question

in given situations, the nature and degree of reasonable care expected of people providing care may differ depending upon which factor?

answer

the individual's status as a professional

question

Standards of care exist for a number of reasons. what is their most basic purpose?

answer

to protect & safeguard the public as a whole

question

The hospital nursing group establishing standards of care for a newly organized patient care unit is looking for external sources for these standards. Where should these nurses look?

answer

Professional journals and nursing textbooks

question

The hospital nursing group establishing standards of care for a newly organized patient care unit is looking for internal sources for these standards. Where should these nurses look?

answer

Hospital policy and procedures manuals

question

The hospital nursing group has reviewed external standards of care to establish standards of care for a newly organized patient care unit. These external sources serve to set which level of standard of care?

answer

National

question

Which situation supports the charge of malpractice against a professional nurse?

answer

A failure on the part of the nurse to exercise reasonable and prudent care in treating a patient

question

What does the court consider in determining the nurse's legal liability for standards of care?

answer

Professional education, experience, and specific conduct

question

What is the single most critical factor in determining whether a particular nurse acted with reasonable care in a given situation?

answer

How the nurse's conduct compares to that of nurses with similar background and experience

question

The state board of nursing has brought action against a nurse's license based upon violation of a regulation. What is true about this scenario?

answer

These rules and regulations have the force of law.

question

A lawsuit is brought against a nurse in a rural hospital. The nurse replies that the standard of care for rural nurses is different from that for nurses working in large urban facilities. Is this a defensible position?

answer

No, nurses in rural settings must meet the same standards as those practicing in large urban areas.

question

The nurse holds national certification as a wound care specialist and works in a small, rural hospital. What standard of skill and care applies to this nurse's practice?

answer

It should be the same as that of an average nurse who also holds national wound care certification.

question

Which scenario reflects the "two schools of thought" doctrine?

answer

Nurses on one unit vary in their choice of ways to deliver quality care.

question

The hospital policy and procedure manual states that medications should be charted immediately after administration. The nurse routinely charts the medications as they are being prepared for administration. What does this practice reflect?

answer

A violation of hospital policy and procedure

question

The survivors of a patient who unexpectedly died in a hospital brought suit for wrongful death against the hospital and two nurses. Review of the hospital's pertinent policy and procedures found them to be current. Review of the medical record revealed that policy and procedures were followed by the nurses. What is the likely outcome of this suit?

answer

Find for the nurses, since they followed hospital policy and procedures.

question

How can health care best ensure that all of its practitioners meet current standards of care?

answer

Create clearly written, easily updated policy and procedure manuals.

question

A nurse is leaving the parking lot at the hospital and carelessly runs over a patient who was just discharged. Ironically, the nurse had been assigned to care for that patient that day. If the patient sues this nurse, which statement is true?

answer

The nurse can be held liable for negligence but not malpractice.

question

Punitive damages of one million dollars were awarded to the family of a patient who died following a nursing medication error. What is true of these punitive damages?

answer

These damages are awarded to set an example to other nurses.

question

Why is proving proximate harm cause important in the outcome of a professional negligence suit?

answer

It determines how far the liability extends for consequences following negligent actions.

question

The registered nurse who works in the obstetrics department is walking by the emergency department waiting room when a person cries out, "Help me, my mother is not breathing." Does this nurse have a duty to assist?

answer

Yes, the general duty of care exists to help in times of crisis or imminent harm.

question

The court is establishing liability in a case in which several actions caused the plaintiff's injury. Which test of causation would be most useful in this case?

answer

Substantial factor test

question

A plaintiff's attorney decides to use the doctrine of res ipsa loquitor in a case against the urologist who perforated a patient's urethra during a cystoscopy. What must the plaintiff prove? Select all possible correct answers.

answer

-This complication does not generally occur unless someone provided negligent care -The plaintiff had no control over the development of the perforation.

question

A defendant invokes the locality rule as justification for a lower standard of patient care. How does the locality rule support this claim?

answer

The locality rule holds the professional to a standard of care in a given geographic area, rather than the national standard of care.

question

How should the nurse proceed when caring for a suit-prone patient?

answer

Give the same compassionate, competent care that all patients receive

question

Which scenario is a quasi-intentional tort rather than an intentional tort?

answer

The physician accuses the nurse of incompetence in front of the patient's family.

