Question 1

How can the medical record be used in litigation? (Select all that apply.)

Accepted Answer

A) Public record 
B) Proof of adherence to standards 
C) Evidence of omission of care 
D) Documentation of time lapses 
E) Evidence by only the plaintiff 
A) Public record 
B) Proof of adherence to standards 
C) Evidence of omission of care 
D) Documentation of time lapses 
E) Evidence by only the plaintiff A,B,C,D

Question 2

A nurse failed to monitor a patient's respiratory status after medicating the patient with a narcotic analgesic.The patient's respiratory status worsened,requiring intubation.The patient's family claimed the nurse committed malpractice.What must be present for the nurse to be held liable? (Select all that apply.)

Accepted Answer

A) A nurse-patient relationship exists. 
B) The nurse failed to perform in a reasonable manner. 
C) There was harm to the patient. 
D) The nurse was prudent in her performance. 
E) The nurse did not cause the patient harm.
F) Duty does not exist. 
A) A nurse-patient relationship exists. 
B) The nurse failed to perform in a reasonable manner. 
C) There was harm to the patient. 
D) The nurse was prudent in her performance. 
E) The nurse did not cause the patient harm.
F) Duty does not exist. A,B,C

Question 3

What fundamental principle must the nurse first observe when confronted with an ethical decision?

Accepted Answer

A) Autonomy 
B) Beneficence 
C) Respect for people 
D) Nonmaleficence 
A) Autonomy 
B) Beneficence 
C) Respect for people 
D) Nonmaleficence C

Question 4

A lumbar puncture was performed on a patient without a signed informed consent form.This patient might sue for:

Accepted Answer

A) punitive damages. 
B) civil battery. 
C) assault. 
D) nothing; no violation has occurred. 
A) punitive damages. 
B) civil battery. 
C) assault. 
D) nothing; no violation has occurred.

Question 5

What is the best way for a nurse to avoid a lawsuit?

Accepted Answer

A) Carry malpractice insurance 
B) Spend time with the patient 
C) Provide compassionate, competent care 
D) Answer all call lights quickly 
A) Carry malpractice insurance 
B) Spend time with the patient 
C) Provide compassionate, competent care 
D) Answer all call lights quickly

Question 6

What is true about nurse practice acts?

Accepted Answer

A) They informally define the scope of nursing practice. 
B) They provide for unlimited scope of nursing practice. 
C) Only some states have adopted a nurse practice act. 
D) The nurse must know the nurse practice act within his or her state. 
A) They informally define the scope of nursing practice. 
B) They provide for unlimited scope of nursing practice. 
C) Only some states have adopted a nurse practice act. 
D) The nurse must know the nurse practice act within his or her state.

Question 7

A nurse is considering purchasing malpractice insurance.What should the nurse be aware of regarding malpractice insurance provided by the hospital?

Accepted Answer

A) Only offers protection while on duty 
B) Is limited in the amount of coverage 
C) Is difficult to renew 
D) Can be terminated at any time 
A) Only offers protection while on duty 
B) Is limited in the amount of coverage 
C) Is difficult to renew 
D) Can be terminated at any time

Question 8

A physician instructs the nurse to bladder train a patient.The nurse clamps the patient's indwelling urinary catheter but forgets to unclamp it.The patient develops a urinary tract infection.What do the nurse's actions exemplify?

Accepted Answer

A) Malpractice 
B) Battery 
C) Assault 
D) Neglect of duty 
A) Malpractice 
B) Battery 
C) Assault 
D) Neglect of duty

Question 9

Which is a nursing care error that violates the Health Insurance Portability and Accountability Act (HIPAA)?

Accepted Answer

A) Administering a stronger dose of drug than was ordered 
B) Refusing to give a patient's daughter information over the phone 
C) Informing the patient's medical power of attorney of a medication change 
D) Leaving a copy of the patient's history and physical in the photocopier 
A) Administering a stronger dose of drug than was ordered 
B) Refusing to give a patient's daughter information over the phone 
C) Informing the patient's medical power of attorney of a medication change 
D) Leaving a copy of the patient's history and physical in the photocopier

Question 10

A nurse working on an acute care medical surgical unit is aware that his or her first duty is to the patient's health,safety,and well-being.Given this knowledge,which of the following is most necessary for the nurse to report?

Accepted Answer

A) Unethical behavior of other staff members 
B) A worker who arrives late 
C) Favoritism shown by nursing administration 
D) Arguments among the staff 
A) Unethical behavior of other staff members 
B) A worker who arrives late 
C) Favoritism shown by nursing administration 
D) Arguments among the staff

Question 11

An LPN/LVN is asked by the RN to administer an IV chemotherapeutic agent to a patient in the acute care setting.What law should this nurse refer to before initiating this intervention?

Accepted Answer

A) Standards of care 
B) Regulation of practice 
C) American Nurses' Association Code 
D) Nurse practice act 
A) Standards of care 
B) Regulation of practice 
C) American Nurses' Association Code 
D) Nurse practice act

Question 12

When a nurse protects the information in a patient's record what ethical responsibility is the nurse fulfilling?

Accepted Answer

A) Privacy 
B) Disclosure 
C) Confidentiality 
D) Absolute secrecy 
A) Privacy 
B) Disclosure 
C) Confidentiality 
D) Absolute secrecy

Question 13

The nurse caring for a patient in the acute care setting assumes responsibility for a patient's care.What is this legally binding situation?

