Exam 49: Legal Issues

The staff development trainer is preparing a seminar to review the concepts of a just culture,which is being implemented in the organization.Which elements are integral when training on this content? Select all that apply.

A client with terminal cancer has signed an advance directive indicating that no parenteral nutrition or hydration will be implemented.For several days the client has refused food and fluids,pushing the caregiver's hands away when attempts are made to feed the client or offer any kind of fluid.The family is considering placing a gastrostomy tube because they feel the client is "starving to death." Which actions by the nurse are appropriate? Select all that apply.

An adolescent client with a sexually transmitted infection (STI)says to the nurse,"Promise you won't tell my parents about my condition." Which action by the nurse is appropriate?

A client is receiving care in the hospital for life-threatening injuries sustained in a motor vehicle crash and is taken immediately to surgery.There is no family available to provide consent; however,the client's medical record is available and reviewed by the nurse.Which treatments are inappropriate in this situation? Select all that apply.

A nurse educator on an oncology unit is teaching staff nurses about advance directives.Which elements will the nurse include in the teaching session? Select all that apply.

The nurse is in the midst of a complicated client care situation and is not sure what needs to be done with some information.Which healthcare issues must the nurse report to the state? Select all that apply.

A nurse educator is teaching a group of nursing students about the function of the state board of nursing.Which information will the educator include in the teaching session? Select all that apply.

A novice nurse attends a lecture regarding risk management.Which action should the nurse implement to reduce risks in practice?

The nurse is concerned about being sued for negligence when providing care.Which nursing actions may be grounds for negligence? Select all that apply.

A nurse working on a medical-surgical unit wants to ensure care is provided within the standard of nursing care.Which actions by the nurse are appropriate? Select all that apply.

A client who sustained a traumatic brain injury several weeks ago is in a chronic vegetative state and is no longer competent to make healthcare decisions.Who should the nurse expect to make care decisions for this client?

The nurse receives a notice that the state board of nursing has become a member of the Nurse Licensure Compact.How would this change in the state board of nursing structure influence the nurse's ability to practice nursing? Select all that apply.

While making rounds on the night shift,a nursing supervisor notes that one of the nurses has multiple visible bruises.Which action is appropriate by the nursing supervisor in this situation?

The nurse is caring for a client on a medical-surgical unit that has just implemented the electronic medical record for client documentation.The client asks the nurse about the facility's computerized system for keeping client information,especially in regard to confidentiality.Which is the best response by the nurse?

The nurse observes a healthcare provider discuss an operative procedure with a client and determines informed consent was achieved.Which information was included in the informed consent process? Select all that apply.

The nurse working on a medical unit is admitting a client diagnosed with heart failure.During the admission process,the client states,"I do not want to be put on a ventilator because I had to watch my mother die on a ventilator.I want information on making out a will." When planning care for this client,which intervention is the most appropriate?

The nursing instructor is evaluating the success of training provided to staff nurses on ways to reduce the incidence of pediatric medication errors.Which observations indicate that training has been effective? Select all that apply.

A client newly diagnosed with diabetes mellitus tells the nurse that the prescribed diet does not provide enough variation of choice.Which response by the nurse is most appropriate?

A home healthcare case manager often receives documents that pertain to the care of clients on a shared fax machine.The case manager is aware of how important it is to protect each client's health information.Which action by the nurse ensures that the Health Insurance Portability and Accountability Act (HIPAA)requirements are met in this situation?

While preparing a pain medication for a client,the nurse notes that there is a discrepancy with the last removal and reports the incident.Which is an expected consequence of the nurse's action?