Fundamentals of Nursing - Ch 7 Questions

A nurse exits the room of a confused patient without raising the side rails on the bed. The failure to raise the side rails would be which of the following elements of liability related to malpractice? A. Breach of duty B. Duty C. Damages D. Causation

A

A patient states that his recent fall was caused by the fact that his scheduled antihypertensives were mistakenly administered by two different nurses, an event that is disputed by both of the nurses identified by the patient. Which of the following measures should the nurses prioritize when anticipating that legal action may follow? A. Document the patient's claims and the events surrounding the alleged incident B. Consult with practice advisors from the state board of nursing C. Enlist support from nursing and nonnursing colleagues from the unit D. Liaise with the hospital's legal department as soon as possible

A

A registered nurse has had her license suspended after being convicted of being impaired at work. What governing body has the authority to revoke or suspend a nurse's license? A. The State Board of Nurse Examiners B. The employing healthcare institution C. The Supreme Court D. The National League for Nursing

A

After reporting to work for a night shift, Nurse L learns that the unit will be understaffed because toe RN's called out sick. As a result, each nurse on the unit will need to provide care for an additional four acute patients in addition to his or her regular patient assessment. Which of the following statements is true of Nurse L when working in understaffed circumstances? A. Nurse L will be legally held to the same standards of care as when staffing levels are normal B. Nurse L is legally obliged to refuse to privide care when understaffing creates the potential for unsafe conditions C. Nurse L must document the float staff, nurses on overtime, and part-time staff were contacted in an effort to fill the gaps in care D. Understaffing constitutes an extenuating circumstance that creates a temporary lower expectation for care for Nurse L

A

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. Healthcare institution B. Board of nursing C. Federal legislation D. State legislation

A

Which process evaluates and recognizes educational programs as having met certain standards? A. Accreditation B. Credentialing C. Certification D. Licensure

A

A RN enters a patient's room and observes the nursing assistant pushing a patient down on the bed. The patient starts crying and informs the nursing assistant that he needs to go to the bathroom. The nursing assistant holds the patient down and tells him he was just in the bathroom. The nurse observing this incident is aware that the nursing assistant's action is an example of which of the following? A. Battery B. Fraud C. Defamation of character D. Assault

B

A patient's morning blood work indicates a significant decline in his hemoglobin and hematocrit, prompting the primary care provider to order a blood transfusion. As a component of the informed consent process, the potential risks and benefits have been explained to the patient. How should the patient's comprehension of this information be determined? A. Provide an opportunity for the patient to ask any questions about the procedure B. Ask the patient to explain the risks and benefits in his own words C. Ask the patient if he understands the risks and benefits of transfusion D. Supplement the spoken teaching with written materials

B

Nurse Practice Acts are examples of which type of laws? A. Administrative law B. Statutory laws C. Constitutional laws D. Common law

B

Which of the following clinical events constitute areas of potential liability for the nurses involved? Select all that apply. A. A patient with no known cardiac history suffers an unwitnessed cardiac arrest and dies B. A patient experiences a seizure after a missed dose of his scheduled anticonvulsant C. A confused patient experiences a fall because her bedrails were left in a lowered position D. An anemic patient experiences a febrile reaction to a transfusion of packed red blood cells E. An elderly patient develops skin breakdown on his coccyx because he was turned infrequently

B, C, E

A malpractice case involving an incident in the operating room has entered litigation. A scrub nurse has been asked to present her firsthand knowledge of the incident based upon recollection of the incident and documentation in the patient record. The nurse's role in this malpractice case is: A. nurse as an expert witness B. nurse as the plaintiff C. nurse as a fact witness D. nurse as the defendant

C

During the admission assessment of a 40yo female patient with a suspected mandibular fracture, the patient discloses to the nurse that her injury came as a result of her husband hitting her. Which of the following actions should the nurse prioritize when responding to this disclosure? A. Informing the patient of her right to keep this information private B. Performing an assessment to confirm the patient's statement C. Reporting the abuse to the appropriate authorities D. Ensuring the patient's statement is confirmed by another nurse

C

Having recently completed a specialty nursing program in neonatal care, a nurse is now preparing to leave her current position on a medical unit and begin providing care in the hopital's NICU. The nurse has completed which of the following processes of credentialing? A. Accreditation B. Licensure C. Cerification D. Validation

C

Which of the following clinical events is addressed by the provisions of the Health Insurance Portability and Accountability Act (HIPAA)? A. A patient develops a nosocomial infection after sharing a room with another patient who had vancomycin-resistant enterococcus (VRE). B. A patient develops a stage II pressure ulcer after several consecutive shifts where the hospital was short of safe staffing levels C. A patient believes that the healthcare team is withholding information about her diagnosis and wishes to read her medical chart D. A patient with suicidal ideation is admitted for treatment despite being adamently opposed to the admission

C

Which of the following parties is responsible for obtaining informed consent from a patient? A. The patient's family or significant other B. The patient's nurse C. The person performind the procedure, study, or treatment D. The nursing supervisor

C

During a clinical placement on a subacute, geriatric medicine unit, a student nurse fed a stroke patient some beef broth despite the fact that the patient's diet was restricted to thickened fluids. As a result, the patient aspirated and developed pneumonia. Which of the following statements underlies the student's potential liability in this situation? A. The student's potential liability is likley negated by the insurance carrier by the school of nursing B. The patient's primary nurse is liable for failing to ensure the delegated care was appropriate C. The student and the nurse instructor share liability for this lapse in care D. The same standards of care that apply to a registered nurse apply to the student

D

Injuries related to lifting or transferring patients occur in the healthcare setting and may be considered a work-related injury. Which law was intended to reduce work-related injuries and illnesses? A. Americans with Disabilities Act of 1990 B. Title VII of the Civil Rights Act of 1964 C. The Health Care Quality Improvement Act of 1986 D. The Occupational Safety and Health Act of 1970

D

Nurses are occasionally asked to witness a testator's (perosn who makes the will) signing of his or her will. Which of the following guidelines is true regarding a nurse's role is witnessing a testator's signature? A. A beneficiary to a will is allowed to act as a witness B. A single witness is sufficient for a will C. Witnesses do not need to observe the signing of the will and can sign it at a later time D. Witnesses to a signature do not need to read the will

D

Which of the following aspects of nursing would be most likely defined by legislation at a state level? A. The criteria that patients must meet in order to qualify for Medicare or Medicaid B. The criteria that a nurse must consider when delegating tasks to unlicensed care providers C. The process that nurses must follow when handling and administering medications D. The differences in the scope of practice between RNs and LPNs.

D