question

Upon entering a patient's room to complete discharge instructions the nurse discovers the patient in tears. The business office has stated that the patient cannot leave until someone pays a portion of the hospital bill. What should the nurse do?

answer

Continue preparations for discharge, comforting the patient as much as possible.

question

Which action could result in the nurse being charged with conversion of property?

answer

Removing the patient's car keys against his or her will

question

An out-of-state caller becomes irate when the nurse cannot provide information over the telephone about a hospitalized friend. The caller says, "If you know what is good for you, you had better tell me." Has a civil assault occurred?

answer

No, the caller is out of state and cannot reach the nurse.

question

Which common practice puts the nurse at liability for invasion of patient privacy?

answer

The nurse gives information about the patient to telephone callers who inquire about the patient.

question

The health care facility has sponsored a continuing education offering on emergency management of pandemic influenza. At lunch, a nurse is overheard saying, "I'm not going to take care of anyone that might have that flu." What is true of this statement?

answer

This statement is a breach of the Code of Ethics for Nurses

question

After 3 years of uneventful employment, the nurse made a medication error that resulted in patient injury. What hospital response to this event is ethical?

answer

The hospital was supportive and assistive as the nurse coped with this event.

question

The nurse has been sued for defamation after charting that the patient is a prostitute. What is the nurse's best defense in this case?

answer

Prove that the statement is true.

question

A patient refused to ambulate postoperatively and subsequently developed bilateral pneumonia, causing his hospital stay to be lengthened. After discharge, the patient filed a lawsuit claiming his primary nurse was negligent in allowing him to develop pneumonia. What is the nurse's best defense in this case?

answer

The patient's conduct contributed to his complications.

question

A patient, injured at work, was seen by the factory occupational nurse. The nurse treated the wound and instructed the patient to get a tetanus antitoxin injection at the county health department. The patient failed to follow instructions, developed tetanus, and subsequently filed a suit against the nurse. What is the most likely result of the ensuing trial?

answer

The nurse is not liable for damages, because the nurse has a right to expect that instructions will be followed.

question

When a patient became confused and dangerous to himself and others in the setting, restraints were applied, and the patient was confined to bed. What is the nurse's best defense for applying restraints?

answer

Self-defense

question

A patient became confused and used a pocket knife to threaten others. The nurse confiscated the knife. What is the nurse's best defense for this action?

answer

Necessity

question

In caring for a 6-year-old who entered the emergency center for treatment of a broken arm, the nurse noted that the child had multiple bruises on his trunk and legs. When questioned, the child said his father hit him and broke his arm so that the child would remember to be good. What should the nurse do?

answer

Report the incident immediately to the nursing supervisor or physician so that the incident will be reported to the proper authorities.

question

Which scenario demonstrates apparent consent?

answer

Showing by his or her conduct that he or she agrees to the treatment

question

A lawsuit is being tried in a state that recognizes pure comparative negligence. If the plaintiff is found to have partial fault in the occurrence, can damages be recovered?

answer

Yes, even if the plaintiff is 99% at fault

question

The cardiac telemetry unit nurses repeatedly cautioned a patient not to leave the floor because input from telemetry monitors is limited to that area. The patient went to the cafeteria and suffered a fatal dysrhythmia. What is the nurses' best defense in the negligence lawsuit brought for the patient's survivors?

answer

Assumption of risk

question

The 8-year-old child developed a seizure disorder that may be related to a medication error that occurred 3 years ago. What is true of the statue of limitations in this case?

answer

Depending upon the state, the statute of limitations might not begin to be calculated until the child reaches the age of majority.

question

The nurse comes upon a motor vehicle accident with injury and stops to help. What should be the nurse's first action?

answer

Ask for permission to help.

question

A week after stopping to assist at an injury accident, the nurse receives a check for $100 from the patient's family as a thank-you for the care provided. What is the best description of the effect this gift has on the nurse's protection under the Good Samaritan law?

answer

This gift may change the nurse's care to fee-for-service, changing Good Samaritan protection.

question

The plaintiff was injured by a defective intravenous catheter. In order to win a product liability case, what must the plaintiff prove first?

answer

The intravenous catheter was sold to him.

question

In which case would the manufacturer of a drug designated as unavoidably unsafe be held liable for injuries to a patient receiving the drug?

answer

If the physician was not warned of risks by the manufacturer

question

The defendant has successfully defended against a product liability cause of action. Can the plaintiff still prove the defendant was negligent?

