Chapter 7 prep u questions

A nurse working in a coronary care unit resuscitates a client who had expressed wishes not to be resuscitated. Which tort has the nurse committed

Battery

A legal document that states a client's health-related wishes — such as a preference for pain management if the client becomes terminally ill — and also allows the client's adult child to direct the client's care, is:

Advances directive

During a nursing shift, which events warrant the completion of an incident report? Select all that apply. a. An intravenous antibiotic was administered 2 hours late because the IV site infiltrated. b. A nurse asks a UAP to feed a client c. A client falls while being transferred from the bed to the chair. d. A visitor slipped and fell in the hallway, but was not injured

An intravenous antibiotic was administered 2 hours late because the IV site infiltrated. A client falls while being transferred from the bed to the chair. A visitor slipped and fell in the hallway, but was not injured

A client with end-stage renal disease decides against further treatment and requests a "Do Not Resuscitate" (DNR) order. The DNR status is part of the change-of-shift report. The client stops breathing and a nurse begins cardiopulmonary resuscitation. The family is upset and makes a complaint to the charge nurse. The charge nurse appropriately identifies that nurse has committed:

Battery

A review of a patient's record revealed that no one obtained informed consent for the heart surgery that was performed on the patient. Which intentional tort has been committed Assault Battery Invasion of privacy False imprisonment

Battery

An RN enters a client's room and observes the unlicensed assistive personnel (UAP) forcefully pushing a client down on the bed. The client starts crying and informs the UAP of the need to go to the bathroom. What action is the RN witnessing that should be immediately reported to the supervisor?

Battery

The nurse inserts a prescribed urinary catheter into the client's urethra after the client has refused the procedure. The client suffers an injury. The client may sue the nurse for which type of tort?

Battery

A nurse exits the room of a confused client without raising the side rails on the bed. The failure to raise the side rails would constitute which element of liability related to malpractice?

Breach of duty

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? 1. Causation 2. Breach of duty 3. Damages 4. Negligence

Breach of duty is the failure to assess, intervene, or notify the health care provider regarding the client's condition

A nurse pleads guilty to a misdemeanor negligence charge for failing to monitor a patient's vital signs during routine eye surgery, leading to the death of the patient. The nurse's attorney explained in court that the nurse was granted recognition in a specialty area of nursing. What is the term for this type of credential? Accreditation Licensure Certification Board approval

Certification

A nurse fails to administer a medication that prevents seizures, and the client has a seizure. The nurse is in violation of the Nurse Practice Act. What type of law has the nurse violated? a. civil b. criminal c. supreme law

Civil. Malpractice cases are generally civil litigation cases that involve nurses

A client is scheduled for a colonoscopy. The nurse realizes immediately after administering medications to induce conscious sedation that the client has not signed the informed consent. If the nurse has the client sign the informed consent at this point, which element of informed consent would be violated? a. Disclosure b. Voluntariness c. Comprehension d. Competence

Competence

A state attorney decides to charge a nurse with manslaughter for allegedly administering a lethal medication. This is an example of what type of law? Public law Private law Civil law Criminal law

Criminal

A nurse is named as a defendant in a malpractice lawsuit. Which action would be recommended for this nurse a. Do not volunteer any information on the witness stand b. Be prepared to tell your side to the press c. If a mistake was made in the chart go back and change it

Do not volunteer any information on the witness stand

The nurse is providing care to a client whose condition has progressively declined. The nurse assesses and makes appropriate interventions as well as notifies the health care provider. Despite the nurse's efforts, the client expires. What element of liability has the nurse demonstrated? a. Causation b. Breach of duty c. Harm d. Duty

Duty

A nurse who obtains a license to practice nursing through self-misrepresentation is guilty of what tort?

Fraud

While caring for an infant, the nurse hears another child screaming in the next room and rushes there, forgetting to put the side rails upon the infant's crib. The nurse returns to the room to find that the infant has fallen out of the crib and sustained a head injury. Based on the nurse's action, which tort is the nurse liable for? 1. Battery 2. Malpractice 3. Assault 4. Defamation

Malpractice because the nurse had a duty and breached it, which resulted in harm to the infant

Professional regulations and laws that govern nursing practice are in place for which reason? a. To protect the government b. To protect the safety of the public c. To maintain rules for physicians d. To covers doctors mistakes

To protect the safety of the public

A nurse, while off-duty, tells the physiotherapist that a client who was admitted to the nursing unit contracted AIDS due to exposure to sex workers at the age of 18. The client discovers that the nurse has revealed the information to the physiotherapist. With what legal action could the nurse be charged?

slander

A nurse has been asked to serve as an expert witness in a malpractice case in which an infant died in the newborn nursery. Which questions should the nurse consider prior to accepting this job? Select all that apply. "How would I react if I was sued?" "How much clinical experience do I have in the newborn nursery?" "How would I feel if my child died due to a nurse's malpractice?" "How much education do I have about caring for newborns?" "How much money will I get for being an expert in the case?"

