Advocacy/Ethical/Legal Issues
unintentional tort
.______ involves negligence and malpractice. (intentional tort, quasi-intentional tort, a tort, unintentional tort)
D
A client with a diagnosis of antisocial personality disorder is being discharged from the hospital. The client asks the nurse, "Can I have your phone number so I can call you for a date?" What is the best response by the nurse? A: "We are not permitted to date clients." B: "It is against my professional ethics to date clients." C: "I'm glad you like me, but I can't give out my phone number." D:"Our relationship is professional; therefore I will not see you socially."
A
An elderly adult with Parkinson's disease falls while going to the bathroom and gets injured. The nurse taking care of the client informs the primary healthcare provider. What step should the nurse take to alert the risk management system? A: The nurse should document the incident in the occurrence report tool. B: The nurse should provide information in the medical record about the occurrence. C: The nurse should document in the client's medical report that an occurrence report has been filed. D: The nurse should document in the client's medical report that the primary healthcare provider has been contacted.
C
How would the student nurse describe a quasi-intentional tort occurring during the practice of nursing? A: it is a willful act violating a client's rights, B: it is a civil wrong made against a person or property C: it is an act that lacks intent but involves volitional action D: it is an unintentional act that includes negligence and malpractice.
A
In order to prolong a hospitalization stay, the nurse documents in a client's electronic health record (EHR) that there are no signs of recovery. However, in reality, the client appears to be cured of the illness. What legal implication does the nurse's action have? A: The nurse may be charged with libel. B: The nurse may be charged with slander. C: The nurse may be charged with malpractice. D: The nurse may be charged with invasion of privacy.
Information power, Position power, Coercive power, referent power
Information power arises from one's possession of selected information that is needed by others. ________ is involved when a leader teaches student nurses to help clients in performing their difficult self-care activities._______ is possessed by virtue of one's position within an organization or a group. __________ arises from fear of someone's real or perceived fear of another person. A _______ is involved when a student nurse is granted association with a powerful person. (Position power, referent power, Coercive power, Information power)
less, safety
Restraints can be used only on the written order of a healthcare provider, it can be used when ____ (less/more) restrictive interventions are not successful, maybe used after all available alternative have been tried and exhausted. it can use only to ensure the physical _____ (safety/damage) of resident or other residents.
slander, Malpractice, invasion of privacy, libel
Speaking falsely about a person is known as ______. ________ occurs when nursing care falls below the professional standards of care due to negligent acts. Because the nurse informs media personnel about the client's health status, may be charged with ___________ . The nurse will not be charged with _______ because he or she did not document false information in the client's records. (Malpractice, libel , invasion of privacy, slander)
C
The ______ is a decision-making strategy that involves systematic collection and summarization of opinions and judgments on a particular issue from respondents in order to achieve consensus among the team members and the leader. A: Focus group B: Brainstorming C: Delphi technique D: Normal group technique
D
The nurse receives information about a client through another nurse, the nurse then finds that informations has some missing facts, which critical thinking attitude would the nurse use to clarify the information after talking to the client directly? A: fairness B: humility C: discipline D: perseverance
A
The purpose of a _______ strategy is to explore issues, identify problems, and generate information. A: Focus group B: Brainstorming C: Delphi technique D: Normal group technique
C
a client tells the nurse " i am so worried about the result of the biopsy they took today" the nurse overhears the nursing assistant reply, " don't worry, i am sure everything will come out all right" what does the nurse conclude about the nursing assistant's answer? A: it shows empathy B: it use distraction C: it give false reassurance D: it makes a value judgment
experts, medical records, the depositions of witnesses
elements of discovery of a lawsuit are _____ ,____ , ____, (Experts, medical records, proof of negligence, the depositions of witnesses, petition, elements of the claim)
manager
the nurse ____ uses to appropriate leadership styles to create a nursing environment for client centered care. (administrator, advocate, manager, educator)
administrator
the nurse _____ manages client care and delivery of specific nursing services with a health care agency. (administrator, advocate, manager, educator)
educator
the nurse acts as an ____ while teaching the client facts about health and the need for routine care activities. (administrator, advocate, manager, educator)
National Organ Transplants Act, ethical doctrine, a living will
_____ of 1984 prohibits the purchase or sale of organs. ________ of autonomy ensures the client's right to refuse medical treatment, _____ is a written document that directs treatment in accordance with the client's wishes in case of a terminal illness or condition. (National Organ Transplants Act, ethical doctrine, a living will)
nonmaleficence
_____ refers to avoiding harming an individual. (Beneficence, accountability, nonmaleficence, fidelity)
proof of negligence
