Ethics, Legality, Documentation

nurse's role in informed consent (5)

-witness the pt's signature on the informed consent form -ensure that the provider gave the pt the necessary information -ensure that the pt understood the information and is competent to give informed consent (before receiving sedating medications) -ensure pt gave consent voluntarily -document pt questions and notify the provider if pt has questions

sentinel event

an unexpected occurrence involving death or serious physical or psychological injury to a pt

when can minors grant consent? (4)

-minors who are designated emancipated by a court order -minors who are married, divorced, or widowed -minors who are in active military service -minors can grant consent for their own child

autonomy

-the right to make one's own personal decisions -commitment to include patients in decisions about their care

The primary focus of the Joint Commission is which of the following? a. remaining within the proposed budget b. safe, high-quality pt care c. providing employment opportunities d. providing a structure for collaboration among employees

a. remaining within the proposed budget Leadership and Management

A nurse is explaining the use of written consent forms to a newly-licensed nurse. The nurse ensure that a written consent form has been signed by which of the following clients? a. A client who has a prescription for a transfusion of packed red blood cells b. A client who is being transported for a radiography of the kidneys, ureters, and bladder c. A client who has a prescription for a tuberculin skin test d. A client who has a distended bladder and needs urinary catheterization

a. A client who has a prescription for a transfusion of packed red blood cells (procedure that carries risk = consent form) ATI

Which type of law authorizes state boards to enact rules that govern the practice of nursing? a. state law b. federal law c. common law d. criminal law

a. state law Leadership and Management

A nurse notes that the health care unit keeps a listing of the patient names at the front desk in easy view for health care providers to more efficiently locate the patient. The nurse talks with the nurse manager because this action is a violation of which act? a. Patient Protection and Affordable Care Act (PPACA) b. Patient Self-Determination Act (PSDA) c. Health Insurance Portability and Accountability Act (HIPAA) d. Emergency Medical Treatment and Active Labor Act

c. Health Insurance Portability and Accountability Act (HIPAA) Fundamentals ch 23

responsibility

willingness to respect obligations and follow through on promises

libel

written defamation of character (statements that result in damage to a person's reputation)

The following is an example of which ethical principle: A patient at the end of life wants to go home to die, but the family wants every care possible. The nurse contacts the primary care provider about the patient's request. 1. Confidentiality 2. Responsibility 3. Accountability 4. Advocacy

4. Advocacy Fundamentals ch 22

A nurse is called away for an emergency while conversing with a client who is concerned about his medical diagnosis. The nurse returns to the client promptly, as promised. Which of the following ethical principles is the nurse demonstrating? a. Autonomy b. Fidelity c. Nonmaleficence d. Justice

b. Fidelity (keeping a promise that was made) ATI

A nurse restrains a patient without patient permission or a physician's order - the nurse is guilty of what? a. negligence b. battery c. assault

b. battery (touching without consent)

fidelity

-the duty to do what one has promised -the agreement to keep promises and the unwillingness to abandon patients

slander

-when one person speaks falsely about another -spoken defamation of character (statements that result in damage to a person's reputation)

false imprisonment

-a person is confined or restrained against his will -unjustified restraint of a person without a legal reason

beneficence

-action that promotes good for others -the best interests of the patient are more important than self-interest

negligence

-conduct that falls below the generally accepted standard of care -failure of a person who has professional training to act in a reasonable and prudent manner

who can grant consent for a minor? (4)

-parent -legal guardian -adult brother or sister (in an emergency and parents aren't present) -grandparent (in an emergency and parents aren't present)

You are floated to work on a nursing unit where you are given an assignment that is beyond your capability. Which is the best nursing action to take first? 1. Call the nursing supervisor to discuss the situation 2. Discuss the problem with a colleague 3. Leave the nursing unit and go home 4. Say nothing and begin your work