answer

Yes, the defendant could have used the product in a negligent manner.

question

What is the main purpose of documentation in the medical record?

answer

It is used to communicate patient condition to the health care team.

question

The patient has just been admitted to the intensive cardiac care unit. Who should assess and document the patient's nursing needs?

answer

A registered nurse

question

Hospital policy states that a registered nurse must cosign all charts that licensed practical nurses complete. What is the effect of this policy on the registered nurse?

answer

It places the RN in the position of endorsing and authenticating the entries made in the charts cosigned

question

A patient requests that records of her hospitalization for treatment of an infection following an abortion be destroyed. What is the likely outcome of this request?

answer

The record will be sealed.

question

The patient demands to see the actual medical record of a hospitalization that occurred one year ago. How should the hospital handle this request?

answer

Have the patient come to the hospital to review the original record.

question

Which statement best explains the importance of electronic medical record use?

answer

Patient care is improved.

question

The laboratory notifies the nursing unit that a substantial amount of test data was mistakenly recorded on the wrong patient's medical record two days ago. Who has the authority to alter the patient's record?

answer

Only administrative staff or the patient's primary physician

question

A patient incident occurred on the nursing unit. What should the nurse caring for the patient do in regard to the incident report?

answer

Include only the facts and the nurse's observations in the incident report.

question

What is the major problem associated with charting by exception?

answer

It may not provide enough information to support trending of the patient's condition.

question

The parents of a 17-year-old who is receiving substance abuse treatment have asked the provider for information about their child. What is the correct action by the health care provider?

answer

Only release information if the patient has signed consent to do so.

question

The nursing student began a case study paper by writing, " J.P., a 65-year-old Asian male, was admitted to the intensive care unit at Southwest Hospital." What is the significance of this statement?

answer

It violates Health Insurance Portability and Accountability Act regulations.

question

When President Clinton signed the Health Insurance Portability and Accountability Act in 1996, many provisions concerning confidentiality of medical records became law. What were other provisions of this act? Choose all that apply.

answer

-An antifraud and abuse program -Streamlining of transfer of patient information between insurers and providers

question

The patient brings suit against a health care provider. How does this action affect the confidentiality of the patient's medical record?

answer

The record becomes discoverable by all parties to the suit.

question

A nurse is preparing information to be distributed at a national conference on AIDS. What should be included regarding mandatory disclosure of AIDS status?

answer

All AIDS cases must be reported to the Centers for Disease Control and Prevention or to the state health department.

question

Which ethical principle supports the argument that all newborns should be screened for HIV?

answer

Beneficence

question

In a professional liability insurance policy which person or group is considered the policyholder?

answer

The nurse who purchases the policy

question

What elements does the insurance company that offers professional liability insurance verify under the exclusion portion of the policy? Choose all correct answers

answer

-Nature of the insured's work -Licensure of the insured

question

The nurse is reviewing a professional liability policy for the time period the policy is in effect. Under which section of the policy should this nurse look?

answer

Declarations

question

Under a claims-made insurance policy, for which claim is the nurse protected?

answer

Claims that are filed for incidents during the active period of the policy

question

In which situation is an occurrence-based policy most beneficial to the nurse?

answer

A nurse who had insurance coverage during 20 years of practice, but is now retired and no longer has an active policy

question

Which type of insurance is generally the most preferable for the most nurses?

answer

Occurrence-based

question

The limits of liability on an insurance policy are $1,000,000 for each claim, $4,000,000 aggregate. A nurse is charged in a serious situation in which five separate lawsuits have been filed. What is the most the insurance company will likely pay in this situation?

answer

$1,000,000

question

The nurse believes that her need for individual malpractice insurance is decreased because she practices in a small-town home health agency. What is true about this situation?

answer

Home health care is an area in which the risk of lawsuit is higher than in many other practice areas.

question

A nurse has missed 10 days of work while involved as a defendant in a malpractice lawsuit. Must the hospital where this nurse is employed and that was also named in the suit pay the nurse for those days?

answer

Not necessarily, it depends upon the hospital's insurance policy and what it covers.

question

The hospital-employed nurse volunteered to assist with physical examinations for athletes at the local high school. How does this situation affect the nurse's malpractice insurance?

answer

The nurse is very likely not covered by any malpractice insurance.