trial is ____ (Experts, medical records, proof of negligence, the depositions of witnesses, petition, elements of the claim)
B, C, E
A nurse is obtaining consent from an unemancipated minor (no freedom) to perform an abortion, when would the nurse consider the consent-giving process to be appropriately completed? A: when consent has been obtained from the spouse B: when consent has been given specifically by a court C: when self-consent has been granted by a court order D: when consent has been given by a grandparent E: when consent has been obtained from at least one parent of the minor
C, D, E
A nurse notes that a famous client has received an incorrect dose of medication due to the malfunction of the intravenous (IV) device, but does not inform the primary healthcare provider. Instead the nurse tells a colleague that the medication could not be given due to the client's inappropriate behavior. The nurse then updates media personnel about the client's health status. What legal charges may be brought up against the nurse? Select all that apply. A: Libel B: Assault C: Slander D: Malpractice E: Invasion of privacy
D
A state's Nurse Practice Act (Canada: Provincial/Territorial Registered Nurse Act) does not allow a registered nurse (RN) to suture wounds. The primary healthcare provider offers to teach the RN how to suture and tells the RN that minor wounds may be sutured without supervision. Which action should the nurse take? A: Refuse to suture wounds B: Follow the primary healthcare provider's instructions C: Agree to suture wounds in the primary healthcare provider's presence D: Report the situation to the state board of nursing (Canada: Provincial/Territorial RN Association)
D
How does a nurse adopt the element of right circumstances during a task delegation? A: By giving a clear and concise description of the task B: By providing appropriate monitoring, evaluation, and intervention as needed C: By delegating right tasks to the right person to be performed on the right person D: By considering the appropriate client setting, available resources, and other relevant factors
A, B
What is true about psychosocial changes observed in adolescents? select all that apply A: they search for personal identity B: they develop their own ethical systems C: they consider themselves invisible D: they think of their parents as materialistic E: they get emotionally dependent on their parents
C
What should a nurse understand about healthcare proxies or a durable power of attorney for healthcare? A: a proxy is a legal document that prohibits that purchase or sale of organs B: a proxy is a legal document that ensures the client has the right to refuse medical treatment C: a proxy is legal document that designates a person or persons to make health care decisions on behalf of the client. D: a proxy is a legal document that directs treatment in accordance with the client's wishes in case of a terminal illness or condition.
A
Which of these refers to the accountability element of the decision making process? A: Individuals being answerable for their actions B: Freedom of choice and responsibility for the choices C: Duties and activities that an individual is employed to perform D: Authority to give commands and make final decisions specific to give position
a tort
____ is a civil wrong made against a person or property (intentional tort, quasi-intentional tort, a tort, unintentional tort)
beneficence
____ taking positive actions to help others, (Beneficence, accountability, nonmaleficence, fidelity)
a living will
_____ is a written document that directs treatment in accordance with the client's wishes in case of a terminal illness or condition. (National Organ Transplants act, ethical doctrine, a living will)
National Organ Transplants Act,
_____ of 1984 prohibits the purchase or sale of organs. (National Organ Transplants Act, ethical doctrine, a living will)
intentional tort
______ include battery, assault, and false imprisonment, (intentional tort, quasi-intentional tort, a tort, unintentional tort)
authority
______ refers to legitimate power to give commands and make final decisions specific to a give position. (autonomy, responsibility, authority, accountability)
invasion of privacy
_______ is the announcement of a client's medical information to an unauthorized person. (false imprisonment, battery, defamation of character, invasion of privacy)
B
________ strategy can be an effective method for generating a large volume of creative and innovative ideas irrespective of criticism. A: Focus group B: Brainstorming C: Delphi technique D: Normal group technique
D
which of the following legal defenses are the most important for a nurse to develop? A: dedication B: certification C: assertiveness D: accountability
D
which stage of Kohlberg's theory is an individual in if he or she wants to modify a law if it is not fair to a particular groups? A: social contract orientation B: social-maintaining orientation C: instrument relativist orientation D: universal ethical principle orientation
referent power
A _______ is involved when a student nurse is granted association with a powerful person. (Position power, referent power, Coercive power, Information power)
C, D, E
A client is injured from falling from a hospital bed on which the side rails were not raised appropriately. The client's family files a malpractice suit against the nurse responsible for taking care of the client. Which statements regarding the lawsuit are accurate? Select all that apply. A: The nurse is the plaintiff and the client is the defendant. B: The plaintiff selects experts to establish the appropriateness of nursing care. C: The defendant obtains all of the plaintiff's medical records in the discovery phase. D: The jury uses certain standards of care to determine whether the nurse acted properly. E: The plaintiff outlines what the defendant did wrong and how it resulted in injury in the pleadings phase.