"How much clinical experience do I have in the newborn nursery?" "How much education do I have about caring for newborns?"

A nursing student administers an overdose of an opioid to a client and the client arrests. When discussing the incident with nursing faculty, which statements made by the student indicate the need for further teaching? Select all that apply. a. "I am glad I am a student because nursing faculty will be blamed, not me." b. "I cannot be held liable because this is only my second time at this facility." c. "I should have informed you that I felt unprepared for my assignment." d. "I have also put the nursing faculty at risk with my action."

"I am glad I am a student because nursing faculty will be blamed, not me." "I cannot be held liable because this is only my second time at this facility."

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

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

While walking down the hall, a nurse manager overhears a staff member telling a client, "If you don't stay in this chair and stop wandering, I'm going to tie you to it." The nurse manager pulls the staff member aside and discusses what was said. The nurse manager intervenes because the staff member's statement is which type of tort?

Assault

A client states that the client's recent fall was caused by his scheduled antihypertensive medications being mistakenly administered by two different nurses, an event that is disputed by both of the nurses identified by the client. Which measure should the nurses prioritize when anticipating that legal action may follow? 1. Document the client's claims and the events surrounding the alleged incident 2. Consult with the hospitals legal department as soon as possible 3. Enlist support from nursing staff 4. Consult with practice advisers from the state board of nursing

Document the client's claims and the events surrounding the alleged incident

During the orientation to the hospital, the staff development educator discusses unit and institutional-based policies. What is the source of the practice rules that result in unit and institutional-based policies a. Board of nursing b. State legislation c. Federal legislation d. Health care facility

Health care facility

An HIV-positive client discovers that the client's name is published in a research report on HIV care prepared by the client's nurse. The client is hurt and files a lawsuit against the nurse. Which offense has the nurse committed? 1. Unintentional tort 2. Neglagience of duty 3. Invasion of privacy 4. Defamation of character

Invasion of privacy

When talking with family over dinner, the nurse shares about a client with infertility at the hospital, identifying the person by name. Which tort has the nurse committed? a. Assault b. Slander c. Invasion of privacy

Invasion of privacy

A registered nurse who has an associate degree would like to obtain a baccalaureate degree in nursing. The nurse works full time and has several family obligations and would like to find a program that fits into that lifestyle. What is the nurse's priority question about an educational program? a. Is it online b. Is it full time c. How much does it cost d. Is the program accredited?

Is the program accredited?

A nurse in a NICU fails to monitor a premature newborn according to the protocols in place and is charged with malpractice. What is the term for those bringing the charges against the nurse? a. Appellates b. Defendants c. Plaintiffs d. Attorneys

Plaintiffs

Nurse practice acts are examples of which type of laws? a. Statutory laws b. civil laws c. private laws d. common laws

Statutory laws

While at a coworker's house, a nurse discusses with the coworker a client whom the nurse suspects of physically abusing the client's child. The next day, the client is moved to another nursing unit after a surgical procedure and comes under the care of the coworker, who is also a nurse. The coworker confronts the client about the alleged physical abuse. The client is shocked and angered by the accusation and denies it categorically. What would be the charge if the client were to file a suit?

The first nurse could be charged with slander.

A client is being prepared for an elective surgical procedure and the consent form has not been signed. Who should the nurse have obtain consent for the procedure? a. The client's family or significant other b. The charge nurse c. The health care provider performing the surgical procedure

The health care provider performing the surgical procedure

A family brings the client 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? 1. The nurse confirms that the client has signed the consent form 2. The nurse confirms that the client's family has signed the consent form 3. The nurse informs the family about advanced directives 4. The nurse informs the family about a living will

The nurse confirms that the client's family has signed the consent form

A veteran nurse pleaded guilty to a misdemeanor negligence charge in the case of a 75-year-old woman who died after slipping into a coma during routine outpatient hernia surgery. The nurse admitted failing to monitor the woman's vital signs during the procedure. The surgeon who performed the procedure called the nurse's action pure negligence, stating that the patient could have been saved. The patient was a vibrant grandmother of 10 who had walked three-quarters of a mile the morning of her surgery and had sung in her church choir the day before. What criteria must be established to prove that the nurse is guilty of malpractice or negligence in this case? a. The surgeon who performed the procedure called the nurse's action pure negligence, saying that the patient could have been saved. b. The fact that this patient should not have died since she was a healthy grandmother of 10, who was physically active and involved in her community. c. The nurse intended to harm the patient and was willfully negligent, as evidenced by the tragic outcome of routine hernia surgery. d. The nurse had a duty to monitor the patient's vital signs, and due to the nurse's failure to perform this duty in this circumstance, the patient died

The nurse had a duty to monitor the patient's vital signs, and due to the nurse's failure to perform this duty in this circumstance, the patient died. Liability involves four elements that must be established to prove that malpractice or negligence has occurred: duty, breach of duty, causation, and damages

