Deck 23: Legal Implications in Nursing Practice

Question 1

A 17-year-old patient, dying of heart failure, wants to have organs removed for transplantation after death. Which action by the nurse is correct?

A) Instruct the patient to talk with parents about the desire to donate organs.
B) Notify the health care provider about the patient's desire to donate organs.
C) Prepare the organ donation form for the patient to sign while still oriented.
D) Contact the United Network for Organ Sharing after talking with the patient.

Answer 1

Instruct the patient to talk with parents about the desire to donate organs.

Question 2

While recovering from a severe illness, a hospitalized patient wants to change a living will, which was signed 9 months ago. Which response by the nurse is most appropriate?

A) "Check with your admitting health care provider whether a copy is on your chart."
B) "Let me check with someone here in the hospital who can assist you."
C) "You are not allowed to ever change a living will after signing it."
D) "Your living will can be changed only once each calendar year."

Answer 2

"Let me check with someone here in the hospital who can assist you."

Question 3

The nurse calculates the medication dose for an infant on the pediatric unit and determines that the dose is twice what it should be based upon the drug book's information. The pediatrician is contacted and says to administer the medication as ordered. Which actions should the nurse take next? (Select all that apply.)

A) Notify the nursing supervisor.
B) Administer the medication as ordered.
C) Give the amount listed in the drug book.
D) Ask the mother to give the drug to her child.
E) Check the chain of command policy for such situations.

Answer 3

Notify the nursing supervisor.
Check the chain of command policy for such situations.

Question 4

A nurse works full time on the oncology unit at the hospital and works part time on weekends giving immunizations at the local pharmacy. While giving an injection on a weekend, the nurse caused injury to the patient's arm and is now being sued. How will the hospital's malpractice insurance provide coverage for this nurse?

A) It will provide coverage as long as the nurse followed all procedures, protocols, and policies correctly.
B) The hospital's malpractice insurance covers this nurse only during the time the nurse is working at the hospital.
C) As long as the nurse has never been sued before this incident, the hospital's malpractice insurance will cover the nurse.
D) The hospital's malpractice insurance will provide approximately 50% of the coverage the nurse will need.

Question 5

Conjoined twins are in the neonatal department of the community hospital until transfer to the closest medical center. A photographer from the local newspaper gets off the elevator on the neonatal floor and wants to take pictures of the infants. Which initial action should the nurse take?

A) Escort the cameraman to the neonatal unit while a few pictures are taken quietly.
B) Tell the cameraman where the hospital's public relations department is located.
C) Have the cameraman wait for permission from the health care provider.
D) Ask the cameraman how the pictures are to be used in the newspaper.

Question 6

A pediatric oncology nurse floats to an orthopedic trauma unit. Which action should the nurse manager of the orthopedic unit take to enable safe care to be given by this nurse?

A) Provide a complete orientation to the functioning of the entire unit.
B) Determine patient acuity and care the nurse can safely provide.
C) Allow the nurse to choose which mealtime works best.
D) Assign nursing assistive personnel to assist with care.

Question 7

A nursing student has been written up several times for being late with providing patient care and for omitting aspects of patient care and not knowing basic procedures that were taught in the skills course one term earlier. The nursing student says, "I don't understand what the big deal is. As my instructor, you are there to protect me and make sure I don't make mistakes." What is the best response from the nursing instructor?

A) "You are practicing under the license of the hospital's insurance."
B) "You are expected to perform at the level of a professional nurse."
C) "You are expected to perform at the level of a prudent nursing student."
D) "You are practicing under the license of the nurse assigned to the patient."

Question 8

A recent immigrant who does not speak English is alert and requires hospitalization. What is the initial action that the nurse must take to enable informed consent to be obtained?

A) Ask a family member to translate what the nurse is saying.
B) Request an official interpreter to explain the terms of consent.
C) Notify the nursing manager that the patient doesn't speak English.
D) Use hand gestures and medical equipment while explaining in English.

Question 9

A patient with sepsis as a result of long-term leukemia dies 25 hours after admission to the hospital. A full code was conducted without success. The patient had a urinary catheter, an intravenous line, an oxygen cannula, and a nasogastric tube. Which question is the priority for the nurse to ask the family before beginning postmortem care?

