room and notes that the client's lawyer is present and that the client is preparing a living will. The living will requires that the client's signature be witnessed, and the client asks the nurse to witness the signature. Which is the appropriate nursing action?

Decline to sign the will.

After weeks of witnessing a hospice client's deterioration and subsequent death from liver failure, his family disagrees about performing an autopsy. Which criterion does the nurse use to determine if the autopsy can proceed?

Determination by the client's son

The nurse in charge of a nursing unit in a long-term care facility is concerned because staff members openly verbalize racial comments about clients on the unit. What should the nurse do to appropriately manage this concern?

Discourage the racial comments.

A pediatric nurse arrives at work and is told to report (float) to the emergency department (ED) for the day because the ED is expecting numerous victims to arrive following a train crash. The nurse has never worked in the ED and is anxious about floating to this area. Which is the appropriate nursing action?

Discuss her anxieties and concerns with the nursing supervisor about floating

A hospitalized client tells the nurse that a living will is being prepared and that the lawyer will be bringing the will to the hospital today for witness signatures. The client asks the nurse for assistance in obtaining a witness to the will. Which response to the client is appropriate?

I will call the nursing supervisor to seek assistance regarding your request."

The nurse is caring for an older adult and knows that an ethical dilemma is most likely to occur in this population because of which issues? Select all that apply.

Limited vision 2.Chronic illness, Lack of assertiveness

A client reports having had two bowel movements this morning and refuses a dose of docusate sodium. After appropriately charting in the medication administration record, which action should the nurse take

Make a notation regarding the client's refusal in the nurse's notes.

The licensed practical nurse knows that which items are examples of common law? Select all that apply.

Malpractice Informed consent,Client's right to refuse treatment

The nurse administers medications to the wrong client. During the investigation of the incident, it was determined that the nurse failed to check the client's identification bracelet before administering the medications. The nursing supervisor evaluates the situation and determines that the nurse can be guilty of negligence because negligence is correctly characterized by which statement?

Negligence is defined as the failure to meet established standards of care.

The new nurse graduate asks another nurse about the need to obtain professional liability insurance. Which is the most appropriate response by the nurse?

Nurses need to have their own malpractice insurance.

The new nurse graduate asks another nurse about the need to obtain professional liability insurance. Which is the most appropriate response by the nurse?

Nurses need to have their own malpractice insurance."

The nurse witnesses an accident in which the victim was hit by a car. The nurse stops at the scene of the accident and administers safe care to a victim who sustained a compound fracture of the femur. The victim is hospitalized and later develops sepsis as a result of the fractured femur. The victim files suit against the nurse who provided care at the scene of the accident. Which accurately describes the nurse's immunity from this suit?

The Good Samaritan laws will protect the nurse if the care given at the scene was not willfully negligen

A nursing instructor asks a nursing student to describe the standards of care formulated by the American Nurses Association. Which statement by the student indicates an inaccurate description of these statements?

They are specific guidelines."

An unconscious client, bleeding profusely, is brought to the emergency department after a serious accident. Surgery is required immediately to save the client's life. With regard to informed consent for the surgical procedure, which is the best action?

Transport the client to the operating department immediately without obtaining an informed consent.

The nurse is assigned to care for a newly admitted client and is reviewing the primary health care provider's prescriptions. The nurse notes that the primary health care provider has prescribed a medication dose that is twice the amount that the client reports taking before admission. Which nursing action is appropriate?

onsult with the registered nurse (RN

The nurse is working with a 21-year-old client who has a family history of Huntington's disease and asks for information about the advantages of genetic testing. Which responses by the nurse are best? Select all that apply.

"Genetic testing will help you make decisions about having children." 3."Retirement issues might be easier to plan if you know the results of the test." 4."Planning for the future might be affected if you know the results of the test".

The nurse is newly employed in a health agency. The nurse is told that the decision-making process of the organization is based on a centralized structure. The nurse determines that this means that the authority to make decisions is vested in whom?

A few individuals such as the board of directors

The nurse is caring for a client with a diagnosis of end-stage renal disease. The client tells the nurse that a lawyer has prepared a living will and will be visiting the client today so that the will can be reviewed. The client also tells the nurse that the lawyer has asked for a witness to sign the will and requests that the nurse act as a witness. Which is the most appropriate nursing response to the client?

