Legal section (my nursing lab) – Flashcards
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A nurse ignores a client​'s persistent complaint of back pain because the client open double quote"complains too much.close double quote" The next day the client is diagnosed with kidney stones. What negligence prevention strategy did the nurse fail to​ implement? Minimizing client discomfort Maintaining client safety Using effective communication Minimizing the risk of medication errors
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Maintaining client safety
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A nurse is reviewing a medication order in the client​'s health record. The order is​ illegible, and the nurse calls the ordering healthcare provider to clarify the order. The nurse cannot reach the healthcare provider despite multiple calls and pages. Which action by the nurse is most appropriate in this​ situation? Ask a​ co-worker to attempt to decipher the order Fax the order to the pharmacy to decipher Contact the nursing supervisor Continue calling the healthcare provider
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Contact the nursing supervisor Rationale The nurse should contact the nursing supervisor after attempting numerous times to reach the healthcare provider. By contacting the​ supervisor, the nurse is using the negligence prevention strategy of preventing medication errors. Continuing to call the healthcare provider is not effective. Asking a​ co-worker or pharmacist to decipher the order is inappropriate
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The nurse is caring for a client who experienced an anaphylactic reaction to a medication. The nurse did not ask the client about allergies prior to administering the medication. Which statement is true regarding this nurse​'s ​actions? The nurse committed an act of​ negligence, but not malpractice. The nurse committed acts of negligence and malpractice. The nurse committed​ malpractice, but not an act of negligence. The nurse committed negligence due to a failure to communicate.
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The nurse committed acts of negligence and malpractice. Rationale The nurse committed a failure to​ assess, failure to follow standards of​ care, failure to​ document, and failure to act as a client advocate.​ Therefore, this nurse committed acts of negligence and malpractice.
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A client accuses a nurse of incompetency and files a lawsuit of malpractice. If the nurse is found​ incompetent, what document or act has been broken regarding nursing standards of​ care? The American Nurses Association​ (ANA) Standards of Practice The Nurse Practice Act National counsel licensure Accreditation certification
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The American Nurses Association​ (ANA) Standards of Practice Rationale Standards of Practice describe the competency level of nursing care as described by the ANA. The Nurse Practice Act regulates the licensing and practice of nursing in each state by describing the scope of practice. Accreditation allows the​ facility, school, or hospital to operate and be recognized in good standing according to standards set by peers. National council licensure is the standardized national examination that assess for a minimum knowledge base relevant to the client population that the nurse serves.
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A student nurse is reviewing the Nurse Practice Act and its influence on the standards of care for nurses. How does the Nurse Practice Act influence the practice of​ nursing? Sets the requirements for​ licensure, including educational requirements of nurses Develops client care policies and procedures Regulates institutional policies concerning​ nurse's job responsibilities Regulates the accreditation standing of nursing programs
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Sets the requirements for​ licensure, including educational requirements of nurses Rationale The Nurse Practice Act sets the requirements for​ licensure, including educational requirements of nurses. The Nurse Practice act does not regulate​ nurses' job responsibilities or the accreditation standing of nursing programs. The Nurse Practice Act does not develop client care policies and procedures.
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A client files a negligence lawsuit against a nurse for the​ long-term symptoms resulting from a​ ventilator-acquired pneumonia​ (VAP). Which element of professional negligence or malpractice will this client have difficulty proving in a court of​ law? Foreseeability Injury from breach of duty Breach of duty Causation
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Causation Rationale ​Typically, a client cannot successfully make a claim for malpractice on acquiring a​ healthcare-associated infection because the client must show that a specific nurse did not follow the standard of aseptic technique in order to prove cause. A deviation from standard care is a breach of​ duty, which can be proven in court. Foreseeability means that certain events cause certain​ outcomes, an aspect that can be proved in court. Injury that was caused by the breach of duty may also be proved.
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Criminal Law
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Criminal law relates to harm performed against society as a whole or against an individual. When crimes are committed they are considered to be committed against the state rather than against the individual, and are classified according to the severity. More severe crimes are classified as felonies, while less severe crimes are classified as misdemeanors.
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Civil Law
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Civil law relates to harm committed against an individual or an individual's property, impacting that individual's rights and duties. When an individual is found guilty of violating a civil law, it is punishable by the guilty party having to pay for damages and or compensation. An example of a civil law violation is a tort. A tort is a civil wrong, a damage, or an omission committed against an individual or an individual's property. The action may be either intentional (willful) or unintentional (accidental).