1. Call the nursing supervisor to discuss the situation Fundamentals ch 23

When designing a plan for pain management for a postoperative patient, the nurse assesses that the patient's priority is to be as free of pain as possible. The nurse and patient work together to identify a plan to manage the pain. The nurse continually reviews the plan with the patient to ensure that the patient's priority is met. Which principle is used to encourage the nurse to monitor the patient's response to the pain? 1. Fidelity 2. Beneficence 3. Nonmaleficence 4. Respect for autonomy

1. Fidelity -Fidelity means keeping promises. Keeping the promise in this case includes not just tending to the clinical need but evaluating the effectiveness of the interventions. Fundamentals ch 22

The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Which statement should the nurse document on the incident report? 1. The client fell out of bed. 2. The client climbed over the side rails. 3. The client was found lying on the floor. 4. The client became restless and tried to get out of bed.

3. The client was found lying on the floor. (the only option that describes the facts as observed by the nurse) NCLEX

The nurse who works on the night shift enters the medication room and finds a co-worker with a tourniquet wrapped around the upper arm. The co-worker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. Which is the most appropriate action by the nurse? 1. call security 2. call the police 3. call the nursing supervisor 4. lock the co-worker in the medication room until help is obtained

3. call the nursing supervisor NCLEX

A patient has a fractured femur that is placed in skeletal traction with a fresh plaster cast applied. The patient experiences decreased sensation and a cold feeling in the toes of the affected leg. The nurse observes that the patient's toes have become pale and cold but forgets to document this because one of the nurse's other patients experienced cardiac arrest at the same time. Two days later the patient in skeletal traction has an elevated temperature, and he is prepared for surgery to amputate the leg below the knee. Which of the following statements regarding a breach of duty apply to this situation? (Select all that apply.) a. Failure to document a change in assessment data b. Failure to provide discharge instructions c. Failure to follow the six rights of medication administration d. Failure to use proper medical equipment ordered for patient monitoring e. Failure to notify a health care provider about a change in the patient's condition

a. Failure to document a change in assessment data e. Failure to notify a health care provider about a change in the patient's condition Fundamentals ch 23

Which of the following actions, if performed by a registered nurse, would result in both criminal and administrative law sanctions against the nurse? (Select all that apply.) a. Taking or selling controlled substances b. Refusing to provide health care information to a patient's child c. Reporting suspected abuse and neglect of children d. Applying physical restraints without a written physician's order e. Completing an occurrence report on the unit

a. Taking or selling controlled substances d. Applying physical restraints without a written physician's order Fundamentals ch 23

When the nurse is obtaining a pt's consent, the pt states that the surgeon did not give the pt information on the risks of the surgery. The nurse should do which of the following? a. tell the pt the risks b. report the surgeon to the ethics committee c. report the surgeon to the unit manager d. inform the surgeon that the pt is unaware of the risks

d. inform the surgeon that the pt is unaware of the risks Leadership and Management text

When a nurse asks another nurse to observe her group of pts while at lunch, and one pt falls out of bed, which nurse is responsible? a. the nurse originally assigned to the pt who went to lucnh is responsible b. the nurse who was observing the group of pts is responsible c. neither nurse is responsible d. the actions of both nurses will be reviewed

d. the actions of both nurses will be reviewed Leadership and Management

Nurse Practice Acts

describe and define the legal boundaries of nursing practice within each statex

nonmaleficence

do no harm, the avoidance of harm or hurt

battery

intentional offensive touching without consent or lawful justification

assault

intentional threat toward another person that places the person in reasonable fear of harmful, imminent, or unwelcome contact

veracity

the obligation to tell the truth

A nurse is explaining the use of incident reports to a group of nurses in an orientation program. Which of the following information should the nurse manager include? (Select all that apply) a. a description of the incident should be documented in the client's health care record b. the client should sign as a witness on the incident report c. incident reports include a description of the incident and actions taken d. a copy of the incident report should be placed in the client's health record e. the risk management department investigates the incident

a. a description of the incident should be documented in the client's health care record c. incident reports include a description of the incident and actions taken e. the risk management department investigates the incident ATI Leadership and Management