A nurse enters the client's room and finds the client lying on the floor experiencing a seizure. After stabilizing the client, the nurse informs the physician. The physician advises the nurse to prepare an incident report. What is the purpose of an incident report? a. To provide information to the local, and state board b. To have proof of the patient's fall c. To evaluate the quality of care provided and assess the potential risks for injury to the client d. To evaluate the immediate care provided by the nurse

To evaluate the quality of care provided and assess the potential risks for injury to the client

An attorney is representing a patient's family who is suing a nurse for wrongful death. The attorney calls the nurse and asks to talk about the case to obtain a better understanding of the nurse's actions. How should the nurse respond? a. "I'm sorry, but I can't talk with you; you will have to contact my attorney." b. "I will answer your questions so you'll understand how the situation occurred. c. "I hope I won't be blamed for the death because it was so busy that day." d. "First tell me why you are doing this to me. This could ruin my career!"

a. "I'm sorry, but I can't talk with you; you will have to contact my attorney."

A nursing student asks the charge nurse about legal liability when performing clinical practice. Which statement regarding liability is true? a. Students are not responsible for their acts of negligence resulting in patient injury. b. Student nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse. c. Hospitals are exempt from liability for student negligence if the student nurse is properly supervised by an instructor. d. Most nursing programs carry group professional liability making student personal professional liability insurance unnecessary

b. Student nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse

Nurses are occasionally asked to witness a testator's (person who makes the will) signing of a will. Which guideline is true regarding a nurse's role in witnessing a testator's signature a. A single witness is sufficient for a will b. A beneficiary to a will is allowed to witness c. Witnesses to a signature do not need to read the will d. Witnesses do not need o observe the signing in order to sign

c. Witnesses to a signature do not need to read the will

A nurse who demonstrates advanced expertise in a content area of nursing through special testing is an example of? a. licensure b. certification c. accreditation d. manager approval

certification

A nurse administers the wrong medication to a patient and the patient is harmed. The health care provider who ordered the medication did not read the documentation that the patient was allergic to the drug. Which statement is true regarding liability for the administration of the wrong medication? a. The nurse is not responsible, because the nurse was following the doctor's orders. b. Only the nurse is responsible, because the nurse actually administered the medication. c. Only the health care provider is responsible, because the health care provider actually ordered the drug. d. Both the nurse and the health care provider are responsible for their respective actions

d. Both the nurse and the health care provider are responsible for their respective actions

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. "Let me ask my manager if I can share the information" b. " Follow me to a meeting room where we can discuss the information in private" c."I cannot give you that information due to client confidentiality." d. "Can you show me your id to prove who you are"

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

Nurses may commit both intentional and unintentional torts when practicing within the profession. What intentional torts may occur in nursing practice? Select all that apply. a. A nurse threatens to hit an older client who has dementia and is screaming. b. A nurse seeks employment in a hospital after falsifying credentials on a resume. c. A nurse forgets to put the side rails up on a crib and the toddler falls out. d. A nurse places a client who is a fall risk in restraints without an order from the health care provider. e. A nurse makes disparaging remarks to the staff about a client who has a sexually transmitted infection (STI).

A nurse threatens to hit an older client who has dementia and is screaming. A nurse seeks employment in a hospital after falsifying credentials on a resume. A nurse places a client who is a fall risk in restraints without an order from the health care provider. A nurse makes disparaging remarks to the staff about a client who has a sexually transmitted infection (STI).

A client newly diagnosed with congestive heart failure has a prescription for digoxin. The nurse counts the heart rate before administration of the medication and obtains a heart rate of 51 beats per minute. Which action by the nurse demonstrates adherence to the standards of nursing care? a. The nurse waits 30 minutes then administers the medication b. The nurse withholds the medication and notifies the health care practitioner c. The nurse administers the medication to increase the heart rate d. The nurse has the patient do jumping jacks to increase heart rate then gives the medication

The nurse withholds the medication and notifies the health care practitioner

Newly hired nurses in a busy suburban hospital are required to read the state nurse practice act as part of their training. Which topics are covered by this act? Select all that apply a. Violations that may result in disciplinary action. b. Clinical procedures c. Medication administration d. Scope of practice e. Delegation policies f. Medicare reimbursement

a. Violations that may result in disciplinary action d. Scope of practice

A nurse answers a patient's call light and finds the patient on the floor by the bathroom door. After calling for assistance and examining the patient for injury, the nurse helps the patient back to bed and then fills out an incident report. Which statements accurately describe steps of this procedure and why it is performed? Select all that apply a. An incident report is used as disciplinary action against staff members. b. An incident report is used as a means of identifying risks. c. An incident report is used for quality control. d. The facility manager completes the incident report. e. An incident report makes facts available in case litigation occurs. f. Filing of an incident report should be documented in the patient record.

b. An incident report is used as a means of identifying risks. c. An incident report is used for quality control. e. An incident report makes facts available in case litigation occurs