A) "Is an autopsy going to be done?"
B) "Which funeral home do you want to use?"
C) "Would you like to assist in bathing your loved one?"
D) "Do you want me to remove the lines and tubes before you see your loved one?"

Question 10

A new nurse notes that the health care unit keeps a listing of patient names in a closed book behind the front desk of the nursing station so patients can be located easily. Which action is most appropriate for the nurse to take?

A) Talk with the nurse manager about the listing being a violation of the Health Insurance Portability and Accountability Act (HIPAA).
B) Use the book as needed while keeping it away from individuals not involved in patient care.
C) Move the book to the upper ledge of the nursing station for easier access.
D) Ask the nurse manager to move the book to a more secluded area.

Question 11

A nurse is teaching the staff about professional negligence or malpractice. Which criteria to establish negligence will the nurse include in the teaching session? (Select all that apply.)

A) Injury did not occur.
B) That duty was breached.
C) Nurse carried out the duty.
D) Duty of care was owed to the patient.
E) Patient understands benefits and risks of a procedure.

Question 12

A female nursing student in the final term of nursing school is overheard by a nursing faculty member telling another student that she got to insert a nasogastric tube in the emergency department while working as a nursing assistant. Which advice is best for the nursing faculty member to give to the nursing student?

A) "Just be careful when you are doing new procedures and make sure you are following directions by the nurse."
B) "Review your procedures before you go to work, so you will be prepared to do them if you have a chance."
C) "The nurse should not have allowed you to insert the nasogastric tube because something bad could have happened."
D) "You are not allowed to perform any procedures other than those in your job description even with the nurse's permission."

Question 13

A newly hired experienced nurse is preparing to change a patient's abdominal dressing and hasn't done it before at this hospital. Which action by the nurse is best?

A) Have another nurse do it so the correct method can be viewed.
B) Change the dressing using the method taught in nursing school.
C) Ask the patient how the dressing change has been recently done.
D) Check the policy and procedure manual for the facility's method.

Question 14

A patient has approximately 6 months to live and asks about a do not resuscitate (DNR) order. Which statements by the nurse give the patient correct information? (Select all that apply.)

A) "You will be resuscitated unless there is a DNR order in the chart."
B) "If you want certain procedures or actions taken or not taken, and you might not be able to tell anyone at the time, you need to complete documents ahead of time that give your health care provider this information."
C) "You will be resuscitated at any time to allow you the longest length of survival."
D) "If you decide you want a DNR order, you will need to talk to your health care provider."
E) "If you travel to another state, your living will should cover your wishes."

Question 15

An obstetric nurse comes across an automobile accident. The driver seems to have a crushed upper airway, and while waiting for emergency medical services to arrive, the nurse makes a cut in the trachea and inserts a straw from a purse to provide an airway. The patient survives and has a permanent problem with vocal cords, making it difficult to talk. Which statement is true regarding the nurse's performance?

A) The nurse acted appropriately and saved the patient's life.
B) The nurse stayed within the guidelines of the Good Samaritan Law.
C) The nurse took actions beyond those that are standard and appropriate.
D) The nurse should have just stayed with the patient and waited for help.

Question 16

A nurse performs cardiopulmonary resuscitation (CPR) on a 92-year-old with brittle bones and breaks a rib during the procedure, which then punctures a lung. The patient recovers completely without any residual problems and sues the nurse for pain and suffering and for malpractice. Which key point will the prosecution attempt to prove against the nurse?

A) The CPR procedure was done incorrectly.
B) The patient would have died if nothing was done.
C) The patient was resuscitated according to the policy.
D) The older patient with brittle bones might sustain fractures when chest compressions are done.

Question 17

A confused patient with a urinary catheter, nasogastric tube, and intravenous line keeps touching these needed items for care. The nurse has tried to explain to the patient that these lines should not be touched, but the patient continues. Which is the best action by the nurse at this time?