C
A nurse administers intravenous (IV) therapy to the wrong client, what possible legal complications might the nurse face in such situation? A: assault B: battery C: malpractice D: false imprisonment
D
What should the nurse do initially when obtaining consent for surgery? A: Describe the risks involved in the surgery. B: Explain that obtaining the signature is routine for any surgery. C: Witness the client's signature, which the nurse's signature will document. D:Determine whether the client's knowledge level is sufficient to give consent.
battery, invasion of privacy, false imprisonment, defamation of character
_______ is defined as intentional touching without the client's consent, this action may cause an injury or maybe offensive to the client's personal dignity. _______ is the announcement of a client's medical information to an unauthorized person. _____ occurs when the nurse places the client restraints without the approval of the primary healthcare provider. _______ is the publication of false statement that result in damage to a person's reputation. (false imprisonment, battery, defamation of character, invasion of privacy)
fairness
________ requires the nurse to listen to both the sides in any discussion (humility, fairness, discipline, perseverance)
accountable, cannot
a nursing student is indeed accountable or not _____ if a client is harmed, he/she is not an employee of the hospital so can/cannot ____ act as a witness to consent forms because these forms are legal documents.
B
a primary healthcare provider notes that all conventional treatment procedures have proved to be ineffective in managing a client's disorder, the primary healthcare provider decides to try an experimental treatment, the nurse ensures that the client has understood the implications of the new treatment plan thoroughly and then signs the client's consent form as a witness, which basic healthcare ethic does the nurse follow in this situation? A: justice B: autonomy C: beneficence D: nonmaleficence
should not
because ethic of care are unique to each client, the nurse should/should not _____ base decision making only on analytical skills.
B
the nurse is providing restraint education to a group of nursing students, the nurse should include that it is inappropriate to use a restraint device to do what? A: prevent a client from pulling out an intravenous (IV) when there is concern that the client cannot follow instructions or is confused B: prevent an adult client from getting up at night when there is insufficient staffing on the unit. C: maintain immobilization of a client's leg to prevent dislodging a skin graft D: keep an older adult client from falling out of bed following a surgical procedure.
A
A client does not consent to disclose his or her medical records and information regarding his or her health status. However, a nursing student unintentionally makes the information public. According to the Health Insurance Portability and Accountability Act, which section has been violated? A: Privacy B: Confidentiality C: Durable power of attorney D: Uniform anatomical gift act
intentional tort
_____ is a willful act that violates another's rights (intentional tort, quasi-intentional tort, a tort, unintentional tort)
A
A client who has participated in caring for her infant in the neonatal intensive care unit for several days in preparation for the infant's discharge comes to the unit on the last hospital day with an alcohol odor on her breath and slurred speech. What is the most appropriate action for the nurse to take at this juncture? A: Speak with the mother about her condition and assess her willingness to participate in an alternate discharge plan. B: Request that the mother wait in the hospital lobby and call the primary healthcare provider to cancel the discharge order. C: Speak to the mother about her condition and have her see a social worker about the infant's discharge to a foster home. D: Continue with the discharge procedure and alert the home health nurse that the mother needs an immediate follow-up visit.