question

As a part of a malpractice case, the hospital has decided to bring an indemnity claim against a nurse. What is the implication to the nurse?

answer

The nurse will have to pay monetary damages to the hospital if the hospital wins the claim.

question

A nurse is named in a lawsuit and has no professional malpractice insurance coverage. What is true of this situation?

answer

The nurse can be held personally responsible for all damages assessed.

question

How has the present legal environment affected the frequency with which nurses are named in suits for malpractice?

answer

Frequency is greater than 15 years ago.

question

Which option reflects one of the more convincing arguments for the nurse having individual malpractice insurance?

answer

Defending against a lawsuit is costly in today's society.

question

Nurses who work on a medical unit do not have personal professional liability coverage. In the event of a lawsuit, which options are true? Choose all that are correct.

answer

-They can be covered under the employer's insurance policy. -They need to contact their own attorneys. -They may be refused coverage under the employer's insurance policy.

question

From where does the state's power to license nurses derive?

answer

Police power within the state

question

Which type of licensure protects the title "nurse" as well as professional actions associated with nursing?

answer

Mandatory

question

What is the basic purpose of the state board of nursing?

answer

To establish a means of protecting the public at large

question

A physician reported a case of possible nursing negligence to the state board of nursing. What action will be taken by the board?

answer

The complaint will be screened and an investigation initiated if appropriate.

question

The hospital nurse supervisor has concerns that a staff nurse is no longer capable of competent patient care because of alcohol use. Repeated counseling sessions with the nurse have not changed the behaviors that are of concern. What action should be taken by the supervisor?

answer

Report the concerns to the state board of nursing.

question

The nurse is searching for the legal guide to the practice of registered nurse. Which document should the nurse review?

answer

State Nurse Practice Act

question

A nursing student reports that her grandmother served as a nurse in World War II. At the end of the war, her grandmother was licensed as a nurse, even though she never graduated from nursing school. Which type of exemption from licensure does this reflect?

answer

Grandfather clause

question

Which situation is probable grounds for disciplinary action against a nurse's license?

answer

The nurse made a false statement on the licensure application.

question

A growing body of research supports linkages between the educational status of nurses and which outcomes? Select all that are discussed in the textbook.

answer

-Lower patient mortality rates -Fewer adverse outcomes

question

The patient tells the nurse that the physician mentioned deep tissue massage as treatment for rheumatoid arthritis. As a part of the subsequent conversation, the nurse demonstrates techniques and encourages the patient to begin a regimen immediately. What is true regarding this situation?

answer

This nurse may be guilty of practicing massage without a license.

question

The home health nurse discovers that a homebound cancer patient is using marijuana to control nausea from chemotherapy. What advice should the nurse give this patient?

answer

Under certain circumstances, patients can claim exemption from the law against possession of marijuana.

question

What is the most important driving force behind the movement for multistate licensure?

answer

Advancing technologies, especially telehealth and telephone triage

question

The nurse holds original licensure in a compact state and has practice privileges in two remote states. Should practice concerns arise with this nurse, what is the status of the nurse's license?

answer

Only the state in which the nurse holds licensure can act to suspend or revoke that license.

question

The patient decides to discontinue standard medical treatment for diabetes mellitus and to rely on diet and herbal medications for blood sugar control. Which statement, made by the nurse, is most appropriate?

answer

Why did you decide to make this change?

question

The nurse has a strong religious conviction against elective sterilization procedures. When seeking employment, how should the nurse handle this belief?

answer

Be up front and discuss the issue during the employment interview.

question

Which factor was primary in driving the establishment of the advanced nurse practitioner role?

answer

The physician shortage of the late 1960s

question

Which advanced nurse practitioner role is authorized by nurse practice acts, medical practice acts, and allied health laws?

answer

Nurse midwife

question

What are care components common in the independent practice of a certified nurse midwife? Choose all that apply.

answer

-Normal newborns -PAP smears -Physical examinations -Family planning counseling

question

Hospital management has identified quality of care issues that center around coordination of multidisciplinary services. Which classification of advanced practice nurse would be the best choice to help address these issues?

answer

Clinical nurse leader

question

Clinical nurse specialists in hospital settings are more likely to be sued for malpractice than staff nurses for which reason?

answer

They assume greater legal liability by virtue of their specialty credentials.