A nurse overhears an assistive personnel reprimanding a client for not using the urinal properly. The AP tells him that she will put a diaper on him if he does not use the urinal more carefully next time - the AP is guilty of what? a. assault b. battery c. false imprisonment d. invasion of privacy

a. assault (a threat toward another person that places the person in reasonable fear of harmful, imminent, or unwelcome contact) ATI Fundamentals ch 4

incidents that need to be reported (6)

-medication errors (including omission of prescription) -procedure/treatment errors -equipment-related injuries/errors -needlestick injuries -pt falls/injuries -visitor injuries

A nurse is caring for a client who is about to undergo an elective procedure. The nurse should take which of the following actions regarding informed consent? Select all that apply: 1. Make sure the surgeon obtained the client's consent 2. Witness the client's signature on the consent form 3. Explain the risks and benefits of the procedure 4. Describe the consequences of choosing not to have the surgery 5. Tell the client about the alternatives to having surgery

1. Make sure the surgeon obtained the client's consent 2. Witness the client's signature on the consent form -the other options are the responsibility of the surgeon ATI Fundamentals ch 4

A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles? 1. Fidelity 2. Autonomy 3. Justice 4. Beneficence

4. Beneficence -action that promotes good for others without self-interest -nurse is taking a specific and positive action to help the client ATI Fundamentals ch 3

A nurse questions a medication prescription as too extreme in light of the client's advanced age and unstable status. The nurse understands this action is an example of which of the following ethical principles? 1. Fidelity 2. Autonomy 3. Justice 4. Nonmaleficence

4. Nonmaleficence -commitment to do no harm -in this situation, the medication could harm the client ATI Fundamentals ch 3

The nurse is caring for an older client in a long-term care facility. Which action contributes to encouraging autonomy in the client? 1. Planning meals 2. Decorating the room 3. Scheduling haircut appointments 4. Allowing the client to choose social activities

4. Allowing the client to choose social activities -autonomy: the right to make one's own personal decisions -the correct option is the only one that allows the client to be a decision maker NCLEX ch 23

A client has refused to eat more than a few spoonfuls of breakfast. The health care provider has prescribed that tube feedings be initiated if the client fails to eat half of a meal because the client has lost a significant amount of weight during the previous 2 months. The nurse enters the room, looks at the tray, and says, "If you don't eat more than that, I'm going to have to put a tube down your throat and get a feeding in that way." The client begins crying and tries to eat more. Based on the nurse's actions, the nurse may be accused of which violation? 1. assault 2. battery 3. slander 4. invasion of privacy

1. assault (when a person puts another person in fear of harmful or offensive contact and the victim believes that harm will result as a result of the threat) NCLEX

the nurse's signature as a witness to informed consent means what 3 things?

1. the pt voluntarily gave consent 2. the pt's signature is authentic 3. the pt appears to be competent to give consent

2 times when informed consent is not required

1. when an emergency is present and delaying treatment for the purpose of obtaining informed consent would result in injury or death to the pt 2. when the pt waives the right to give informed consent

A child's immunization may cause discomfort during administration, but the benefits of protection from disease, both for the individual and society, outweigh the temporary discomforts. Which principle is involved in this situation? 1. Fidelity 2. Beneficence 3. Nonmaleficence 4. Respect for autonomy

2. Beneficence -the best interest of the patient (and society) outweighs self-interest Fundamentals ch 22

The following is an example of which ethical principle: You tell your patient that you will return in 30 minutes to give him his next pain medication. 1. Confidentiality 2. Responsibility 3. Accountability 4. Advocacy

2. Responsibility Fundamentals ch 22

The nurse arrives at work and is told to report (float) to the ICU for the day because the ICU is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the ICU. The nurse should take which best action? 1. refuse to float to the ICU based on lack of unit orientation 2. clarify with the team leader to make a safe ICU client assignment 3. ask the nursing supervisor to review the hospital policy on floating 4. submit a written protest to nursing administration, and then call the hospital lawyer