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Good Samaritan law
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Good Samaritan law exist in most states that allow healthcare providers to help victims in an emergency without fear of potential liability. Nurses should know their states' Good Samaritan law and nurse practice act before volunteering in an emergency. Nurses should provide care that is consistent with their level of training and licensure.
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Negligence
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Negligence: Conduct that deviates from what a reasonable individual would do in a particular circumstance. unintentional tort
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Malpractice
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Malpractice: Conduct deviating from the standard of practice dictated by the profession. unintentional tort Negligence resulting in malpractice can occur when the nurse fails to: ***Follow the standard of practice Use equipment in a responsible manner Communicate Document Assess and monitor Act as a client advocate
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Intentional tort
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assault battery false imprisonment
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What standard of conduct is a student nurse held to?
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Anyone performing special skills, whether qualified or not, is held to the standards of conduct of those appropriately qualified to do so. Thus, a nursing student is held to the standard of conduct of an experienced, licensed professional nurse.
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To establish liability or legal responsibility, five elements of professional negligence or malpractice must be present. These five elements are:
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1. must be owed a duty 2. breach of duty (standards of practice) 3. foreseeability 4. causation 5. The client must prove that some type of physical, monetary, or emotional harm resulted from the breach of owed duty.
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3 major categories of negligence
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The three major categories of negligence or malpractice are client safety issues, medication errors, and effective communication
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Six Rights of medication administration
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Right drug Right dose Right client Right route Right time Right documentation
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Standards of care
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The Standards of care that nurses are obligated to uphold are defined in the applicable nurse practice act and administrative rules. T
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nurse practice act
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The nurse practice act tells nurses what they can and cannot do within their given state. The administrative rules and the nurse practice act also spell out the professional actions and conduct of the licensed nurse, as well as the scope of the licensed nurse's practice. The applicable nurse practice act and administrative rules also identify activities for all levels of personnel that provide nursing care.
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Informed consent
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Informed consent means that a client has a legal and ethical right to be informed of and have knowledge about any healthcare procedure or treatment prior to giving consent to have it done. The client must give permission prior to undergoing any healthcare-related procedure or treatment. It is the duty of the healthcare provider to disclose information regarding treatment in language and terms clearly understood by the client. General guidelines pertaining to what the client should be informed of include: The diagnosis or condition that requires treatment The purposes of the treatment What the client can expect to feel or experience The intended benefits of the treatment Possible risks or negative outcomes of the treatment Advantages and disadvantages of possible alternatives to treatment (including no treatment)
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Implied consent
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Implied consent is actions taken by the client that are consistent with care, such as a client offering an arm for a blood pressure cuff.
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expressed consent
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Expressed consent is an oral or written agreement, such as a surgical consent form signed by the client prior to surgery.
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emergency doctrine
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The emergency doctrine assumes that the individual at risk of losing life or limb would reasonably consent to treatment if able to do so. The emergency doctrine serves as a basic guiding or regulatory principle allowing healthcare providers to render potentially life-saving procedures during situations that make it impossible or unreasonable to obtain consent.
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In which circumstance is it the most appropriate for a​ 17-year-old client to provide informed consent for​ care? Receiving antibiotics for strep throat with a parent present Bringing a grandparent to an urgent care center for a flu shot Receiving contraceptive services without a parent present Bringing a younger sibling to a health assessment visit
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Receiving contraceptive services without a parent present
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A novice nurse wants to use the nursing process while caring for clients. How can the nurse prevent medicine errors during the implementation phase of the nursing​ process? Urge the client to question the nurse if a pill being administered looks different from what is normally taken Hold the medication if the client is in the bathroom Instruct the client to tell the nurse the reason why the client is taking the medication being administered Leave the client​'s oral medication at the bedside only if the client is oriented and able to swallow
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Urge the client to question the nurse if a pill being administered looks different from what is normally taken
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A student nurse must understand the importance of providing safe nursing care consistent with legal requirements. Which statements are true regarding nursing​ negligence? ​(Select all that​ apply.) It occurs without the deliberate intent to bring harm against another individual. It is defined as conduct that deviates from what a reasonable individual would do in a particular circumstance. It is defined as conduct deviating from the standard of practice dictated by the profession. It is considered an unintentional tort. It is considered an intentional tort.
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It occurs without the deliberate intent to bring harm against another individual. It is defined as conduct that deviates from what a reasonable individual would do in a particular circumstance It is considered an unintentional tort.
