Chapter 7, Legal Dimensions of Nursing Practice - Test Bank PDF

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Legal Dimensions of Nursing Practice - Test Bank...

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A) B) C) D)

A) B) C)

D)

A) B) C) D)

Which of the following aspects of nursing 1. would be most likely defined by legislation at a state level? The differences in the scope of practice between registered nurses (RNs) and licensed practical nurses (LPNs). The criteria that a nurse must consider when delegating tasks to unlicensed care providers. The criteria that clients must meet in order to qualify for Medicare or Medicaid. The process that nurses must follow when handling and administering medications.

During a clinical placement on a subacute, geriatric medicine unit, a student nurse fed a stroke client some beef broth, despite the fact that the client's diet was restricted to 2. thickened fluids. As a result, the client aspirated and developed pneumonia. Which of the following statements underlies the student's potential liability in this situation? The same standards of care that apply to a registered nurse apply to the student. The student and the nursing instructor share liability for this lapse in care. The patient's primary nurse is liable for failing to ensure that delegated care was appropriate. The student's potential liability is likely negated by the insurance carried by the school of nursing.

A nurse is arrested for possession of illegal 3. drugs. What kind of law is involved with this type of activity? Civil Private Public Criminal

A) B) C) D)

A lawyer quotes a precedent for punishment 4. of a crime committed by the defendant in a trial. What is court-made law known as? Public law Statutory law Common law Administrative law

5. A) B) C) D)

A) B) C) D)

A nurse is providing client care in a hospital 6. setting. Who has full legal responsibility and accountability for the nurse's actions? The nurse The head nurse The physician The hospital

7. A) B) C) D)

8. A) B) C) D)

A client is suing a nurse for malpractice. What is the term for the person bringing suit? Plaintiff Defendant Litigator Witness

What type of law regulates the practice of nursing? Common law Public law Civil law Criminal law

What is the legal source of rules of conduct for nurses? Agency policies and protocols Constitution of the United States American Nurses Association Nurse Practice Acts

A) B) C) D)

A nurse moves from Ohio to Missouri. Where 9. can a copy of the Nurse Practice Act in Missouri be obtained? Ohio State Board of Nursing Missouri State Board of Nursing Federal government nursing guidelines National League for Nursing

10. A) B) C) D)

Which of the following best describes voluntary standards? Voluntary standards are guidelines for peer review, guided by the public's expectation of nursing. Voluntary standards set requirements for licensure and nursing education. Voluntary standards meet criteria for recognition, specified area of practice. Voluntary standards determine violations for discipline and who may practice.

C) D)

Which of the following accreditations is a 11. legal requirement for a school of nursing to exist? National League for Nursing Accrediting Commission American Association of Colleges of Nursing accreditation State Board of Nursing accreditation Educational institution accreditation

A) B) C) D)

Which of the following is the most frequent 12. reason for revocation or suspension of a nurse's license? Fraud Mental impairment Alcohol or drug abuse Criminal acts

A) B)

A) B) C) D)

13. surgery. The client falls and fractures a hip. What charge might be brought against the nurse? Assault Battery Fraud Negligence

A) B) C) D)

A client refuses to have a pain medication administered by injection. A nurse says, "If 14. you don't let me give you the shot, I will get help to hold you down and give it." With what crime might the nurse be charged? Assault Battery Negligence Defamation

A) B) C) D)

Two nurses are discussing a client's condition 15. in an elevator full of visitors. With what crime might the nurses be charged? Defamation of character Invasion of privacy Unintentional negligence Intentional negligence

A) B) C) D)

A lawsuit has been brought against a nurse for malpractice. The client fell and suffered a skull fracture, resulting in a longer hospital 16. stay and need for rehabilitation. What does the description of the client and his injuries represent as proof of malpractice? Damages Causation Duty Breach of duty

A) B) C) D)

A nurse has been named as a defendant in a 17. lawsuit. With whom should the nurse discuss the case? Colleagues Reporters Plaintiff Attorney

A) B) C) D)

Which of the following is the nurse's best legal safeguard? Collective bargaining Written or implied contracts Competent practice Patient education

A) B) C) D)

A nurse has taken a telephone order from a physician for an emergency medication. The 19. dose of the medication is abnormally high. What should the nurse do next? Administer the medication based on the order Question the order for the medication Refuse to administer the medication Document concerns about the order

18.

A) B) C) D)

A client gets out of bed following hip surgery, falls, and re-injures her hip. The nurse caring for her knows that it is her duty to make sure 20. an incident report is filed. Which of the following statements accurately describes the correct procedure for filing an incident report? The physician in charge should fill out the report. The names of the staff involved should not be included. The reports are used for disciplinary action against the staff. The report should contain all the variables related to the incident.

A) B) C) D)

A) B) C) D)

A) B) C) D)

An on-duty nurse discovers that her colleague 21. is pilfering medicines. According to the Nurse Practice Acts, what should the nurse do? Keep silent and overlook the incident Inform the local police station Discuss this incident with the colleague Report the incident to the supervisor

A client who has undergone resection of the intestine is on a liquid diet with a nasogastric tube in place. He refuses the food tray with regular food that comes to his room and insists that a physician be called. The nurse 22. insists that it is the right food and makes the client take it. The client develops complications and has to be re-operated upon. How is negligence determined in this situation? The nurse did not call the physician when the client asked. The nurse did not realize the importance of the tube. The dietary department sent the wrong diet for the client. The nurse insisted the patient have the solid food.