2. clarify with the team leader to make a safe ICU client assignment NCLEX

Which of the following examples is an ethical dilemma? 1. A nurse on a medical-surgical unit demonstrates signs of chemical impairment 2. A nurse overhears another nurse telling an older adult client that if he doesn't stay in bed, she will have to apply restraints 3. A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill 4. A client who is terminally ill hesitates to name her spouse on her durable power of attorney form

3. A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill -the other 3 options are legal issues, not ethical dilemmas ATI Fundamentals ch 3

The following is an example of which ethical principle: You administer a once-a-day cardiac medication at the wrong time, but nobody sees it. However, you contact the primary care provider and your head nurse and follow agency procedure. 1. Confidentiality 2. Responsibility 3. Accountability 4. Advocacy

3. Accountability -answerable for your own actions Fundamentals ch 22

The nurse received a hand-off report at the change of shift in the conference room from the night shift nurse. The nursing student assigned to the nurse asks to review the medical records of the patients assigned to them. The nurse begins assessing the assigned patients and lists the nursing care information for each patient on each individual patient's message board in the patient rooms. The nurse also lists the patients' medical diagnoses on the message board. Later in the day the nurse discusses the plan of care for a patient who is dying with the patient's family. Which of these actions describes a violation of the Health Insurance Portability and Accountability Act (HIPAA)? 1. Discussing patient conditions in the nursing report room at the change of shift 2. Allowing nursing students to review patient charts before caring for patients to whom they are assigned 3. Posting medical information about the patient on a message board in the patient's room 4. Releasing patient information regarding terminal illness to family when the patient has given permission for information to be shared

3. Posting medical information about the patient on a message board in the patient's room -Posting the medical condition of a patient on a message board in the patient's room is not necessary for the patient's treatment. Doing so can result in this information being accessed by people who are not involved in the patient's treatment. Fundamentals ch 23

The nurse is caring for a client who was involuntarily hospitalized to a mental health unit and is scheduled for electroconvulsive therapy. The nurse notes that an informed consent has not been obtained for the procedure. Based on this information, what is the nurse's best determination in planning care? 1. the informed consent does not need to be obtained 2. the informed consent should be obtained from the family 3. the informed consent needs to be obtained from the client 4. the health care provider will provide the informed consent

3. the informed consent needs to be obtained from the client (pts who are admitted involuntarily to a mental health unit do not lose their right to informed consent - pts must be considered legally competent until they have been declared incompetent through a legal proceeding) NCLEX

A client is brought into the emergency department by EMS after being hit by a car. The name of the client is unknown, and the client has sustained a severe head injury and multiple fractures and is unconscious. Regarding informed consent for the surgical procedure, which is the best action? 1. obtain a court order for the surgical procedure 2. ask the EMS team to sign the informed consent 3. transport the victim to the operating room for surgery 4. call the police to identify the client and locate the family

3. transport the victim to the operating room for surgery (informed consent is not needed when an emergency is present and delaying treatment for the purpose of obtaining informed consent would result in injury or death to the pt) NCLEX

A client with a gastric ulcer is scheduled for surgery. The client cannot sign the operative consent form because of sedation from opioid analgesics that have been administered. The nurse should take which most appropriate action in the care of this client? 1. obtain a court order for surgery 2. have the charge nurse sign the informed consent immediately 3. send the client to surgery without the consent form being signed 4. obtain a telephone consent from a family member, following agency policy

4. obtain a telephone consent from a family member, following agency policy NCLEX ch 18

In which of the following situations could a nurse be accused of false imprisonment? (Select all that apply) a. inappropriate use of chemical restraints b. inappropriate use of physical restraints c. restraining a competent person d. failure to follow the institution's policies regarding the type and frequency of restraints e. using restraints in an emergency situation to protect the pt from harm

a. inappropriate use of chemical restraints b. inappropriate use of physical restraints c. restraining a competent person d. failure to follow the institution's policies regarding the type and frequency of restraints Leadership and Management text

A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching? (Select all that apply) a. medication error b. needlesticks c. conflict with provider and nursing staff d. omission of prescription e. complaint from a client's family member

a. medication error b. needlesticks d. omission of prescription ATI Fundamentals ch 5