A, C, D
A client with end-stage renal disease needs a kidney transplant, which statements regarding the National Organ Transplant Act are true? A: The National Organ Transplant Act of 1984 prohibits the purchase or sale of organs B:Any individual younger than 18 younger has the right to make an organ donation C: The act provides civil and criminal immunity to the hospital and the healthcare provider D: The act protects the donor's estate from liability for injuries or damage that results from the use of the gift. E: The healthcare provider who certifies health is always involved in the removal or transplantation of organs.
B
A nurse in the family planning clinic reviews the health history of a sexually active 16-year-old girl whose chief concern is a thick, burning discharge accompanied by a burning sensation and lower abdominal pain. After an examination the girl is informed that she may have a sexually transmitted infection (STI) that requires treatment. The adolescent is concerned that her parents will discover that she has been sexually active and asks the nurse whether her parents will be contacted. What should the nurse explain regarding informing the client's parents? A: They need to know about and sign a consent form for testing and treatment. B: They will not be contacted, because treatment at the clinic is confidential. C: They will be notified when the insurance company is billed for testing and treatment. D:They will remain uninformed if the adolescent ensures that her sexual contacts will come for testing.
D
A nurse is evaluating various scenarios related to the basic codes of ethics set forth by the American Nurses Association. Which situation is an example of following the principle of accountability? A: A nurse carefully monitors all tasks that have been delegated to nursing assistive personnel. B: At the client's request, a nurse refrains from telling the client's caregivers about the client's condition. C: A nurse explains to a client's caregivers why the client requires a particular emergency procedure to be done. D: A nurse ensures that all nursing actions performed during care can be explained to the client and the hospital.
D
An older, confused client is being cared for at home by an adult child who works full-time. The client has lost weight and is wearing soiled and inappropriate clothing. The home care nurse suspects elder neglect. What should the nurse do? A: Discuss the situation with the adult child. B: Ask the client whether the adult child is neglectful. C: Avoid reporting the situation to prevent alienation of the adult child. D: Report the suspicion of neglect by the adult child to adult protective services
A
What should a nurse do in order to comply with the ethic of nonmaleficence in the healthcare setting? A: The nurse should focus on doing no harm. B: The nurse should keep promises made to clients. C: The nurse should respect the autonomy of clients. D: The nurse should keep the best interests of the client in mind.
right communication
______ refers to the giving of clear and concise descriptions of a task, including it objective, limits and expectations while delegating a task. (right communication, right task, right person, right supervision)
advocate
nursing speaking to the primary health care provider on behalf of the client is _____. (administrator, advocate, manager, educator)
the primary healthcare provider
synthetic blood products are available but must be prescribed by the _____, therefore they can notified clients alternative plane. (chaplain, the primary healthcare provider)
humility
_____ is associated with recognizing the need for more information for making a decision. (humility, fairness, discipline, perseverance)
right person
________ is delegating a task to the correct person who has the ability to perform said task. (right communication, right task, right person, right supervision)
petition, elements of the claim
pleading phase are ___, _____. (Experts, medical records, proof of negligence, the depositions of witnesses, petition, elements of the claim)
A
what does the professional nurse consider to be the center of decision-making when providing client care? A: ethics of care B: nursing skills C: analytical skills D: research based practice
A, D, E
A nursing student is discussing aspects of the American Nurses Association (ANA) code of ethics. Which ANA Code of Ethics statements discussed by the nursing student are accurately stated? Select all that apply. A: "The nurse coordinates with other healthcare providers to meet health needs." B: "The nurse is responsible and accountable for the nursing practice of the entire hospital." C: "The nurse promotes, advocates for, and strives to protect the rights of the client's visitors." D: "The nurse takes part in the advancement of the profession by contributing to the practice and education." E: "The nurse's primary commitment is to the client, whether it be an individual, family, group, or community."
