Question 1

The patient who cannot legally sign his or her own surgical consent is a(n):

Accepted Answer

A)  17-year-old who is serving in the armed forces. 
B)  16-year-old who is legally married. 
C)  17-year-old emancipated minor. 
D)  18-year-old who received a narcotic 30 minutes ago. 
A)  17-year-old who is serving in the armed forces. 
B)  16-year-old who is legally married. 
C)  17-year-old emancipated minor. 
D)  18-year-old who received a narcotic 30 minutes ago. D

Question 2

The Health Insurance Portability and Accountability Act's (HIPAA) main focus is in keeping:

Accepted Answer

A)  patients safe from harm. 
B)  patient information in a secure office area. 
C)  medications in a locked area. 
D)  hospital infections under control. 
A)  patients safe from harm. 
B)  patient information in a secure office area. 
C)  medications in a locked area. 
D)  hospital infections under control. B

Question 3

CAPTA, passed in 1973, is a law regarding the safety of minors. It is the ____________ and _____________.

Accepted Answer

Child Abuse Prevention; Treatment Act
This is a law that requires mandated reporting and defines who is a mandated reporter.

Question 4

The Occupational Safety and Health Act includes all of the following except:

Accepted Answer

A)  regulations for handling infectious materials. 
B)  radiation and electrical equipment safeguards. 
C)  staffing ratios and delegation criteria. 
D)  regulations for handling toxic materials. 
A)  regulations for handling infectious materials. 
B)  radiation and electrical equipment safeguards. 
C)  staffing ratios and delegation criteria. 
D)  regulations for handling toxic materials.

Question 5

A patient refuses to take his medications or to eat his breakfast. He is alert, mentally competent, and fairly comfortable. The nurse should:

Accepted Answer

A)  give the medications by injection if the patient will not take them orally. 
B)  respect the patient's right to refuse medications or food, because he is competent. 
C)  tell the patient that he must cooperate with his care. 
D)  contact the doctor to insert a feeding tube to supply both medicine and food. 
A)  give the medications by injection if the patient will not take them orally. 
B)  respect the patient's right to refuse medications or food, because he is competent. 
C)  tell the patient that he must cooperate with his care. 
D)  contact the doctor to insert a feeding tube to supply both medicine and food.

Question 6

During an employment interview, the interviewer asks the nurse applicant about HIV status. The nurse applicant can legally respond:

Accepted Answer

A)  "No," even though he or she has a positive HIV test. 
B)  "I don't know, but I would be willing to be tested." 
C)  "I don't know, and I refuse to be tested." 
D)  "You do not have a right to ask me that question." 
A)  "No," even though he or she has a positive HIV test. 
B)  "I don't know, but I would be willing to be tested." 
C)  "I don't know, and I refuse to be tested." 
D)  "You do not have a right to ask me that question."

Question 7

An example of a violation of criminal law by a nurse is:

Accepted Answer

A)  taking a controlled substance from agency supply for personal use. 
B)  accidentally administering a drug to the wrong patient, who then has a serious reaction. 
C)  advising a patient to sue the doctor for a supposed mistake the doctor made. 
D)  writing a letter to the newspaper outlining questionable or unsafe hospital practices. 
A)  taking a controlled substance from agency supply for personal use. 
B)  accidentally administering a drug to the wrong patient, who then has a serious reaction. 
C)  advising a patient to sue the doctor for a supposed mistake the doctor made. 
D)  writing a letter to the newspaper outlining questionable or unsafe hospital practices.

Question 8

A characteristic of an advance directive is that:

Accepted Answer

A)  advance directives do not expire. 
B)  only some states recognize advance directives. 
C)  advance directives can be non-verbal. 
D)  advance directives from one state are recognized by another. 
A)  advance directives do not expire. 
B)  only some states recognize advance directives. 
C)  advance directives can be non-verbal. 
D)  advance directives from one state are recognized by another.

Question 9

In 2003, the Patients' Bill of Rights was revised to become the _______________: Understanding Expectations, Rights, and Responsibilities.