A nurse caring for a client cannot serve as a witness to a living will."

A client with a headache arrives in the emergency department and is staggering, confused, smells of alcohol, and is verbally abusive. The nurse explains to the client that the primary health care provider will need to perform an assessment before the administration of medication. When the client becomes verbally abusive, the nurse threatens to place the client in restraints. With what can the client legally charge the nurse as a result of this nursing action?

Assault

The nurse observes that a client received pain medication 1 hour ago from another nurse, but the client still has severe pain. The nurse has previously observed this same occurrence several times. Based on the nurse practice act, the observing nurse should plan to take which action?

Report the information to a nursing supervisor.

The nurse overhears a client ask the primary health care provider if the results of a biopsy indicated cancer. The primary health care provider tells the client that the results have not returned, when in fact, the primary health care provider is aware that the results of the biopsy indicated the presence of malignancy. The nurse is upset that the primary health care provider has not shared the results with the client and tells another nurse that the primary health care provider has lied to the client and that this primary health care provider probably lies to all of the clients. Which legal tort has the nurse violated by this statement?

Slander

The nurse is assisting in caring for a client with a head injury who is restless and is pulling at the intravenous (IV) line. The client's primary health care provider does not want to sedate the client, and the family has requested that the client not be restrained. The nurse should implement which action?

Stay with the client and consult with the nurse manager about the situation.

A client who had a lung resection for cancer has been told that bone metastasis has occurred. The client is considering megavitamin and diet therapy because the original surgery did not provide a cure. The client asks the nurse for an opinion of these therapies. In formulating a response, the nurse incorporates which concepts?

The client's right to autonomy and the nurse's obligation to behave ethically

The nurse is assisting in reviewing the critical paths of the clients on the nursing unit. In performing a variance analysis, which data would indicate a negative variance?

The presence of dysrhythmias in a client with a myocardial infarction

A client with metastatic bladder cancer is admitted to the hospital for chemotherapy. During data collection, the client tells the nurse that a living will was prepared 2 years ago and asks the nurse if this document is still effective. Which is the most appropriate nursing response?

Yes, it is effective but you may want to discuss any changes you desire with your primary health care provider."

A resident in a long-term care facility refuses a medication that has been prescribed. The nurse takes appropriate action after considering which fact?

The client cannot be forced to take the medication.

The nurse employed in a long-term care facility calls the primary health care provider (PHCP) regarding a new medication prescription because the dose prescribed is higher than the recommended dosage. The nurse is unable to locate the PHCP, and the medication is due to be administered. Which action should the nurse take?

Contact the nursing supervisor.

he nurse is working with a 21-year-old client who has a family history of Huntington's disease and asks for information about the advantages of genetic testing. Which responses by the nurse are best? Select all that apply.

"Genetic testing will help you make decisions about having children." 3."Retirement issues might be easier to plan if you know the results of the test." 4."Planning for the future might be affected if you know the results of the test".

A client tells the nurse about deciding to refuse external cardiac massage. Which should be the most appropriate initial nursing action?

Notify the primary health care provider of the client's request.

An older woman is brought to the emergency department. When caring for the client, the nurse notes old and new ecchymotic areas on both of the client's arms and buttocks. The nurse asks the client how the bruises were sustained. The client, although reluctant, tells the nurse in confidence that her daughter frequently hits her if she gets in the way. Which is the appropriate nursing response?

"I have a legal obligation to report this type of abuse."

The nurse is attending an agency orientation regarding the nursing model of practice implemented in the facility. The nurse is told that the nursing model is a team nursing approach. What does the nurse determine is a characteristic of this type of nursing model practice?

Nursing personnel are led by an RN leader in providing care to a group of clients.

A licensed practical nurse has decided to purchase disciplinary defense insurance and is aware that this type of insurance would provide which type of benefits? Select all that apply.

Representation by a qualified attorney, Reimbursement for travel to the state board of nursing,Payment of all legal fees for defense of a nursing license

The licensed practical nurse is considering leaving the nursing profession after caring for multiple clients who have been diagnosed with conditions that have poor outcomes. Which measures would most likely assist the nurse in relieving this distress? Select all that apply.