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A nurse is administering a medication to a pediatric client. The nurse verifies the client​'s armband and confirms the correct medication by checking the prescribed order and the medication vial. Which actions by the nurse correctly exemplify the open double quote"Six Rightsclose double quote" of medication​ administration? ​(Select all that​ apply.) The nurse checks for right time by checking the prescribed order and looking at the time. The nurse checks for right frequency by looking at the client​'s chart. The nurse checks for right dose by checking the prescribed​ order, performing a dose​ calculation, and checking the medication. The nurse verifies the right medication by asking the client "is this what you normally take at ​home? The nurse checks for right documentation by documenting administration of the prescribed order in the client record.
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The nurse checks for right time by checking the prescribed order and looking at the time. The nurse checks for right dose by checking the prescribed​ order, performing a dose​ calculation, and checking the medication. The nurse checks for right documentation by documenting administration of the prescribed order in the client record.
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A nurse is accused of failing to assess and monitor. Which clinical scenario causes this type of​ malpractice? The nurse fails to act on prescribed​ orders, and the client suffers an adverse event. The nurse fails to notify the healthcare provider in a timely manner when conditions warrant it. The nurse fails to treat the client complaining of a​ headache, and the client subsequently has a stroke. The nurse fails to document a client​'s ​allergy, and the client subsequently has an allergic reaction to a medication administered.
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The nurse fails to treat the client complaining of a​ headache, and the client subsequently has a stroke
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All clients have the right to care by a competent and safe nurse. What ensures that a nurse is both competent and safe to​ practice? Code of ethics Nurse Practice Act Licensing process Standards of Practice
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Standards of Practice
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The nursing student asks the nurse educator to describe the purpose of nursing licensure. Which response from the nurse educator is most​ accurate? ​"Nursing licensure confirms your status as an expert in the nursing​ field." ​"Nursing licensure gives you the right to practice nursing in the state that issued the​ license." ​"Nursing licensure means you will protect the safety of your clients and provide competent client​ care." ​"Nursing licensure reflects fulfillment of the requirement to pass a national​ examination."
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Nursing licensure reflects fulfillment of the requirement to pass a national​ examination."
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The nursing student is preparing a classroom presentation about the functions of a board of nursing​ (BON). When listing the functions of a​ BON, which activities should the nursing student include in the​ presentation? ​(Select all that​ apply.) Maintaining the Nursys database of publicly available nurse licensure information. Investigating alleged violations of the nurse practice act​ (NPA) Directing the National Council of State Boards of Nursing​ (NCSBN) Holding disciplinary hearings for license suspension Developing the National Council Licensure Examination for Registered Nurses​ (NCLEX-RN)
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Investigating alleged violations of the nurse practice act​ (NPA) Holding disciplinary hearings for license suspension
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A group of nursing students is discussing the purpose and functions of a nurse practice act​ (NPA). Which nursing student​'s statement is​ accurate? open double quote"Nursing practice is federally regulated through a nurse practice act.close double quote" open double quote"Nurse practice acts provide optional guidelines for nurses to follow.close double quote" "A nurse practice act addresses grounds for nursing licensure revocation." "Each nursing education program must administer a nurse practice act.
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"A nurse practice act addresses grounds for nursing licensure revocation."
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The nursing student is completing a clinical rotation in an extended care facility. The nursing student​'s client is scheduled to receive a medication. Although the nursing student is prepared to safely administer the​ medication, the nursing instructor is not available. Which action by the nursing student is most​ appropriate? Notify the nursing instructor that the nursing student is administering the medication Request that the client​'s assigned primary care nurse administer the client​'s medication Hold the medication until the nursing instructor is available to supervise the nursing student Ask the client​'s assigned primary care nurse to supervise the student during medication administration
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Request that the client​'s assigned primary care nurse administer the client​'s medication
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What are the functions of a state board of​ nursing? ​(Select all that​ apply.) Administering programs for impaired nurses Standardizing nursing education programs Protecting the public from unprepared healthcare providers Defending nurses who are accused of misconduct Monitoring the remediation of nursing practice issues
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Administering programs for impaired nurses Standardizing nursing education programs Protecting the public from unprepared healthcare providers Monitoring the remediation of nursing practice issues
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The nursing student is designing a poster that describes the process of how a nurse can become a member of a state​'s board of nursing​ (BON). Which statement is most appropriate for the nursing student to include on the​ poster? Consumers may be appointed to serve on a state​'s BON. Healthcare institutions determine who serves on each state​'s BON. BON members must maintain advanced practice registered nurse certification. In most​ states, BON members are elected by licensed nurses.