question

The advanced nurse practitioner wishes to obtain admitting privileges at an area hospital. To whom should this nurse apply for these privileges?

answer

The individual hospital

question

A nursing student's grandmother relates a time in the 1920s when medications were selected based upon the recommendation of a nurse who lived in the neighborhood. How is this possible?

answer

Prior to 1938, most medications were over-the-counter and nurses were instrumental in their choice.

question

The patient requires a controlled substance for the treatment of pain. What is true of the advanced nurse practitioner's role in independently prescribing this medication?

answer

Some states allow advanced nurse practitioners to prescribe controlled substances.

question

The advanced practice nurse would like to move to a large metropolitan area. How will this move impact the advanced practice nurse's practice?

answer

The expanding role of the advanced nurse practitioner has increased the number of lawsuits filed.

question

The advanced nurse practitioner is routinely addressed as "doctor" by clinic patients. What is the best way for the nurse to handle this mistake?

answer

Be certain patients are aware that the nurse is not a physician.

question

Fein v. Permanente Medical Group is important as the case defined the standard of care for the advanced practice nurse. How was that standard of care defined?

answer

The advanced nurse practitioner standard of care

question

The medical staff of a hospital express concern that advanced nurse practitioners are in direct competition with them for patients. The physicians advise hospital management that they will stop admitting patients if admitting privileges are granted to the ANPs. Which type of laws might be useful to help the ANPs obtain hospital admittance privileges?

answer

Antitrust laws

question

Which option reflects a change that may occur in the roles of advanced practice nurses?

answer

Development of a new category to include clinical nurse specialists and advanced nurse practitioners

question

The advanced nurse practitioner believes that he should spend as much time with each patient as the patient desires. Does this practice raise ethical challenges?

answer

Yes, if this practice makes other patients wait past their own appointment times.

question

How does the doctrine of respondeat superior alter the liability of the nurse for negligent conduct?

answer

It makes the nurse liable to the employer.

question

In an effort to attract clinic physicians, the hospital has agreed to provide a nurse to work in the physician's office. The nurse will work under the direction and supervision of the physician whose clinic is housed with the hospital building. Which doctrine most closely describes the conditions in which this nurse is working?

answer

Borrowed servant

question

The hospital has outsourced housekeeping services to an independent contractor. A patient, who was injured in a fall on wet flooring, brings suit against the company. Does the hospital also hold liability?

answer

Perhaps, secondary to the doctrine of ostensible authority.

question

The hospital acts to revoke the clinical privileges of a physician who has repeatedly refused to respond to emergency calls from nursing staff. Under which doctrine is this action advisable?

answer

Corporate liability

question

The hospital has been sued for the actions of a nurse employee. The hospital proves that the nurse was not providing care within the scope of employment as a nurse. Can the hospital still hold liability in this case?

answer

Yes, if the plaintiff can prove the nurse was incompetent and that the hospital was aware of the incompetence.

question

Which legal doctrine cannot apply to a nurse's practice as a private duty nurse?

answer

Respondeat superior

question

Which nurse would be most likely to be protected under the Age Discrimination Employment Act of 1967?

answer

A 45-year-old nurse who was fired after complaining about a new policy

question

The plaintiff was awarded monetary damages from the hospital in a suit resulting from a nurse's negligence. Under which principle is it possible for the hospital to sue the nurse to recover the amount of the damages?

answer

Indemnification

question

The female nurse works in a nursing home where many of the patients are military service veterans. She discovers that a male nurse with whom she works makes $2.80 per hour more than she makes. In which situation could this be legal under affirmative action?

answer

The male nurse's yearly evaluations are better than the female nurse's.

question

A nurse was granted twelve weeks' leave under the Family and Medical Leave Act for care of an adult son. At the conclusion of the twelve weeks the nurse does not want to return to work. Under which situation might the leave be extended?

answer

If the son is a member of the National Guard

question

The nurse cited "intolerable working conditions" as the reason for resignation. In order to claim constructive discharge, what must the nurse prove?

answer

The employer deliberately created the work condition to force the nurse to resign.

question

A patient who is well known to be violent arrives by ambulance at the Emergency Department for care of a laceration. What action should be taken?

answer

Use a buddy system when providing care.

question

A nurse calls the newspaper and reports that circumstances surrounding several deaths in the local hospital are suspicious and that a cover-up is in action. The subsequent article identifies the nurse by name and the nurse is fired. Is the nurse protected under the whistleblower law?