C
A nursing student is listing the characteristics of an ethical issue. Which point listed by the nursing student requires correction? A: An ethical issue occurs if it is perplexing and if it is not easy to think logically or make a decision. B: An ethical issue occurs if it is not possible to resolve solely through a review of scientific data. C: An ethical issue occurs if the problem aims at the greatest good for the greatest number of people. D: An ethical issue occurs if the answer to the problem has a profound relevance for areas of human concern.
A, C, E
What points regarding the Good Samaritan Act of 1997 should the nurse remember? Select all that apply. A: The nurse should provide care that is consistent with his or her level of expertise. B: After providing emergency care, the nurse is not required to remain with the client. C: Good Samaritan laws limit liability and offer legal immunity if a nurse helps at an accident scene. D: The nurse is not liable for injuries resulting from performing procedures for which he or she is not trained. E: Good Samaritan laws were enacted to encourage healthcare workers to provide assistance during emergencies.
Tachycardia, Lethargy, Abdominal pain
_____ is a cardiovascular compensatory mechanism as the effort to circulate the decreasing blood volume intensifies. ______ is not an initial response to blood loss. The client is more apt to be restless; it may occur later. Breathing may be rapid, not deep, with blood loss. ______ is not a response to blood loss. (Tachycardia, Abdominal pain, Lethargy)
false imprisonment
_____ occurs when the nurse places the client restraints without the approval of the primary healthcare provider. (false imprisonment, battery, defamation of character, invasion of privacy)
right task
_____ refers to delegating a task that is repetitive requires less supervision and has predictable results. (right communication, right task, right person, right supervision)
fidelity
_____ refers to the agreement to keep promises, (Beneficence, accountability, nonmaleficence, fidelity)
autonomy
_____ refers to the freedom of choice and responsibility of choices (autonomy, responsibility, authority, accountability)
autonomy, accountability, responsibility, authority
_____ refers to the freedom of choice and responsibility of choices. _______ refers to individuals being answerable for their actions. _______ refers to the duties and activities that an individual is employed to perform, ______ refers to legitimate power to give commands and make final decisions specific to a give position. (autonomy, responsibility, authority, accountability)
beneficence, fidelity, accountability, nonmaleficence
_____ taking positive actions to help others, _____ refers to the agreement to keep promises, ______ refers to the ability to answer for one's actions. _____ refers to avoiding harming an individual. (Beneficence, accountability, nonmaleficence, fidelity)
discipline
_____ the nurse is thoroughly aware of what is required and manages his or her time effectively. (humility, fairness, discipline, perseverance)
quasi-intentional tort, a tort, intentional tort, unintentional tort
______ lacks intent but involves volitional actions such as invasion of privacy and defamation of character. _____ is a civil wrong made against a person or property, _____ is a willful act that violates another's rights.______ involves negligence and malpractice. (intentional tort, quasi-intentional tort, a tort, unintentional tort)
right supervision
______ refers to providing appropriate monitoring evaluation, and feedback of the delegated task. (right communication, right task, right person, right supervision)
accountability
______ refers to the ability to answer for one's actions (Beneficence, accountability, nonmaleficence, fidelity)
perseverance
______ requires the nurse to be cautious of an easy answer. (humility, fairness, discipline, perseverance)
Information power, Position power
_______ arises from one's possession of selected information that is needed by others. _______ is possessed by virtue of one's position within an organization or a group. (Position power, referent power, Coercive power, Information power)
battery
_______ is defined as intentional touching without the client's consent, this action may cause an injury or maybe offensive to the client's personal dignity. (false imprisonment, battery, defamation of character, invasion of privacy)
defamation of character
_______ is the publication of false statement that result in damage to a person's reputation. (false imprisonment, battery, defamation of character, invasion of privacy)
responsibility
_______ refers to the duties and activities that an individual is employed to perform (autonomy, responsibility, authority, accountability)
right person, right communication, right task, right supervision
________ is delegating a task to the correct person who has the ability to perform said task. ______ refers to the giving of clear and concise descriptions of a task, including it objective, limits and expectations while delegating a task. _____ refers to delegating a task that is repetitive requires less supervision and has predictable results. ______ refers to providing appropriate monitoring evaluation, and feedback of the delegated task. (right communication, right task, right person, right supervision)
Information power
