Chapter 44

The nurse receives a document from an attorney that states a former client is suing for injuries obtained when receiving care. What should the nurse do first? 1) Call a lawyer. 2) Contact the client. 3) Notify the organization. 4) Contact the insurance company.

Notify the Organization

What do nursing codes of ethics support? 1) Patients can receive emergency treatment regardless of their ability to pay. 2) Nurses will educate patients about advance directives. 3) Nurses with HIV must disclose their condition to their employer. 4) Patients have the right to dignity, privacy, and safety.

Patients have the right to dignity, privacy, and safety.

A healthcare provider prescribes a one-time ASAP dose of intravenous morphine sulfate of 25 mg for a client with a terminal illness. Which law should the nurse consult prior to responding to this healthcare provider's prescription? 1) Safe Harbor 2) Good Samaritan 3) Americans With Disabilities Act (ADA) 4) Health Insurance Portability and Accountability Act (HIPAA)

Safe Harbor

While driving home from work, the nurse stops to help victims of a motor vehicle crash before an ambulance arrives. Which action ensures the nurse is functioning within the scope of the Good Samaritan laws? 1) Contacted 911 immediately upon arriving to the scene 2) Received victim's credit card information for payment 3) Stayed with the victim after emergency personnel arrived 4) Walked a block away from the site to get paper towels and water

1) Contacted 911 immediately upon arriving to the scene

11. The nurse gives a patient the wrong medication and documents that the correct medication was given. The next staff member recognizes the error and reports the nurse to the state board of nursing. Which action can the state board of nursing take against the nurse in this situation? 1) Disciplinary action against the nurse's license to practice 2) Criminal misdemeanor charges against the nurse 3) Medical malpractice lawsuit against the nurse 4) Employment release from the institution

1) Disciplinary action against the nurse's license to practice

The nurse notes that a patient with renal failure has an abnormal potassium level of 6.8; however, he fails to notify the physician and does not relate the value during hand-off communication. What does this scenario demonstrate? Select all that apply. 1) Failure to implement a plan of care 2) Failure to evaluate 3) Malpractice 4) Failure to assess and diagnose 5) Failure to follow a standard of care

1) Failure to implement a plan of care 2) Failure to evaluate 4) Failure to assess and diagnose

The staff development coordinator prepares the Nurse's Bill of Rights for new nursing orientation. What rights should the coordinator emphasize when reviewing this document? Select all that apply. 1) Fair compensation for work 2) Negotiate terms of employment 3) Freely and openly advocate for clients 4) Walk off a care area for unsafe conditions 5) Work in an environment that supports ethical practice

1) Fair compensation for work 2) Negotiate terms of employment 3) Freely and openly advocate for clients 5) Work in an environment that supports ethical practice

What do negligence and malpractice have in common? Select all that apply. 1) Negligence and malpractice are unintentional torts. 2) Negligence and malpractice are felonies. 3) Malpractice is the professional form of negligence. 4) Negligence and malpractice involve the intent to do harm to a patient. 5) Breach of duty must be present for negligence to occur

1) Negligence and malpractice are unintentional torts. 3) Malpractice is the professional form of negligence.

Which is an example of invasion of privacy by nurses? Select all that apply. 1) Searching a patient's belongings without permission 2) Reviewing the plan for patient care in the lunchroom 3) Discussing healthcare issues for an unconscious patient with his power of attorney 4) Releasing patient health information to local newspaper reporters 5) Taking a photo of the patient and posting it on Facebook

1) Searching a patient's belongings without permission 2) Reviewing the plan for patient care in the lunchroom 4) Releasing patient health information to local newspaper reporters 5) Taking a photo of the patient and posting it on Facebook

A patient sues the nurse for a fall that occurred because the bed's siderails were not in the upright position. The judgment is for the patient to receive $2 million; however, the nurse has an occurrence policy with double limit coverage of $3 million/$10 million that covered the time period when the incident occurred. What will the nurse's insurance pay to the patient? 1) Nothing 2) $4 million 3) $2 million 4) 75% of the $2 million

2 million

In which circumstance might the nurse defer obtaining informed consent for care and treatment of a patient? 1) The patient is confused and cannot understand or sign the consent form. 2) The patient is brought to the emergency department in cardiac arrest; no family is present. 3) The surgeon requests that the patient be sent to the surgical suite before you get the consent form signed. 4) An unconscious patient is admitted to your unit; he is alone.

2) The patient is brought to the emergency department in cardiac arrest; no family is present.