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Consumers may be appointed to serve on a state​'s BON
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The pediatric staff nurse is licensed to practice nursing in South​ Carolina, which is part of the Nurse Licensure Compact​ (NLC). Upon accepting a travel nurse​ position, the pediatric staff nurse will be required to provide nursing care to clients in North Carolina and in​ Tennessee, both of which are also part of the NLC. The pediatric staff nurse intends to maintain a primary residence in Tennessee. Which action must the pediatric staff nurse complete in order to have multistate licensure​ privileges? Obtain nursing licensure from both North Carolina and Tennessee Maintain an additional interstate compact nursing license Maintain a current nursing license only in South Carolina Obtain nursing licensure from Tennessee
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Obtain nursing licensure from Tennessee
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The nurse educator is planning a presentation that describes the original and expanded functions of a board of nursing​ (BON). Which expanded functions of a BON should the nurse educator include in the​ webinar? ​ (Select all that​ apply.) Establishing nursing practice standards Issuing nursing licenses Remediating practice issues Participating in multistate licensure compacts Standardizing nursing education
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Remediating practice issues Participating in multistate licensure compacts
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The nurse is providing care for a young adult client who just learned she has breast cancer. The client decides to open double quote"put her house in order.close double quote" She fills out a living will that spells out her future healthcare treatment desires. What kinds of decisions are likely to be covered in the living​ will? ​(Select all that​ apply.) Intubation Resuscitation Cremation Parenteral nutrition Funeral home
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Intubation Resuscitation Parenteral nutrition
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The nurse is caring for a client who is recovering from open heart surgery. The client​'s extended family is​ large, and the nurse has heard heated hallway discussions about the client​'s ​end-of-life care. What is the role of the nurse in this​ situation? ​(Select all that​ apply.) Assess whether clients and families understand​ life-sustaining activities Contribute the​ nurse's opinion about the​ client's choices Assure both clients and families that written decisions are not irrevocable Serve as a peaceful mediator between clients and families Advocate for clients and families to continue discussions
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Assess whether clients and families understand​ life-sustaining activities Assure both clients and families that written decisions are not irrevocable Advocate for clients and families to continue discussions
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An experienced nurse remembers the many nursing education efforts that took place when the Health Insurance Portability and Accountability Act​ (HIPAA) was passed in 1996. With education​ refreshers, what would the nurse identify as HIPAA​'s ​goals? ​(Select all that​ apply.) Overcome​ pre-existing conditions as a barrier to health insurance Establish universal health insurance coverage Help those who lose health insurance coverage Determine reasonable caps for health insurance premiums Eliminate medical underwriting in group plans
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Overcome​ pre-existing conditions as a barrier to health insurance Help those who lose health insurance coverage Eliminate medical underwriting in group plans
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Which agency serves as the official central governmental hub for all HIPAA​ issues? Department of Health and Human Services​ (DHHS) Agency for Healthcare Research​ & Quality​ (AHRQ) National Institutes of Health​ (NIH) The Joint Commission​ (TJC)
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Department of Health and Human Services​ (DHHS)
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Additional laws have added requirements to the original HIPAA legislation and strengthened administrative simplification. Which laws have done​ that? ​(Select all that​ apply.) 2009 Health Information Technology for Economic and Clinical Health Act 2000 Reports Consolidation Act 2012 Congressional Reform Act 2010 Patient Protection and Affordable Care Act 1996 Health Insurance Portability and Accountability Act
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2009 Health Information Technology for Economic and Clinical Health Act 2010 Patient Protection and Affordable Care Act
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What conditions can add to the potential risk of nurses not maintaining​ confidentiality? ​(Select all that​ apply.) International travelers Celebrity status Unusual medical conditions Notoriety Previous hospital admissions
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Celebrity status Unusual medical conditions Notoriety
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Helen and Chuck Winston are the parents of a​ 4-year-old child with cerebral palsy. They recently received a mailing from a national organization that advocates for children with mobility issues. The mailing was addressed directly to their​ son, and included a request for a donation. They are adamant that their​ child's medical status not be known by anyone outside the immediate family. To which governmental agency could they direct a complaint about possible violation of their​ child's right to​ privacy? National Institute of Disability Health Office for Civil Rights Agency for Healthcare Research and Quality Centers for Disease Control and Prevention
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Civil rights
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Renee Vasquez is an ED nurse manager and is not an avid​ movie-goer, so she was unprepared for the crowds that packed the parking lot of the hospital when a celebrity was admitted after a car accident. The nurse overhears some personnel talking about getting autographs. What is the best response of the​ nurse? Go to the shift supervisor and describe details of the overheard conversation. Go to the​ celebrity's room and make sure that the personnel have not arrived there yet. Go directly to the personnel who plan to get autographs and remind them about confidentiality. Go to an experienced colleague and ask that individual to take the lead in assuring confidentiality.