Accepted Answer

Patient Care Partnership
The P

Question 10

A patient has signed a do-not-resuscitate (DNR) order. If a nurse performs cardiopulmonary resuscitation (CPR) when the patient stops breathing and then successfully revives the patient, the:

Accepted Answer

A)  nurse could be found guilty of battery. 
B)  patient would have no grounds for legal action. 
C)  patient could charge the nurse with false imprisonment. 
D)  nurse could be found guilty of assault. 
A)  nurse could be found guilty of battery. 
B)  patient would have no grounds for legal action. 
C)  patient could charge the nurse with false imprisonment. 
D)  nurse could be found guilty of assault.

Question 11

To best protect himself or herself from being sued, the nurse should:

Accepted Answer

A)  continue to do procedures as taught in school. 
B)  purchase malpractice insurance. 
C)  maintain competency. 
D)  use evidence-based practice. 
A)  continue to do procedures as taught in school. 
B)  purchase malpractice insurance. 
C)  maintain competency. 
D)  use evidence-based practice.

Question 12

The most frequently cited cause of a sentinel event by the Joint Commission is a problem in:

Accepted Answer

A)  applying physical restraints. 
B)  methods of patient transportation. 
C)  medication errors. 
D)  inadequate communication. 
A)  applying physical restraints. 
B)  methods of patient transportation. 
C)  medication errors. 
D)  inadequate communication.

Question 13

A person who has been brought to the emergency room after being struck by a car insists on leaving, although the doctor has advised him to be hospitalized overnight. The nurse caring for this patient should:

Accepted Answer

A)  have him sign a Leave Against Medical Advice (AM
A)  form. 
B)  tell him that he cannot leave until the doctor releases him. 
C)  immediately begin the process of involuntary committal. 
D)  contact the person's health care proxy to assist in the decision-making process. 
A)  have him sign a Leave Against Medical Advice (AM
A)  form. 
B)  tell him that he cannot leave until the doctor releases him. 
C)  immediately begin the process of involuntary committal. 
D)  contact the person's health care proxy to assist in the decision-making process.

Question 14

The information in a patient's chart may legally be:

Accepted Answer

A)  copied by students for use in school reports or case studies. 
B)  provided to lawyers or insurers without the patient's permission. 
C)  shared with other health care providers at the patient's request. 
D)  withheld from the patient, because it is the property of the doctor or agency. 
A)  copied by students for use in school reports or case studies. 
B)  provided to lawyers or insurers without the patient's permission. 
C)  shared with other health care providers at the patient's request. 
D)  withheld from the patient, because it is the property of the doctor or agency.

Question 15

If a nurse receives unwelcome sexual advances from a nursing supervisor, the first step the nurse should take is to:

Accepted Answer

A)  send an anonymous letter to the nursing administration to alert them to the situation. 
B)  tell the nursing supervisor that she is uncomfortable with the sexual advances and ask the supervisor to refrain from this behavior. 
C)  report the nursing supervisor to the state board for nursing. 
D)  resign and seek employment in a more comfortable environment. 
A)  send an anonymous letter to the nursing administration to alert them to the situation. 
B)  tell the nursing supervisor that she is uncomfortable with the sexual advances and ask the supervisor to refrain from this behavior. 
C)  report the nursing supervisor to the state board for nursing. 
D)  resign and seek employment in a more comfortable environment.

Question 16

Ethics and law are different from each other in that ethics:

Accepted Answer

A)  bear a penalty if violated. 
B)  are voluntary. 
C)  rarely change. 
D)  can always direct all decisions. 
A)  bear a penalty if violated. 
B)  are voluntary. 
C)  rarely change. 
D)  can always direct all decisions.