A confused patient fell out of bed because side rails were not used - this is an example of what kind of liability? a. negligence b. battery c. assault

a. negligence (below standard of care, protect others against risk of harm)

The nurse demonstrates nonmaleficence by doing which of the following? (Select all that apply) a. observing the 6 rights of medication administration b. reviewing practitioner orders for accuracy and completeness c. striving to improve pt satisfaction d. keeping knowledge and skill up-to-date e. dressing professionally, with name badge clearly visible

a. observing the 6 rights of medication administration b. reviewing practitioner orders for accuracy and completeness c. striving to improve pt satisfaction d. keeping knowledge and skill up-to-date e. dressing professionally, with name badge clearly visible Leadership and Management text

A nurse is caring for a client diagnosed with severe acute respiratory syndrome (SARS). The nurse is aware that health care professionals are required to report communicable and infectious diseases. Which of the following illustrate the rationale for reporting? (Select all that apply) a. planning and evaluating control and prevention strategies b. determining public health priorities c. ensuring proper medical treatment d. identifying endemic disease e. monitoring for common-source outbreaks

a. planning and evaluating control and prevention strategies b. determining public health priorities c. ensuring proper medical treatment e. monitoring for common-source outbreaks (endemic disease is already prevalent within a population, so reporting is not necessary) ATI Fundamentals

accountability

ability to answer for one's own actions

A nurse discovers that a client was administered an antihypertensive medication in error. Identify the appropriate sequence of steps that the nurse should take using the following actions: a. call the provider b. check vital signs c. notify the risk manager d. complete an incident report e. instruct the client to remain in bed until further notice

b, e, a, d, c 1. b. check vital signs 2. e. instruct the client to remain in bed until further notice 3. a. call the provider 4. d. complete an incident report 5. c. notify the risk manager ATI Leadership and Management

A nurse notes that an advance directive is on a patient's medical record. Which statement represents the best description of an advance directive guideline that the nurse will follow? a. A living will allows an appointed person to make health care decisions when the patient is in an incapacitated state. b. A living will is invoked only when the patient has a terminal condition or is in a persistent vegetative state. c. The patient cannot make changes in the advance directive once admitted to the hospital. d. A durable power of attorney for health care is invoked only when the patient has a terminal condition or is in a persistent vegetative state.

b. A living will is invoked only when the patient has a terminal condition or is in a persistent vegetative state. Fundamentals ch 23

A nurse is caring for a patient who recently had coronary bypass surgery and now is on the postoperative unit. Which are legal sources of standards of care that the nurse uses to deliver safe health care? (Select all that apply.) a. Information provided by the head nurse b. Policies and procedures of the employing hospital c. State Nurse Practice Act d. Regulations identified in The Joint Commission manual e. The American Nurses Association standards of nursing practice

b. Policies and procedures of the employing hospital c. State Nurse Practice Act d. Regulations identified in The Joint Commission manual e. The American Nurses Association standards of nursing practice Fundamentals ch 23

A nurse is planning care for a patient going to surgery. Who is responsible for informing the patient about the surgery along with possible risks, complications, and benefits? a. Family member b. Surgeon c. Nurse d. Nurse manager

b. Surgeon Fundamentals ch 23

A nurse is sued for negligence due to failure to monitor a patient appropriately after a procedure. Which of the following statements are correct about this lawsuit? (Select all that apply.) a. The nurse does not need any representation. b. The patient must prove injury, damage, or loss occurred. c. The person filing the lawsuit has to show a compensable damage, such as lost wages, occurred. d. The patient must prove that a breach in the prevailing standard of care caused an injury. e. The burden of proof is always the responsibility of the nurse.

b. The patient must prove injury, damage, or loss occurred. c. The person filing the lawsuit has to show a compensable damage, such as lost wages, occurred. d. The patient must prove that a breach in the prevailing standard of care caused an injury. Fundamentals ch 23

