Leadership CH 3 - Nurse practice and the law

9. A patient tells a nurse that he has an advance directive from 6 years ago. The nurse looks at the medical record for the advance directive. What content should the nurse expect to find in the advance directive? (select all):

- decisions regarding treatments - when to take the patient to the hospital - DNR orders - durable power of attorney for health care

7. An RN is obtaining a signature on a surgical informed consent document. Before obtaining the signature, the RN must ensure which of the following? (select all):

- the client is not sedated - the patient understands the procedure

2. The healthcare facility has sponsored a continuing education offering on emergency management of pandemic influenza. At lunch, a nurse is overheard saying, "I'm not going to take care of anyone who might have the flu. I have kids to think about". What is true of this statement? (select all)

- the nurse has greater obligation than a layperson to care for the sick or injured in an emergency - this statement is a breach of the Code of Ethics for Nurse

4. An RN new to the ED documented that "the patient was intoxicated and acted in a crazy manner". The team leader told the RN that this type of documentation can lead to

Defamation of character

1. Which common practice puts the nurse at liability for invasion of patient privacy?

During care, the nurse reveals information about the patient to those in the room

5. An RN sees an older woman fall in the mall. The RN helps the woman. The woman later complains that she twisted and sprained her ankle. The RN is protected from litigation under:

Good Samaritan Law

3. After 3 years of uneventful employment, the nurse made a medication error that resulted in patient injury. What hospital response to this event is ethical?

The hospital was supportive and assistive as the nurse coped with this event

An RN calls a health care provider to report that a patient's condition is deteriorating. The physician gives orders on the telephone to draw arterial blood gases. What should the nurse do next when receiving telephone orders from the health care provider?

Write the order down and read it back to the provider

6. An RN has asked an LPN (licensed practical nurse) to trim the toenails of a diabetic patient. The LPN trims them too short, which results in a toe amputation from infection. The patient files a lawsuit against the hospital, the RN, and the LPN. What might all 3 be found guilty of?

malpractice

8. A patient is transported to the ED by rescue after being involved in a motor vehicle accident. The patient is alert and oriented but keeps stating he is having trouble breathing. O2 is started but the patient is showing signs of dyspnea. The patient suddenly develops respiratory arrest and dies. During the resuscitation process, it is discovered that the nurse failed to open the correct oxygen valve. The family sues the hospital and the nurse for

malpractice