The nurse manager receives a note from a staff member's healthcare provider outlining physical limitations at work. Which information should the manager review to ensure the employee's and organization's rights are not violated? 1) Nursing scope of practice 2) Policy and procedure manual 3) Americans With Disabilities Act (ADA) 4) Health Insurance Portability and Accountability Act (HIPAA)

3) Americans With Disabilities Act (ADA)

An adolescent in labor arrives at the hospital emergency department (ED) with her mother who states the family has no medical insurance or money to pay for the delivery. What is the first step that the ED staff should take? 1) Arrange for an ambulance to transport her to the nearest public hospital. 2) Explain to the girl and her mother that the hospital only accepts patients who can pay the hospital bill. 3) Examine her to determine whether her condition is stable or whether she requires immediate medical attention. 4) Inform her mother that she will need to transport her daughter to the nearest public hospital.

3) Examine her to determine whether her condition is stable or whether she requires immediate medical attention.

The nurse applies bilateral wrist restraints to a client threatening to leave the hospital against medical advice. What is the nurse's action considered? 1) Assault and battery 2) Felony 3) False imprisonment 4) Quasi-intentional tort

3) False imprisonment

A patient asks the nurse to explain an advance directive. What should the nurse explain about this document? Select all that apply. 1) If the patient is unable to communicate, the family may make changes to the advance directive. 2) Once an advance directive is signed, no further care will be provided. 3) The patient may change the advance directive by telling the physician or by making changes in writing. 4) An advance directive will ensure the patient gets as much or as little care as desired. 5) An advance directive is overruled by the healthcare provider's prescriptions

3) The patient may change the advance directive by telling the physician or by making changes in writing. 4) An advance directive will ensure the patient gets as much or as little care as desired.

The nurse prepares information to document a client's care. What should the nurse do to ensure that the documentation is complete? 1) Review the medical record for new prescriptions. 2) Ask nursing assistive personnel for report on delegated tasks. 3) Use the mnemonic F-A-C-T-U-A-L as a reminder when charting. 4) Complete all documentation immediately before hand-off communication.

3) Use the mnemonic F-A-C-T-U-A-L as a reminder when charting.

The nurse manager learns of a staff nurse's behavior with a client. Which information suggests that nurse has committed a boundary violation? 1) Mentioned that a client's birthday was coming up 2) Observed talking with a client's spouse in the hallway 3) Asked the healthcare provider to change a client's pain medication 4) Switched an assignment so that the nurse can take care of the client

4) Switched an assignment so that the nurse can take care of the client

2. Which law does a hospital use to determine if a patient with no healthcare coverage who is seeking medical care should receive care or be transferred to another facility? 1) Health Care Quality Improvement Act (HCQIA) 2) Patient Self-Determination Act (PSDA) 3) Newborns' and Mothers' Health Protection Act (NMHPA) 4) Emergency Medical Treatment and Active Labor Act (EMTALA)

4) Emergency Medical Treatment and Active Labor Act (EMTALA)

The nurse receives a copy of a client's advance directive. What should the nurse do with this document? 1) Return it to the client. 2) Give it to the nursing supervisor. 3) Hand it to the healthcare provider. 4) Place it on the client's medical record.

4) Place it on the client's medical record.

The nurse reviews an entry in a medical record before clicking the SAVE button. When performing this review, the nurse analyzes the content for completeness, clarity, accuracy, comprehensiveness, and which other criterion? 1) Concise 2) Category 3) Character 4) Chronological

Chronological

The mother of a 4-year-old child with painful bruises and facial contusions explains that the mother's significant other pushed the child down the stairs in anger. What should the nurse do first? 1) Notify the nursing supervisor of the suspected physical abuse. 2) Complete a physical assessment of the child. 3) Obtain an order for pain medication. 4) Notify Child Protective Services of the suspected abuse.

Complete a physical assessment of the child.

A patient argues that a statement made in the medical record is incorrect and wants it corrected. Which regulation provides the patient with the right to have the documentation corrected? 1) Americans With Disabilities Act (ADA) 2) Patient Self-Determination Act (PSDA) 3) Health Insurance Portability and Accountability Act (HIPAA) 4) Health Care Quality Improvement Act (HCQIA)

Hippa

The charge nurse assigns the care of a patient receiving hemodialysis to a newly hired licensed practical nurse (LPN) who has no experience caring for hemodialysis patients. The LPN fails to inform the charge nurse of not having experience with this type of patient. What should the actions of the charge nurse be considered? 1) Malpractice 2) Incompetence 3) Negligence 4) Abandonment

Negligence

The nurse manager suspects that a staff nurse is taking narcotics from the care area. If reported, of what will this staff nurse be accused? 1) Libel 2) Felony 3) Battery 4) Misdemeanor

felony

Upon initial assessment, the nurse notes bruises and scratches on the arms, legs, and trunk of an older client. With which state law is the nurse complying when the supervisor is notified regarding this patient as a potential victim of abuse? 1) Good Samaritan Law 2) Mandatory Reporting Law 3) Nurse Practice Act 4) Nursing Standards of Practice

mandatory reporting act