Question 17

If a patient indicates that he is unsure if he needs the surgery he is scheduled for later that morning, the nurse would best reply:

Accepted Answer

A)  "Your doctor explained all of that yesterday when you signed the consent." 
B)  "Your doctor is in the operating room; she can't talk to you now." 
C)  "You should have the surgery; your doctor recommended that you have it." 
D)  "I will call the doctor to speak with you before you go to the operating room." 
A)  "Your doctor explained all of that yesterday when you signed the consent." 
B)  "Your doctor is in the operating room; she can't talk to you now." 
C)  "You should have the surgery; your doctor recommended that you have it." 
D)  "I will call the doctor to speak with you before you go to the operating room."

Question 18

A nurse remarks to several people that "Dr. X must be getting senile because she makes so many mistakes." If that remark results in some of Dr. X's patients changing to another doctor, Dr. X would have grounds to sue the nurse for:

Accepted Answer

A)  slander. 
B)  libel. 
C)  invasion of privacy. 
D)  negligence. 
A)  slander. 
B)  libel. 
C)  invasion of privacy. 
D)  negligence.

Question 19

The nurse who may be liable for invasion of privacy would be the nurse who is:

Accepted Answer

A)  refusing to give patient information to a relative over the phone. 
B)  firmly closing the door prior to bathing the patient. 
C)  discussing her patients with a fellow nurse. 
D)  reporting the patient as a possible victim of elder abuse. 
A)  refusing to give patient information to a relative over the phone. 
B)  firmly closing the door prior to bathing the patient. 
C)  discussing her patients with a fellow nurse. 
D)  reporting the patient as a possible victim of elder abuse.

Question 20

When a patient asks a nurse to witness the signing of a will, the nurse should refer the request to the:

Accepted Answer

A)  nurse supervisor. 
B)  hospital legal department. 
C)  notary public for the hospital. 
D)  nurse's attorney. 
A)  nurse supervisor. 
B)  hospital legal department. 
C)  notary public for the hospital. 
D)  nurse's attorney.

Exam 3: Legal and Ethical Aspects of Nursing

The patient who cannot legally sign his or her own surgical consent is a(n):

The Health Insurance Portability and Accountability Act's (HIPAA) main focus is in keeping:

CAPTA, passed in 1973, is a law regarding the safety of minors. It is the ____________ and _____________.

The Occupational Safety and Health Act includes all of the following except:

A patient refuses to take his medications or to eat his breakfast. He is alert, mentally competent, and fairly comfortable. The nurse should:

During an employment interview, the interviewer asks the nurse applicant about HIV status. The nurse applicant can legally respond:

An example of a violation of criminal law by a nurse is:

A characteristic of an advance directive is that:

In 2003, the Patients' Bill of Rights was revised to become the _______________: Understanding Expectations, Rights, and Responsibilities.

A patient has signed a do-not-resuscitate (DNR) order. If a nurse performs cardiopulmonary resuscitation (CPR) when the patient stops breathing and then successfully revives the patient, the:

To best protect himself or herself from being sued, the nurse should:

The most frequently cited cause of a sentinel event by the Joint Commission is a problem in:

A person who has been brought to the emergency room after being struck by a car insists on leaving, although the doctor has advised him to be hospitalized overnight. The nurse caring for this patient should:

The information in a patient's chart may legally be:

If a nurse receives unwelcome sexual advances from a nursing supervisor, the first step the nurse should take is to:

Ethics and law are different from each other in that ethics:

If a patient indicates that he is unsure if he needs the surgery he is scheduled for later that morning, the nurse would best reply:

A nurse remarks to several people that "Dr. X must be getting senile because she makes so many mistakes." If that remark results in some of Dr. X's patients changing to another doctor, Dr. X would have grounds to sue the nurse for:

The nurse who may be liable for invasion of privacy would be the nurse who is:

When a patient asks a nurse to witness the signing of a will, the nurse should refer the request to the:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse-Patient Relationship

Patient Teaching for Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, the Dying Patient, and Palliative Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Lifting, Moving, and Positioning Patients

Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting, Transferring, and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid–Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Diet Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain, Comfort, and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Elderly

Common Psychosocial Care Problems of the Elderly

Filters

CAPTA, passed in 1973, is a law regarding the safety of minors. It is the and _.