________ is involved when a leader teaches student nurses to help clients in performing their difficult self-care activities. (Position power, referent power, Coercive power, Information power)
ethical doctrine
________ of autonomy ensures the client's right to refuse medical treatment. (National Organ Transplants Act, ethical doctrine, a living will)
fairness, humility, discipline, perseverance
________ requires the nurse to listen to both the sides in any discussion._____ is associated with recognizing the need for more information for making a decision. _____ the nurse is thoroughly aware of what is required and manages his or her time effectively. ______ requires the nurse to be cautious of an easy answer. (humility, fairness, discipline, perseverance)
D
________ strategy gives opportunity to the group members to provide input into the decision-making process. A: Focus group B: Brainstorming C: Delphi technique D: Normal group technique
Coercive power
__________ arises from fear of someone's real or perceived fear of another person. (Position power, referent power, Coercive power, Information power)
A
a nonviolent client on the psychiatric unit suddenly refuses to take the prescribed antipsychotic medication, what should the nurse do? A: honor the client's decision and document the behavior and all interventions B: use an authoritarian approach to induce the client to take the prescribed medication C: call the primary healthcare provider and request that the client be discharged against medical advice D: start proceedings to have the client declared incompetent and seek a court order permitting medication
A
a registered nurse is educating a nursing student about the process of resolving an ethical dilemma, what information should the nurse provide regarding negotiation of outcomes? A: a nurse should provide a personal point of view B: negotiations should be held in formal settings only C: negotiation takes place immediately after gathering information D: the group agree to a statement of the problem during the negotiation process.
experts, medical records, the depositions of witnesses, proof of negligence, petition, elements of the claim
elements of discovery of a lawsuit are _____ ,____ , ____, trial is ____, pleading phase are ___, _____. (Experts, medical records, proof of negligence, the depositions of witnesses, petition, elements of the claim)
D
litigation resulting from improper restraint use is a common nursing legal issue, a nursing student is listing points related to the use of restraints, which factor need correction? A: restraints can be used when less restrictive interventions are not successful B: restraints can be used when all other alternatives have been tried and exhausted C; restraints can be used only to ensure the physical safety of the resident or other residents D: restraints can be used anytime without a written order from the healthcare provider.
D
nurse leader is educating student nurses in helping clients to perform their difficult self-care activities. Which key idea from a Source of Power is this statement referring to? A: Position power B: Coercive power C: Referent power D: Information power
advocate, manager, administrator, educator
nursing speaking to the primary health care provider on behalf of the client is _____. the nurse ____ uses to appropriate leadership styles to create a nursing environment for client centered care. the nurse _____ manages client care and delivery of specific nursing services with a health care agency. the nurse acts as an ____ while teaching the client facts about health and the need for routine care activities. (administrator, advocate, manager, educator)
be not, can, be,
nursing student should (be/be not) ____ assigned to perform tasks for which they are unprepared. they can/cannot _____ work as a nursing assistant or a nurse's aide when not attending classes, in case anyone instructs a nursing student to perform a task that he or she is unprepared for, the nursing supervisor should be/be not _______ notified as soon as possible.
A, C, D
what are the instances when an adult can give consent for medical treatment? select all that apply A: any guardian for the adult's ward B: any parent for the adult's emancipated minor C: any parent for the adult's unemancipated minor D: a brother or sister of an adult's minor brother or sister E: as a grandparent for a minor grandchild under normal circumstances.
A
An older client is treated in the emergency department for soft-tissue injuries that the medical team suspects might be caused by physical abuse. An adult child states that the client is forgetful and confused and falls all the time. A mini-mental examination indicates that the client is oriented to person, place, and time, and the client does not comment when asked directly how the bruises and abrasions occurred. What is the next appropriate nursing action? A: Interview the client without the presence of family members. B: Report the abuse to the appropriate state agency for investigation. C: Accept the adult child's explanation until more data can be collected. D: Refer the client's clinical record to the hospital ethics committee for review.