Share the frustrations at unit multidisciplinary meetings. Tell stories about the experiences with other professionals. Engage in ethics discussions with both nurses and other health care practitioners.

The nurse asks the registered nurse to call the primary health care provider (PHCP) of a client scheduled for a cardiac catheterization because the client has numerous questions regarding the procedure and has requested to speak to the PHCP. The PHCP is very upset and arrives at the unit to visit the client after prompting by the nurse. The nurse is outside the client's room and hears the PHCP tell the client in a derogatory manner that the nurse "doesn't know anything." The nurse plans to address the PHCP's remark, understanding that the PHCP has violated which legal tort?

Slander

Which identifies accurate nursing documentation notations? Select all that apply

The client slept through the night. 2.Abdominal wound dressing is dry and intact without drainage

The nurse is caring for a client who is receiving intramuscular antibiotics. The nurse enters the client's room to administer the prescribed antibiotic, and the client tells the nurse that the medication burns and that he does not want the medication to be given. The nurse tells the client that the medication is necessary and administers the medication. With which crime can the client legally charge the nurse as a result of the nursing action?

Battery

The nurse witnesses an automobile accident and provides care at the scene of the accident to an open wound on a young child. The family is extremely grateful and insists that the nurse accept monetary compensation for the care provided to the child. Because of the family's insistence, the nurse accepts the compensation to avoid offending the family. The child develops an infection and sepsis and is hospitalized. The family files suit against the nurse who provided care to the child at the scene of the accident. The nurse understands that which is accurate regarding immunity from this suit?

Good Samaritan laws will not provide immunity from suit if the nurse accepted compensation for the care provided

The licensed practical nurse (LPN) enters a client's room and finds the client lying on the bathroom floor. The LPN calls the registered nurse, who checks the client thoroughly and then assists the client back into bed. The LPN completes an incident report, and the nursing supervisor and primary health care provider (PHCP) are notified of the incident. Which is the next nursing action regarding the incident?

Document a complete entry in the client's record concerning the incident.

A client was involuntarily admitted to the psychiatric unit because of episodes of extremely violent behavior. The client is demanding to be discharged from the hospital. The licensed practical nurse (LPN) reports the information to the registered nurse (RN), and the RN does not allow the client to leave. The LPN understands that which represents the legal ramifications associated with the RN's behavior?

No charge will be made against the RN because the RN's actions are reasonable.

The nurse is caring for a client who has refused to take an oral medication. The nurse tells the client that the nurse will hold the client down and give the medication by injection if the client doesn't take the oral medication. The nurse then takes the client's bathrobe so the client will have to remain in his room. Which intentional torts has this nurse committed? Select all that apply.

False imprisonment, Assault

A client who has heart failure receives an additional dose of bumetanide as prescribed 4 hours after the daily dose. The nurse assesses the client 15 minutes after administering the medication and reminds the client to save all urine in the bathroom. Sixty minutes later the nurse finds the client on the floor, unresponsive, and bleeding from a laceration. Which issues support the client's malpractice claim? Select all that apply.

Increased risk of hypotension 3.Lack of follow-up nursing actions 4.Increased need to protect the client 5.Failure to teach the client adequately

Which identifies accurate nursing documentation notations? Select all that apply.

The client slept through the night. 2.Abdominal wound dressing is dry and intact without drainage,The client's left lower medial leg wound is 3 cm in length without redness, drainage, or edema.

The nurse is preparing to administer medications to an assigned client and notes that the prescription for furosemide is higher than the recommended dosage. The nurse calls the primary health care provider to clarify the prescription and asks the primary health care provider to prescribe a dosage within the recommended range. The primary health care provider refuses to change the prescription and instructs the nurse to administer the dose as prescribed. Which action should the nurse take?

Contact the nursing supervisor.

A licensed practical nurse (LPN) is collecting data on a child and notes the presence of old and new bruises on the child's back and legs. The LPN suspects physical abuse and reports the findings to the registered nurse knowing that which action is necessary?

Reporting the case to legal authorities

A client with chronic obstructive pulmonary disease (COPD) asks the nurse for assistance with preparing a living will. The client tells the nurse that she has not discussed the living will with the family and wanted to make some decisions before discussing the will with the family. Which initial step in preparing this document should the nurse inform the client to do?

Discuss the request with the primary health care provider.