Question 1

Which action is the nurse required by law to perform when a patient is admitted?

Accepted Answer

The Patient Self-Determination Act (1991)requires health care institutions to inquire whether a patient has created an advance directive,give patients information on advance directives,and document whether a patient states that he or she has an advance directive.Notifying the family and attorney is breaking confidentiality.Asking how payment will be made is not required by law and is not the responsibility of the nurse.

Question 2

A nurse is about to administer a medication and notices that the physician's or primary health care provider's order looks incorrect regarding the amount of the medication.What should the nurse do? (Select all that apply.)

Accepted Answer

Nurses are responsible for carrying out medical treatment unless the physician's or health care provider's order is in error,violates hospital policy,or is harmful to the patient.Therefore it is imperative to assess all orders and,if they appear to be erroneous or harmful to the patient,to obtain further clarification from the physician or health care provider.Do not carry out the order if there is a risk that harm will come to your patient; therefore do not administer the medication.Inform the nurse manager or the nursing supervisor.The nurse does not document suspicions or opinions,just objective,factual information.

Question 3

A nurse wants to follow the American Nurses Association's Social Media Policy (2011).Which actions should the nurse take? (Select all that apply.)

Accepted Answer

The American Nurses Association has developed a Social Media Policy (2011),which recommends that when using social media sites,a nurse should never name or describe a patient,never post an image of a patient,and never disparage a fellow employee or employer.In addition,the professional nurse has an obligation to report breaches of privacy and confidentiality.Never having a blog is not a recommendation.

Question 4

Which situation will enable a nurse to use restraints?

Accepted Answer

Regulations set the standard that all patients have the right to be free from seclusion and physical or chemical restraints except to ensure the patient's safety in emergency situations.The standards specifically prohibit restraining patients for staff convenience,punishment,or retaliation.

Question 5

A nurse is maintaining precise records regarding the dispensing,wasting,and storage of a drug that is securely locked.Which drug is the nurse administering?

Accepted Answer

Controlled substances are securely locked away,and only authorized personnel have access to them.Maintain precise records regarding the dispensing,wasting,and storage of controlled substances.There are criminal penalties for the misuse of controlled substances.Routine and over-the-counter drugs are not controlled substances.Controlled substances required an order by a licensed physician or in some states advanced practice nurses.

Question 6

Which information indicates the nurse has an accurate understanding of when the institution's malpractice insurance covers the nurse?

Accepted Answer

If a nurse works for a health care institution,generally the institution's insurance will cover the nurse during employment.Malpractice insurance usually provides nurses with an attorney,payment of those fees,and payment of any judgment or settlement if a patient sues a nurse for medical malpractice.If a nurse provides care on a voluntary basis outside the health care facility,hospital-provided malpractice insurance would not cover the nurse.The nurse will need to carry additional insurance.Driving to and from work is not malpractice.

Question 7

A patient died from suspicious circumstances.What should the nurse do next?

Accepted Answer

State statutes specify that,when there are reasonable grounds to believe that a patient died as a result of violence,homicide,suicide,accident,or death occurring in any unusual or suspicious manner,you need to notify the coroner.Notifying the newspaper would break confidentiality.Charting must be objective and factual,not what the nurse thinks happened or opinions.

Question 8

A patient falls out of bed because the nurse did not raise the side rails.Which action did the nurse commit?

Accepted Answer

Negligence is conduct that falls below the generally accepted standard of care of a reasonably prudent person.A felony is a serious offense that has a penalty of imprisonment for greater than a year or possibly even death such as practicing nursing without a license.Assault is any intentional threat to bring about harmful or offensive contact with another individual.Battery is any intentional touching without consent.

Question 9

A nurse must ask a family member to consider an organ donation.In which order should the nurse contact the individuals
A-Spouse
B-Parent
C-Guardian
D-Grandparent
E-Adult son or daughter
F-Adult brother or sister

Accepted Answer

You approach individuals in the following order to consider organ or tissue donations: (1)spouse,(2)adult son or daughter,(3)parent,(4)adult brother or sister,(5)grandparent,and (6)guardian.

Question 10

When a nurse suspects child abuse or neglect,which action must the nurse take?

Accepted Answer

Health care providers are required to report incidents such as child,spousal,or elder abuse; rape; gunshot wounds; attempted suicide; and certain communicable diseases.Health care providers are provided legal immunity if the report is made in good faith.Not reporting suspected child abuse or neglect can cause a nurse to be liable in civil or criminal legal actions.It is not the nurse's responsibility to inform the parents of illegal activity or to prevent the parents from seeing the child.The nurse is responsible for reporting the suspected abuse,not call security to handle the problem.

Quiz 5: Legal Principles in Nursing