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Go directly to the personnel who plan to get autographs and remind them about confidentiality.
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The dialysis nurse looks across the treatment area and recognizes the pastor of the local church. The pastor is being interviewed by the unit admission nurse. The dialysis nurse knows that the nature of his treatment will bring them into some contact with each other on a regular basis. Which action by the nurse is most appropriate in this​ situation? The nurse should ask to not be assigned to the care of this client. The nurse should always go over to welcome the​ client, regardless of clinical assignment. The nurse should not talk about the care of this client to members of his church. The nurse should ignore the client​'s presence on the unit if not assigned to him.
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The nurse should not talk about the care of this client to members of his church.
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A client has designated a member of the family as a healthcare surrogate. In making this​ decision, which rationale is the​ priority? The individual​'s knowledge about the client​'s intended decisions. The individual​'s familiarity with the client​'s complex medical history. The client​'s feeling that the individual would be accepting of death or disability. The client​'s feeling that the individual would know the latest medical innovations.
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The individual​'s knowledge about the client​'s intended decisions.
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Two nurse case managers are discussing the implications of the Patient Protection and Affordable Care Act​ (ACA). In their​ discussion, what effect on the Health Insurance Portability and Accountability Act​ (HIPAA) standards could they remind each other​ of? ACA increased penalties for noncompliance with HIPAA. ACA exempted health plans from HIPAA compliance. ACA required healthcare providers to follow HIPAA standards. ACA supplanted the previous Privacy Rule.
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ACA increased penalties for noncompliance with HIPAA.
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The nurse is caring for a client who is in excruciating pain from terminal cancer. The​ client's son has asked that his father receive every effort to prolong his life. The son has durable power of​ attorney, and says that is what his father wants. The oncology nurse disagrees with this decision. Which action by the nurse is the most​ appropriate? Let the client know how the nurse feels about the situation Confront the family member about the ramifications of his decision Refuse to be assigned to the client​'s future care Continue to follow the documented healthcare directions for the client
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Continue to follow the documented healthcare directions for the client
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Two night shift nurses are talking about the recent discharge of a celebrity from the substance abuse treatment facility where they work. The celebrity disguised his face and used a false name. The nurses did not find out about the celebrity​'s treatment while on duty. They read about it on the front page of a national tabloid. Now that the story has been​ published, is it appropriate for the nurses to discuss this client while on​ duty? After they check out the truth or falsehood of the story with their​ colleagues, they can discuss it. The nurses should not discuss what they​ read, since someone could accuse them of being the information leak. The nurses should fill out an incident report about the tabloid story. The nurses can discuss what they​ read, since they are not sharing information from the workplace.
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The nurses can discuss what they​ read, since they are not sharing information from the workplace.
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The mentor of the newly hired nurse is talking about the effects of privacy laws. What personal financial consequence may occur for a nurse who inadvertently violates a​ client's privacy? A nurse might have increased payroll deductions. A nurse might be responsible for calculating the costs of restoring privacy. A nurse might have to defend against a civil lawsuit. A nurse might be fined by hospital administration.
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A nurse might have to defend against a civil lawsuit.