You are working on a medical-surgical unit and one of your pts, an elderly woman, has an advanced directive that requests that no CPR be done in the event that she stops breathing. One day she stops breathing, and someone on your unit calls a code and begins resuscitative efforts. You go along with the team and help resuscitate the pt. She regains a pulse but never regains consciousness. She is now ventilator dependent, and her family is very angry with you and the staff. Which of the following is a potential legal action you will face? a. violation of pt privacy b. battery c. criminal recklessness d. revoked nursing license

b. battery Leadership and Management text

A practitioner has issued a DNR for your pt, a 55-year-old man with cancer. You spoke with the pt this morning, and he clearly wishes to be resuscitated in the event that he stops breathing. What is the most appropriate course of action? a. ignore the pt's wishes because the practitioner ordered the DNR b. consult your hospital's policies and procedures, speak to the practitioner, and discuss the matter with your nurse manager c. attempt to talk the pt into agreeing to the DNR d. contact the medical licensing board to complain about the practitioner

b. consult your hospital's policies and procedures, speak to the practitioner, and discuss the matter with your nurse manager Leadership and Management text

A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as a responsibility of state licensing boards? a. monitoring for evidence-based practice for clients who have a specific diagnosis b. ensuring that health care providers comply with regulations c. setting quality standards for accreditation of health facilities d. determining if medications are safe for administration to clients

b. ensuring that health care providers comply with regulations ATI Fundamentals

A nurse is caring for a competent adult client who tells the nurse that he is thinking about leaving the hospital against medical advice. The nurse believes that this is not in the client's best interest, so she prepares to administer a PRN sedative medication the client has not request along with his usual medication. Which of the following types of tort is the nurse about to commit? a. assault b. false imprisonment c. negligence d. breach of confidentiality

b. false imprisonment (The nurse gave the medication as a chemical restraint to keep the pt from leaving the facility against medical advice. This is false imprisonment because the pt neither requested nor consented to receiving the medication) ATI Fundamentals ch 4

A newly licensed nurse is preparing to insert an IV catheter in a client. Which of the following sources should the nurse use to review the procedure and that standard at which it should be performed? a. website b. institutional policy and procedure manual c. more experienced nurse d. state nurse practice acts

b. institutional policy and procedure manual ATI Leadership and Management

The Health Insurance Portability and Accountability Act (HIPPA) protects which of the following? a. a pt's right to be insured, regardless of employment status or ability to pay b. the confidentiality of certain protected health information c. the nurse's right to health insurance d. the hospital's right to disclose protected health information

b. the confidentiality of certain protected health information Leadership and Management text

Which of the following statements made by a client should indicate to the nurse an understanding of advance directives? a. "I'd rather have my brother make decisions for me, but I know it has to be my life." b. "I know they won't go ahead with the surgery unless I prepare these forms." c. "I plan to write that I don't want them to keep me on a breathing machine." d. "I will get my regular doctor to approve my plan before I hand it in at the hospital."

c. "I plan to write that I don't want them to keep me on a breathing machine." -pt can designate any competent adult to be his health care proxy -hospital staff can't refuse care based on the lack of advance directives -the pt doesn't need his provider's approval to submit his advance directives ATI Fundamentals ch 4

While administering medications, a nurse realizes that a prescribed dose of a medication was not given. The nurse acts by completing an incident report and notifying the patient's health care provider. The nurse is exercising: a. Authority. b. Responsibility. c. Accountability. d. Decision making.

c. Accountability. Fundamentals ch 21

A home health nurse notices significant bruising on a 2-year-old patient's head, arms, abdomen, and legs. The patient's mother describes the patient's frequent falls. What is the best nursing action for the home health nurse to take? a. Document her findings and treat the patient b. Instruct the mother on safe handling of a 2-year-old child c. Contact a child abuse hotline d. Discuss this story with a colleague

c. Contact a child abuse hotline (mandatory reporting - nurses must report any suspicion of abuse/nurses are mandated reporters of suspected abuse) Fundamentals ch 23