A home care nurse is caring for a quadriplegic client who needs regular position changes and back massages. A gentleman identifying 23. himself as a family friend inquires if he can be of any help to the family. What should be the nurse's response be? The nurse should ask the gentleman to talk to the family directly. The nurse should invite the gentleman to learn the caring techniques. The nurse should state that the family does not need any help. The nurse should refer the gentleman to the local social worker.

A) B) C) D)

A client is admitted with symptoms of psychosis. The nurse hurries to the client's room when she hears the client calling for help. She finds the client lying on the ground. The nurse assists the client back to the bed 24. and performs a thorough assessment. The nurse informs the physician and completes the incident report. Which of the following statements should the nurse document in the incident report? The client was trying to lower the side rails. The client was found lying on the floor. The client was trying to get out of the bed. The client was not aware that he had fallen.

A) B) C) D)

A nurse fails to administer a medication that prevents seizures, and the client has a seizure. 25. The nurse is in violation of the Nurse Practice Act. What type of law is the nurse in violation of? Criminal Federal Civil Supreme

26. A) B) C) D)

A baccalaureate-prepared nurse is applying for a nurse practitioner position. The nurse is: Well educated and can perform these duties Able to practice as a nurse practitioner Educated to practice only with pediatric patients Practicing beyond his scope according to licensure

When the nurse inserts an ordered urinary catheter into the client's urethra after the 27. client has refused the procedure, and then the client suffers an injury, the client may sue the nurse for which type of tort?

A) B) C) D)

A) B) C) D)

A)

B)

C)

D)

E)

A)

Battery Assault Invasion of privacy Dereliction of duty

A group of nurses working in a long-term care facility fails to keep the narcotic medications in a secure location. The nurses also fail to 28. count the medications before and after each shift, as indicated by the institution's policies and procedures. These failures may result in what type of disciplinary action? Action against the nurses' licenses Action against the facility's state license Action against the state regulating body Action against the pharmacist's license

Which of the following statements accurately describes an aspect of the credentialing 29. process used in nursing practice? Select all that apply. Credentialing refers to the way in which professional competence is ensured and maintained. Accreditation is the process by which the state determines that a person meets minimum requirements to practice nursing. Certification grants recognition in a specified practice area to people who meet certain criteria. Legal accreditation of a school preparing nursing personnel by the state Board of Nursing is voluntary. Once earned, a license to practice is a property right and may not be revoked without due process.

According to HIPPA regulations, which of the 30. following is a client right regarding the client's medical record? Select all that apply. To see the health record

B) C) D) E)

A) B) C) D) E)

A)

B) C) D) E)

A)

To copy the health record To make additions to the health record To cross out sections of the health record To restrict certain disclosures of the health record

A nurse explains the informed consent form to a client who is scheduled for heart bypass 31. surgery. Which of the following are elements of this consent form? Select all that apply. Disclosure Organ donation DNR orders Comprehension Competence

Which of the following nursing actions would 32. be considered a violation of HIPPA regulations? Select all that apply. A nurse ambulates a client through a hospital hallway in a hospital gown that is open in the back. A nurse shoves a confused, bedridden client into bed after he made several attempts to get up. A nurse inadvertently administers the wrong dose of morphine to a client in the ICU. A nurse uses a client's chart as a sample teaching case without changing the client's name. A nurse reports the condition of a client to the client's employer.

The nursing student asks the nurse for an example of a "never event." Which example 33. provided by the nurse best answers the nursing student's question? The client scheduled for a cholecystectomy has a total abdominal hysterectomy.

B) C) D)

The client receives preoperative medication before signing the informed consent. The client receives a medication and develops a rash on the trunk of the body, itching, and dyspnea. The client fails to receive a regularly scheduled medication.

A) B) C) D)

The nurse reports a nursing colleague on the 34. unit who is lethargic and verbally responding in a slow manner. What is this an example of? Whistle-blowing Collective bargaining Delegating nursing care Ensuring adequate staffing

A) B) C) D)

The nurse is accused of malpractice by a client. List the order in which the steps of the litigation process will occur (use all options). 1) The basis for the claim is determined to be appropriate and timely with all elements of liability present. 2) All parties named as defendants (nurses, physicians, health care agency), as well as insurance companies and attorneys, work toward a fair settlement. 35. 3) Trial takes place; both sides present their evidence and arguments. 4) The case is presented to a malpractice arbitration panel. The panel's decision is either accepted or rejected, in which case a complaint is filed in trial court. 5) Pretrial discovery activities occur: review of medical records and depositions of plaintiff, defendants, and witnesses. 6) The defendants contest allegations. 2, 3, 4, 1, 5, 3 1, 2, 4, 6, 5, 3 1, 2, 3, 4, 5, 6 2, 6, 5, 3, 1, 4

Answer Key 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35.

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