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A code blue is called on an older client in the emergency department. As the code team begins resuscitation​ activities, the​ client's spouse reminds the triage nurse of the do not resuscitate​ (DNR) status of the client. What is the appropriate response from the triage​ nurse? Ask the spouse if a change to the DNR status is wanted Follow the​ client's DNR wishes by stopping the code Tell the spouse to wait until the code team finishes First verify the advance​ directive's placement in the chart
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Follow the​ client's DNR wishes by stopping the code
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The nurse leader is creating a poster that summarizes guidelines related to reporting nurses who are in violation of the Nurse Practice Act. To give examples of situations in which the individual who makes the report is protected by an immunity​ clause, which scenarios are most appropriate for inclusion on the​ poster? ​(Select all that​ apply.) A nurse administrator who reported a staff nurse for incompetent client care A staff nurse who reported a nurse supervisor for unethical behavior A nurse who reported a nurse colleague for illegal activities in the workplace A client who knowingly issued a false report against an emergency department staff nurse A client who acted without concern for the validity of reported allegations against a home health nurse
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A nurse administrator who reported a staff nurse for incompetent client care A staff nurse who reported a nurse supervisor for unethical behavior A nurse who reported a nurse colleague for illegal activities in the workplace
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The nurse administrator is explaining the concept of mandatory reporting to a group of staff nurses. Which information is most appropriate for the nurse administrator to include when defining mandatory​ reporting? ​(Select all that​ apply.) Mandatory reporting is a legal requirement. Mandatory reporting includes reporting certain​ events, acts, and situations. Reportable events are designated by state law. Reportable events are designated by local law. Reportable events are designated by healthcare institutions.
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Mandatory reporting is a legal requirement. Mandatory reporting includes reporting certain​ events, acts, and situations. Reportable events are designated by state law. Reportable events are designated by local law.
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The staff nurse is notified of an impending investigation related to charges that the staff nurse violated the state​'s Nurse Practice Act​ (NPA). To understand the board of nursing​'s ​(BON​'​s) process of addressing allegations of nursing​ misconduct, which principles are most appropriate for the staff nurse to​ consider? ​(Select all that​ apply.) The staff nurse is automatically required to attend a formal administrative BON hearing. The BON is obligated to respect the staff nurse​'s right to due process. The BON will consider the staff nurse guilty based solely on the allegations. The staff nurse will be offered an opportunity to respond to the allegations. The BON will not disclose the specific allegations made against the staff nurse.
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The BON is obligated to respect the staff nurse​'s right to due process. The staff nurse will be offered an opportunity to respond to the allegations.
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The nurse unit manager is designing a brochure for healthcare providers that describes the illnesses and injuries that are subject to mandatory reporting. Which statement is most appropriate for the nurse unit manager to include in the​ brochure? Infectious diseases that are subject to mandatory reporting include​ tuberculosis, HIV,​ AIDS, and Escherichia coli. Injuries sustained during a suspected criminal act are reported only if the crime can be proven. Powder burns sustained during discharge of a gun or firearm are not subject to mandatory reporting. All wounds that are caused by a knife or a sharp object are subject to mandatory reporting.
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Infectious diseases that are subject to mandatory reporting include​ tuberculosis, HIV,​ AIDS, and Escherichia coli.
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Eldredge Marain is the nurse manager of a home health care agency. One of the​ agency's home health staff nurses notifies Eldredge that she believes a client is being abused by the​ client's family member. The staff nurse​ states, "The client has bruises all over her arms. When I asked her how she got the​ bruises, she looked away from me and would not respond.​ Today, I noticed that she seems nervous when her daughter is in the room. I also overheard her daughter saying that her mother is a burden and that​ she's tired of dealing with​ her." Which action from Eldredge is most​ appropriate? Conducting an investigation to confirm that the client is being abused Encouraging the client to report the abuse to local law enforcement officials Following the​ agency's protocols for reporting suspected abuse of vulnerable adults Advising the staff nurse that she could be charged with false reporting
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Following the​ agency's protocols for reporting suspected abuse of vulnerable adults
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The clinical nurse educator is giving a presentation to emergency department nurses about injuries and illnesses that are subject to mandatory reporting by healthcare providers. Which examples are most appropriate for the clinical nurse educator to include when describing injuries and illnesses that the healthcare provider must​ report? ​ (Select all that​ apply.) A client whose newly diagnosed HIV infection is causing minimal symptoms A client whose powder burns were sustained during target practice A client whose small caliber gunshot wound was sustained while cleaning a weapon A client whose vomiting and diarrhea are believed to be due to ingestion of a poisonous substance A client whose knife wound was sustained during food preparation
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A client whose newly diagnosed HIV infection is causing minimal symptoms A client whose powder burns were sustained during target practice A client whose small caliber gunshot wound was sustained while cleaning a weapon A client whose vomiting and diarrhea are believed to be due to ingestion of a poisonous substance