Accepted Answer

A) Nurse-patient relationship 
B) Accountability 
C) Advocacy 
D) Standard of care 
A) Nurse-patient relationship 
B) Accountability 
C) Advocacy 
D) Standard of care

Question 14

Which of the following could cause a nurse to be cited for malpractice?

Accepted Answer

A) Refusing to give 60 mg of morphine as ordered 
B) Giving prochlorperazine (Compazine) to a patient allergic to phenothiazines 
C) Dragging an injured motorist off the highway and causing further injury 
D) Informing a visitor about a patient's condition 
A) Refusing to give 60 mg of morphine as ordered 
B) Giving prochlorperazine (Compazine) to a patient allergic to phenothiazines 
C) Dragging an injured motorist off the highway and causing further injury 
D) Informing a visitor about a patient's condition

Question 15

An older adult is admitted to the hospital with numerous bodily bruises,and the nurse suspects elder abuse.What is the best nursing action?

Accepted Answer

A) Cover the bruises with bandages. 
B) Take photographs of the bruises. 
C) Ask the patient if anyone has hit her. 
D) Report the bruises to the charge nurse. 
A) Cover the bruises with bandages. 
B) Take photographs of the bruises. 
C) Ask the patient if anyone has hit her. 
D) Report the bruises to the charge nurse.

Question 16

What are the universal guidelines that define appropriate measures for all nursing interventions?

Accepted Answer

A) Scope of practice 
B) Advocacy 
C) Standard of care 
D) Prudent practice 
A) Scope of practice 
B) Advocacy 
C) Standard of care 
D) Prudent practice

Question 17

During a lunch break,an emergency department (ED)nurse truthfully tells another nurse about the condition of a patient who came to the ED last night.What is the ED nurse guilty of? (Select all that apply.)

Accepted Answer

A) HIPAA violation 
B) Slander 
C) Libel 
D) Invasion of privacy 
E) Defamation 
A) HIPAA violation 
B) Slander 
C) Libel 
D) Invasion of privacy 
E) Defamation

Question 18

When asked to perform a procedure that the nurse has never done before,what should the nurse do to legally protect himself or herself?

Accepted Answer

A) Go ahead and do it 
B) Refuse to perform it, citing lack of knowledge 
C) Discuss it with the charge nurse, asking for direction 
D) Ask another nurse who has performed the procedure 
A) Go ahead and do it 
B) Refuse to perform it, citing lack of knowledge 
C) Discuss it with the charge nurse, asking for direction 
D) Ask another nurse who has performed the procedure

Question 19

The nurse is preparing the patient for a thoracentesis.What must be completed before the procedure may be performed?

Accepted Answer

A) Physical assessment 
B) Interview 
C) Informed consent 
D) Surgical checklist 
A) Physical assessment 
B) Interview 
C) Informed consent 
D) Surgical checklist

Question 20

Patients have expectations regarding the health care services they receive.To protect these expectations,which of the following has become law?

Accepted Answer

A) American Hospital Association's Patient's Bill of Rights 
B) Self-determination act 
C) American Hospital Association's Standards of Care 
D) The Joint Commission's rights and responsibilities of patients 
A) American Hospital Association's Patient's Bill of Rights 
B) Self-determination act 
C) American Hospital Association's Standards of Care 
D) The Joint Commission's rights and responsibilities of patients

Exam 2: Legal and Ethical Aspects of Nursing

How can the medical record be used in litigation? (Select all that apply.)

What fundamental principle must the nurse first observe when confronted with an ethical decision?

A lumbar puncture was performed on a patient without a signed informed consent form.This patient might sue for:

What is the best way for a nurse to avoid a lawsuit?

What is true about nurse practice acts?

A nurse is considering purchasing malpractice insurance.What should the nurse be aware of regarding malpractice insurance provided by the hospital?

A physician instructs the nurse to bladder train a patient.The nurse clamps the patient's indwelling urinary catheter but forgets to unclamp it.The patient develops a urinary tract infection.What do the nurse's actions exemplify?

Which is a nursing care error that violates the Health Insurance Portability and Accountability Act (HIPAA)?

A nurse working on an acute care medical surgical unit is aware that his or her first duty is to the patient's health,safety,and well-being.Given this knowledge,which of the following is most necessary for the nurse to report?

An LPN/LVN is asked by the RN to administer an IV chemotherapeutic agent to a patient in the acute care setting.What law should this nurse refer to before initiating this intervention?

When a nurse protects the information in a patient's record what ethical responsibility is the nurse fulfilling?

The nurse caring for a patient in the acute care setting assumes responsibility for a patient's care.What is this legally binding situation?

Which of the following could cause a nurse to be cited for malpractice?

An older adult is admitted to the hospital with numerous bodily bruises,and the nurse suspects elder abuse.What is the best nursing action?

What are the universal guidelines that define appropriate measures for all nursing interventions?

During a lunch break,an emergency department (ED)nurse truthfully tells another nurse about the condition of a patient who came to the ED last night.What is the ED nurse guilty of? (Select all that apply.)

When asked to perform a procedure that the nurse has never done before,what should the nurse do to legally protect himself or herself?

The nurse is preparing the patient for a thoracentesis.What must be completed before the procedure may be performed?

Patients have expectations regarding the health care services they receive.To protect these expectations,which of the following has become law?

Evolution of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Professional Roles and Leadership

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