A nurse stops to help in an emergency at the scene of an accident. The injured party files a suit, and the nurse's employing institution insurance does not cover the nurse. What would probably cover the nurse in this situation? a. The nurse's automobile insurance b. The nurse's homeowner's insurance c. The Good Samaritan law, which grants immunity from suit if there is no gross negligence d. The Patient Care Partnership, which may grant immunity from suit if the injured party consents

c. The Good Samaritan law, which grants immunity from suit if there is no gross negligence Fundamentals ch 23

A practitioner has ordered you to discharge Mr. Jones from the hospital, despite a new temperature of 102 F (38.8 C). The practitioner refuses to talk with you about the pt. In this situation, which of the following is an appropriate nursing action? a. administer an antipyretic medication and discharge the pt b. discharge the pt with instructions to call 911 if he has any problems c. do not discharge the pt until you have discussed the matter with your nursing manager and are satisfied regarding pt safety d. discharge the pt and tell him to take Tylenol when he gets home

c. do not discharge the pt until you have discussed the matter with your nursing manager and are satisfied regarding pt safety Leadership and Management text

Who is responsible for educating the health care team in an organization on the policies, practices, and laws of delegation? a. American Nurses Association b. National Council of State Boards of Nurses c. health care organization d. the state

c. health care organization Leadership and Management

A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she was not on break. Which of the following actions should the nurse take? a. alert the American Nurses Association b. fill out an incident report c. report the observations to the nurse manager on the unit d. leave the nurse alone to sleep

c. report the observations to the nurse manager on the unit ATI Fundamentals ch 4

Which of the following is not an essential element of a Good Samaritan law? a. the care is rendered in an emergency situation b. the health care worker is rendering care without pay c. the health care worker is concerned about the safety of the victims d. the care provided did not recklessly or intentionally cause injury or harm to the injured party

c. the health care worker is concerned about the safety of the victims Leadership and Management text

Which of the following elements is not necessary for a nurse to be found negligent in a court of law? a. a duty or obligation for the nurse to act in a particular way b. a breach of that duty or obligation c. the nurse's intention to be negligent d. physical, emotional, or financial harm to the pt

c. the nurse's intention to be negligent Leadership and Management

The nurse requests a patient scheduled for colectomy to sign the operative permit as directed in the physician's preoperative orders. The patient states that the physician has not really explained very well what is involved in the surgical procedure. What is the most appropriate action by the nurse? a. Ask family members whether they have discussed the surgical procedure with the physician. b. Have the patient sign the form and state the physician will visit to explain the procedure before surgery. c. Explain the planned surgical procedure as well as possible and have the patient sign the consent form. d. Delay the patient's signature on the consent and notify the physician about the conversation with the patient.

d. Delay the patient's signature on the consent and notify the physician about the conversation with the patient. (The patient should not be asked to sign a consent form unless the procedure has been explained to the satisfaction of the patient. The nurse should notify the physician, who has the responsibility for obtaining consent.) MS ch 42

You are the night shift nurse caring for a newly admitted patient who appears to be confused. The family asks to see the patient's medical record. What is the priority nursing action? a. Give the family the record b. Discuss the issues that concern the family with them c. Call the nursing supervisor d. Determine from the medical record if the family has been granted permission by the patient to access his or her medical information

d. Determine from the medical record if the family has been granted permission by the patient to access his or her medical information Fundamentals ch 23

A woman has severe life-threatening injuries and is hemorrhaging following a car accident. The health care provider ordered 2 units of packed red blood cells to treat the woman's anemia. The woman's husband refuses to allow the nurse to give his wife the blood for religious reasons. What is the nurse's responsibility? a. Obtain a court order to give the blood b. Coerce the husband into giving the blood c. Call security and have the husband removed from the hospital d. More information is needed about the wife's preference and if the husband has her medical power of attorney

d. More information is needed about the wife's preference and if the husband has her medical power of attorney Fundamentals ch 23

Following a sentinel event, which step would be initiated first? a. no action required b. taking corrective action on personnel c. reporting the event to legislative authorities d. immediate investigation

d. immediate investigation Leadership and Management