A) Apply restraints loosely on the patient's dominant wrist.
B) Notify the health care provider that restraints are needed immediately.
C) Try other approaches to prevent the patient from touching these care items.
D) Allow the patient to pull out lines to prove that the patient needs to be restrained.

Question 18

A nurse is discussing nursing actions that can lead to breaches of nursing practice. Match the example to the term it describes.

Assault

A)Nurse posts about patient's loud and unruly family members.
B)Nurse immediately applies restraints to make patient stay in bed.
C)Nurse leaves bed in high position, causing patient to fall and break hip.
D)Nurse states that she will wrap a bandage over patient's mouth if he won't be quiet.
E)Nurse applies abdominal bandage after refusal.
F)Nurse gets angry at patient and nurse leaves the hospital.

Question 19

A home health nurse notices that a patient's preschool children are often playing on the sidewalk and in the street unsupervised and repeatedly takes them back to the home and talks with the patient, but the situation continues. Which immediate action by the nurse is mandated by law?

A) Contact the appropriate community child protection facility.
B) Tell the parents that the authorities will be contacted shortly.
C) Take pictures of the children to support the overt child abuse.
D) Discuss with both parents about the safety needs of their children.

Question 20

The nurse hears a health care provider say to the charge nurse that a certain nurse cannot care for patients because the nurse is stupid and won't follow orders. The health care provider also writes in the patient's medical records that the same nurse, by name, is not to care for any of the patients because of incompetence. Which torts has the health care provider committed? (Select all that apply.)

A) Libel
B) Slander
C) Assault
D) Battery
E) Invasion of privacy

Question 21

A nurse is discussing nursing actions that can lead to breaches of nursing practice. Match the example to the term it describes.

Battery

A)Nurse posts about patient's loud and unruly family members.
B)Nurse immediately applies restraints to make patient stay in bed.
C)Nurse leaves bed in high position, causing patient to fall and break hip.
D)Nurse states that she will wrap a bandage over patient's mouth if he won't be quiet.
E)Nurse applies abdominal bandage after refusal.
F)Nurse gets angry at patient and nurse leaves the hospital.

Question 22

A nurse is discussing nursing actions that can lead to breaches of nursing practice. Match the example to the term it describes.

Malpractice

A)Nurse posts about patient's loud and unruly family members.
B)Nurse immediately applies restraints to make patient stay in bed.
C)Nurse leaves bed in high position, causing patient to fall and break hip.
D)Nurse states that she will wrap a bandage over patient's mouth if he won't be quiet.
E)Nurse applies abdominal bandage after refusal.
F)Nurse gets angry at patient and nurse leaves the hospital.

Question 23

A nurse is discussing nursing actions that can lead to breaches of nursing practice. Match the example to the term it describes.

False imprisonment

A)Nurse posts about patient's loud and unruly family members.
B)Nurse immediately applies restraints to make patient stay in bed.
C)Nurse leaves bed in high position, causing patient to fall and break hip.
D)Nurse states that she will wrap a bandage over patient's mouth if he won't be quiet.
E)Nurse applies abdominal bandage after refusal.
F)Nurse gets angry at patient and nurse leaves the hospital.

Question 24

A nurse is discussing nursing actions that can lead to breaches of nursing practice. Match the example to the term it describes.

Invasion of privacy

A)Nurse posts about patient's loud and unruly family members.
B)Nurse immediately applies restraints to make patient stay in bed.
C)Nurse leaves bed in high position, causing patient to fall and break hip.
D)Nurse states that she will wrap a bandage over patient's mouth if he won't be quiet.
E)Nurse applies abdominal bandage after refusal.
F)Nurse gets angry at patient and nurse leaves the hospital.

Question 25

A nurse is discussing nursing actions that can lead to breaches of nursing practice. Match the example to the term it describes.

Abandonment

A)Nurse posts about patient's loud and unruly family members.
B)Nurse immediately applies restraints to make patient stay in bed.
C)Nurse leaves bed in high position, causing patient to fall and break hip.
D)Nurse states that she will wrap a bandage over patient's mouth if he won't be quiet.
E)Nurse applies abdominal bandage after refusal.
F)Nurse gets angry at patient and nurse leaves the hospital.