answer

No, the allegations should have been made to the appropriate authorities.

question

The nurse says, "I'm not spending my money and my time off to go to continuing education." How should this statement be interpreted in relation to the duty owed the employer?

answer

As unreasonable. Staying current is a duty the nurse owes to the employer.

question

The nurse and immediate supervisor have a personal conflict. The supervisor warns the nurse that the hospital is an employment-at-will institution. What does that indicate?

answer

The nurse can be dismissed at any time, without cause.

question

What was the major impetus for more stringent delegation and supervision rules and regulations as they are applied today?

answer

A major nursing shortage

question

The charge nurse has delegated a task to another staff member. Who assumes accountability for the task?

answer

The charge nurse

question

Which option reflects assignment in nursing?

answer

The charge nurse divides the patient load into one team for each staff nurse who works the shift.

question

The nurse is searching for information about nurses' responsibility and accountability for appropriate delegation of tasks. Where should this nurse look for this information? Choose all that apply.

answer

-ANA Code for Nurses -ANA Nursing Scope and Standards of Practice -State nurse practice acts -Nursing rules and regulations as promulgated by the state

question

The registered nurse has delegated the task of ambulating a patient who has a history of unexpected falls to two nursing assistants. The patient appears to ambulate without assistance, but must be ambulated with two assistants in case of another unexpected fall. What is the most important aspect of delegating this task?

answer

The aides understand the importance of walking with the patient.

question

Which scenario best reflects direct supervision of a nursing assistant?

answer

The nurse and the nursing assistant work together to provide care to a team of six patients.

question

Which scenario best reflects indirect supervision of a nursing assistant?

answer

The nurse is easily contactable by pager but is not present in the care environment.

question

The preceptor nurse delegates a complex nursing procedure to a newly licensed nurse. The new nurse makes an error, which results in the patient's death. Does the preceptor hold any liability in this case?

answer

No, since the new nurse has a license, all liability is retained by the new nurse.

question

The charge nurse is aware that some staff nurses routinely "short-cut" assessment activities for long-term patients. In case of a negative patient outcome related to this practice, does the charge nurse hold any liability?

answer

Yes, the charge nurse has a duty to ensure staff competency.

question

A patient who requires vasoactive intravenous medications was just admitted. Which person should the charge nurse ask to measure this patient's vital signs?

answer

The registered nurse who has worked on this unit for 8 months

question

The unit is extremely busy when the physician orders that a urinary catheter be inserted in a patient. The patient's assigned nurse is new, has seen the procedure done, but has never done it independently. How should the charge nurse handle this situation?

answer

The charge nurse should assist the new nurse with the procedure.

question

A nurse has delegated the task of ambulating a patient to two nursing assistants. Despite the patient's appearance, assistance of two people is needed for safe ambulation. The nurse discovers the patient being ambulated by only one aide. What should be the nurse's first action?

answer

Assist the aide in completion of the ambulation.

question

The nurse has recently assumed the position of chief nurse in a long-term care facility with a record of poor patient care. How should this nurse approach the issue of effective discipline regarding patient care activities?

answer

Establish a formal discipline plan to be used when standards of care are not followed.

question

Unlicensed personnel are not licensed by the state in their own right. Why is it that these persons can perform delegated tasks?

answer

They work under the auspices and licensure of the institution, not the professional nurse.

question

The hospital has recently eliminated all nursing assistant positions and has replaced them with unlicensed assistive personnel (UAP) to provide patient care. How should the professional nursing staff work with these new employees?

answer

Continue to delegate and supervise them as they did with the nursing assistants.

question

Discrimination against which group of persons necessitated the Americans with Disabilities Act?

answer

Those living with HIV/AIDS

question

In passing the Americans with Disabilities Act of 1990, Congress attempted to combine disability with which other legal concept?

answer

Equality

question

Which impairments are covered by the Americans with Disabilities Act?

answer

Either physical or mental impairments

question

The employee has requested the employer provide a reasonable accommodation. What does this request entail?

answer

Needed and realistic modifications in the workplace

question

Which scenario meets the Civil Rights Act of 1991 definition of quid pro quo sexual harassment?

answer

Submission to, or rejection of, sexual conduct as a basis for employment decisions

question

Which person qualifies under the Americans with Disabilities Act?