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The emergency department staff nurse is caring for a​ 6-year-old male client who sustained a fractured right radius. Upon physical​ examination, the nurse notes scattered bruising across the client​'s back. When asked what caused the​ bruising, the client silently stares at the floor. Based on physical assessment​ findings, the nurse suspects the client may be a victim of abuse. Which action is the priority for the nurse to​ implement? Contacting federal law enforcement officials Reporting the abuse to local law enforcement officials Notifying the immediate nurse supervisor Obtaining a referral to a hospital social worker
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Notifying the immediate nurse supervisor
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A nurse is filling out an incident report for the first time. The nurse wants to make sure that the report is complete. What elements must be included to give the best picture of the​ event? ​(Select all that​ apply.) The exact location in the facility of the event Names of all staff on duty at the time of the event Witnesses to the​ event, except for other clients The name of the nurse completing the report The identification of equipment if involved in the event
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The exact location in the facility of the event The name of the nurse completing the report The identification of equipment if involved in the event
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The pediatric oncology nurse is assigned to give medications to several children. For which medications would the nurse face an increased risk of making a medication​ error? ​(Select all that​ apply.) Medication in the form of a tablet to be crushed Medication calculated based on​ child's weight Medication needed in small dosage for an infant Medication measured with an eye dropper dispenser Medication produced in adult concentrations
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Medication calculated based on​ child's weight Medication needed in small dosage for an infant Medication produced in adult concentrations
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A nurse recently attended the​ hospital's mandatory annual education series about filling out incident reports. At the​ end, knowledge was tested using a​ True-False posttest. Which item would the nurse circle as being​ false? Incident reports should be written as though discoverable. If​ follow-up treatment was​ needed, the chart should not record that fact. If an incident report was​ written, the chart should not record that fact. Most incidents do not result in the filing of a civil lawsuit in court.
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If​ follow-up treatment was​ needed, the chart should not record that fact.
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A night nurse makes two telephone calls to the covering healthcare provider during the early morning hours of the shift. Then the nurse discovers an order for a stat laboratory test that was​ requested, but not​ done, during daytime hours. Which action by the nurse is the most appropriate in this​ situation? Communicate the missed order to the next shift Call the healthcare provider to clarify the need for the stat lab test Wake up the client for transport to the lab Write up an incident report about the error
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Call the healthcare provider to clarify the need for the stat lab test
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Several nurses attend an educational lecture by an official from the Occupational Safety and Health Administration​ (OSHA) and are reminded about the Whistleblower Protection Program. They hear about the various forms that job discrimination could​ take, which is prohibited by law. What are some forms of job​ discrimination? ​(Select all that​ apply.) Reducing the salary that a nurse is paid Putting a nurse on the weekend coverage schedule Assigning a new graduate nurse to the night shift Decreasing scheduled hours that a nurse works Not rehiring a nurse into a former position
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Reducing the salary that a nurse is paid Decreasing scheduled hours that a nurse works Not rehiring a nurse into a former position
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Which nursing activity is a common cause of pediatric medical​ errors? Monitoring adverse events Mathematical calculation Administration of drugs in suspension Communication with children
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Mathematical calculation
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Which healthcare provider​'s orders should nurses​ question, to protect themselves​ legally? ​(Select all that​ apply.) Orders for expensive​ in-house laboratory tests Orders that a client questions Orders written before​ client's condition changed Orders calling for a medication with a decimal point Orders written after​ client's condition improved
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Orders that a client questions Orders written before​ client's condition changed
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Which elements are commonly found in an incident​ report? ​(Select all that​ apply.) ​Client's account of event ​Client's health insurance Date and time of event ​Client's home address Location of event
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clients account of event date and time location
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What does the legal term​ "discovery" mean? Process of putting a witness on the stand to testify Process of finding out the individual to blame for the unfortunate event Process of filing of a civil lawsuit to recover punitive damages Process of obtaining information before a trial
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obtaining into before a trial
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What is a likely characteristic of a just​ culture? Civil lawsuit filing rates will increase. Nurses will need to fill out far fewer incident reports. Fear of termination for nursing mistakes will decrease. Nurses will not have to report​ near-misses.
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Fear of termination for nursing mistakes will decrease.
