management

The nurse is caring for a client with a diagnosis of end-stage renal disease. The client tells the nurse that a lawyer has prepared a living will and will be visiting the client today so that the will can be reviewed. The client also tells the nurse that the lawyer has asked for a witness to sign the will and requests that the nurse act as a witness. Which is the most appropriate nursing response to the client?

"A nurse caring for a client cannot serve as a witness to a living will.

A client with metastatic bladder cancer is admitted to the hospital for chemotherapy. During data collection, the client tells the nurse that a living will was prepared 2 years ago and asks the nurse if this document is still effective. Which is the most appropriate nursing response?

"Yes, it is effective but you may want to discuss any changes you desire with your primary health care provider."

Which are the best ways for the nurse to avoid malpractice? Select all that apply.

Perform interventions in a timely manner.

The nurse overhears a client ask the primary health care provider if the results of a biopsy indicated cancer. The primary health care provider tells the client that the results have not returned, when in fact, the primary health care provider is aware that the results of the biopsy indicated the presence of malignancy. The nurse is upset that the primary health care provider has not shared the results with the client and tells another nurse that the primary health care provider has lied to the client and that this primary health care provider probably lies to all of the clients. Which legal tort has the nurse violated by this statement?

Slander

The nurse witnesses an accident in which the victim was hit by a car. The nurse stops at the scene of the accident and administers safe care to a victim who sustained a compound fracture of the femur. The victim is hospitalized and later develops sepsis as a result of the fractured femur. The victim files suit against the nurse who provided care at the scene of the accident. Which accurately describes the nurse's immunity from this suit?

The Good Samaritan laws will protect the nurse if the care given at the scene was not willfully negligent.

The nurse is aware that which criteria are necessary for a situation to be classified as malpractice? Select all that apply.

The client sustained an injury. The nurse owed a duty to the client. The nurse did not carry out a duty to a client. The client's injury was caused by the nurse's failure to carry out a duty.

The nurse sees another nurse administer an incorrect medication to a client. The nurse who administered the incorrect medication does not report the error. Which would be the initialaction by the nurse who observed the error?

Ask the nurse if he or she intends to report the error. Submit

A client receives meperidine by the intramuscular route. Thirty minutes after receiving the medication, the client's temperature is 101° F, and the skin is warm and flushed with a notable rash on the chest and back. The nurse further assesses the client and contacts the registered nurse, who then contacts the primary health care provider. The nurse completes an incident report and accurately documents which?

Thirty minutes after receiving meperidine, the temperature is 101° F, skin is warm and flushed, and a rash is noted on the chest and back; the primary health care provider was notified.

The nurse is caring for a client who has refused to take an oral medication. The nurse tells the client that the nurse will hold the client down and give the medication by injection if the client doesn't take the oral medication. The nurse then takes the client's bathrobe so the client will have to remain in his room. Which intentional torts has this nurse committed? Select all that apply.

assault and false imprisonment

A client with chronic obstructive pulmonary disease (COPD) asks the nurse for assistance with preparing a living will. The client tells the nurse that she has not discussed the living will with the family and wanted to make some decisions before discussing the will with the family. Which initial step in preparing this document should the nurse inform the client to do?

Discuss the request with the primary health care provider.

The nurse is caring for a client who is receiving intramuscular antibiotics. The nurse enters the client's room to administer the prescribed antibiotic, and the client tells the nurse that the medication burns and that he does not want the medication to be given. The nurse tells the client that the medication is necessary and administers the medication. With which crime can the client legally charge the nurse as a result of the nursing action?

Battery

The nurse discovers that one of her assigned clients is bleeding excessively from an abdominal incision. The nurse gives specific prescriptions to an assistive personnel (AP) to attend to the other clients and tells another nurse to call the primary health care provider immediately. In this situation, the nurse is implementing which leadership style? Democratic Situational Autocratic Laissez-faire

autocratic

The nursing instructor is helping students learn about bioethics, which is the study of specific ethical questions that arise in health care. The instructor reviews with the students which basic principles of bioethics? Select all that apply.

Autonomy: Respecting the rights of others to make their own decisions (e.g., acknowledging the client's right to refuse medication promotes autonomy) Beneficence: The duty to act to benefit or promote the good of others (e.g., spending extra time to help calm an extremely anxious client) Veracity: One's duty to communicate truthfully (e.g., describing the purpose and side effects of psychotropic medications in a truthful and non-misleading way) Fidelity (nonmaleficence): Maintaining loyalty and commitment to the client and doing no wrong to the client (e.g., maintaining expertise in nursing skill through nursing education) Justice: The duty to distribute resources or care equally, regardless of personal attributes (e.g., an ICU nurse devotes equal attention to someone who has attempted suicide as to someone who suffered a brain aneurysm)