answer

A person who is a recovering alcoholic

question

Which scenario meets the Civil Rights Act of 1991 definition of hostile environment sexual harassment?

answer

Submission to sexual innuendos, remarks, and physical acts that alter the conditions of the employee's employment, creating an abusive workplace

question

The nurse is concerned about the potential of sexual harassment in her workplace. Which standard should this nurse investigate before making a decision about whether an activity is sexual harassment or not?

answer

Reasonable woman standard for hostile work environment sexual harassment

question

Which situation meets the criteria of sexual favoritism or preferential treatment?

answer

A nurse is awarded a position after having an affair with a supervisor.

question

A nurse who has an obvious physical disability applies for a staff nurse position. Which question, asked by the nurse recruiter, is legal?

answer

"Are you able to fulfill the requirements of this job?"

question

The nurse manager requests that a job applicant who has a physical disability receive a medical examination prior to assignment to a work station. Is this examination legal?

answer

Only if all other applicants for similar positions are subjected to the same examination

question

The nurse applies to a faith-based hospital. Another applicant who is of the same faith supported by the hospital is hired instead. Is this seen as discrimination under ADA?

answer

No, employers may offer preference to individuals of the same religion

question

Which person best meets the criteria as a "member of a protected class" in a quid pro quo sexual harassment lawsuit?

answer

A staff nurse as compared to his or her supervisor

question

An employee has requested special accommodations secondary to a disability. The hospital refuses, citing undue hardship. What must be present for that refusal to be upheld?

answer

The accommodation would be very difficult to implement

question

The nurse who has worked at a hospital for five years suffers a disability secondary to a work-related accident and requests accommodation. Does the nurse's new position have to provide the same salary as the old position?

answer

No, but the nurse's seniority should be considered in salary negotiations.

question

What is the nurse's legal duty with regard to implementing a physician's order?

answer

The nurse should follow the order unless the nurse has reason to believe that the patient could come to harm if the order is followed.

question

The differences between medicine and nursing are becoming increasingly difficult to identify. Which options are reasons for the movement of these two professions toward each other? Choose all that are correct.

answer

-Advent of specialty care units -Advancement of nursing skills -Changes in cultural climate -Increased focus on psychosocial components of care

question

What is the principal reason that a higher standard of care may be required for safeguarding mentally ill persons?

answer

Mentally ill persons cannot fully appreciate their exposure to potential harm.

question

Hostile or angry patients present unique nursing challenges from a legal perspective. Which option reflects a basic intervention that a nurse can take with a hostile or angry patient?

answer

Spend additional time with the patient, showing that he or she is important.

question

Which option reflects a general criterion for restraining a patient?

answer

The patient's immediate ability to harm self or others

question

A confused patient frequently calls out for "help" throughout the shift. When nursing staff respond to the call, the patient is unable to explain what is needed. What action should be taken by the nurse?

answer

Continue to respond and attempt to reorient the patient.

question

The patient requests that one bed siderail be fully up for use in assisting with turning. Is this considered a restraint?

answer

No, the bedrail in this case is being used as an assistive device, not a restraint.

question

The physician makes a calculation error that leads to the patient receiving a serious medication error. This error was overlooked by the pharmacist and the nurse who administered the dose as ordered. What is true of the liability in this case?

answer

It is shared by all three of these professionals.

question

Which options reflect what the nurse should consider prior to administering medication? Choose all that are correct.

answer

-Correct, common dosage for this patient -Action of the medication -Signs of untoward reaction to the medication

question

Which option reflects the nurse's duty regarding use of equipment?

answer

The nurse is required to select the proper equipment and to use it correctly.

question

The nurse suspects that a patient's death was related to faulty monitoring equipment. What is the nurse's duty to report?

answer

The nurse must notify hospital risk management.

question

Which option reflects the nurse's duty to prevent patient falls?

answer

The nurse has a duty to assess the patient for risk for falls.

question

Which option reflects the nurse's primary obligation to the patient?

answer

To exercise nursing judgment and intervene on behalf of the patient

question

Which person would be the best choice as an interpreter for a non-English-speaking patient?

answer

A hospital-provided interpreter

question

The physician, in telling the nurse to follow an order, states, "If anything happens, I'll take full responsibility." What effect would the physician's statement have in a subsequent lawsuit for malpractice?

answer

It does not alter the nurse's personal accountability at all.

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