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What facts would disqualify nurses for protection when reporting observed misconduct under the Whistleblower Protection​ Act? ​(Select all that​ apply.) Employer engaging in retaliation against the nurse Nurse making a verbal complaint to administration Nurse giving employer time to correct the issue Nurse following​ employer's internal reporting procedures Employer not knowing that the activity was a violation of law
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Employer not knowing that the activity was a violation of law Nurse making a verbal complaint to administration
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Michaela​ Reston, a​ 42-year-old woman with multiple​ sclerosis, has been receiving infusions in the outpatient clinic to treat her severe dehydration. When the nurse checked her IV​ functioning, she found Ms. Reston in distress. Ms. Reston developed a rapid​ pulse, chest​ pain, and a cough. What immediate action should the nurse​ take? Document Ms.​ Reston's vital signs and complaints Increase the rate of Ms.​ Reston's IV infusion Offer Ms. Reston a glass of water to drink Notify Ms.​ Reston's healthcare provider of her current status
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Notify Ms.​ Reston's healthcare provider of her current status
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A hematology unit nurse is filling out an incident report about a medication error concerning Ernie​ Harris' drugs. Mr. Harris is a​ 30-year-old African-American admitted with sickle cell disease. The name of the wrong medication and the name of the correct medication are quite similar. What information should the nurse include in Mr.​ Harris' medical​ record? The fact that an incident report was completed The fact that the medication names are quite similar The name of the nurse who discovered the error The name and dosage of the medication administered
answer
The name and dosage of the medication administered
question
A clinic nurse discovers that all the fire extinguishers on the top two floors of the clinic are way past their expiration date. The nurse writes a letter to the​ clinic's Risk Manager and to the Safety Officer. After waiting a​ month, and receiving no reply from either​ individual, the nurse wrote again. This time the nurse added a statement about making a report to a state agency. What additional event must happen to have the nurse qualify for protection under the Whistleblower Protection​ Act? The nurse must leave​ work, and resign the clinic position immediately. The employer must threaten or engage in retaliation against the nurse for complaining. The nurse must make appointments with the Risk Manager and the Safety Officer. The nurse must request an OSHA inspection of the clinic.
answer
The employer must threaten or engage in retaliation against the nurse for complaining.
question
The unit clerk hands the telephone to the nurse manger of the geriatric unit. A healthcare​ provider, having received panic value laboratory results for a​ client, gives a verbal order to the nurse manager. The nurse records the date and​ time, the healthcare provider​'s ​name, and the orders. What other facts must the nurse​ record? ​(Select all that​ apply.) Reason the healthcare provider called with new orders Confirmation by the healthcare provider of the​ read-back orders Name of unit clerk answering the healthcare​ provider's call Title of nurse​ manager, not a staff​ nurse, who took the verbal order Current vital signs of the client
answer
Reason the healthcare provider called with new orders Confirmation by the healthcare provider of the​ read-back orders
question
A healthcare provider prescribes oxygen to be administered at 4 liters per minute to the​ client, a retired registered nurse. When the cardiac unit nurse checks on the​ client, during regular​ rounds, the cardiac unit nurse finds that the client had changed the oxygen setting. The client​ reports, "The change makes me more​ comfortable." Which action by the cardiac unit nurse is the​ priority? Contact the healthcare provider to change the prescribed order to the​ client's preference Change the setting of the oxygen flow to match the prescribed order Explain to the client the career consequences of not following prescribed orders Encourage the client to make nonmedical changes to increase comfort level
answer
Change the setting of the oxygen flow to match the prescribed order
question
A visitor to the dermatology clinic slips on moisture on the floor of the waiting​ room, on a​ stormy, rainy day.​ "There was a puddle caused by​ someone's umbrella," the visitor​ complained, while being helped to his feet. What should the nurse do with that​ statement? Include the statement about the umbrella in quotes in an incident report Put that statement in the chart of the client whose umbrella shed water Ignore the​ statement, since it points a finger of liability to an individual Report that statement to the Risk Manager only​ orally, not in written form
answer
Include the statement about the umbrella in quotes in an incident report
question
Two nurses are attending a workshop updating clinicians about the provisions of the Patient Protection and Affordable Care Act​ (ACA). They are discussing how they appreciated learning about how this new legislation strengthened an older law. For what situation did the ACA encourage​ reporting? Careless sterile techniques Billing agency fraud Intravenous medication errors Wasteful supply ordering
answer
Billing agency fraud
question
A nurse manager discovers that a front line staff member failed to report a safety error due to fear of termination. The nurse manager believes that such an omission may hamper ongoing quality improvement​ (QI) efforts. Why would this omission become a QI​ obstacle? Safety errors can best be discovered by nurse managers. Quality improvement efforts cause more fear of termination. Healthcare managers would not have an accurate picture of risks. Omission of reporting a single safety error is grounds for firing.
answer
Healthcare managers would not have an accurate picture of risks.
