Question 1

During a state inspection of a skilled nursing facility, a surveyor notes suspicion that a particular nurse may not be providing proper standard of care.The nurse manager informs the nurse to expect:

Accepted Answer

In such cases, the surveyor may forward the record showing the relevant findings to the appropriate state agency or board for review of the nurse's practice, requesting a determination of whether the nurse may have violated the state's nurse practice act.

Question 2

An 87-year-old client is unsure of the purpose of a living will.The nurse describes its purpose best when stating:

Accepted Answer

Living wills are intended to provide written expressions of a client's wishes regarding the use of medical treatments in the event of a terminal illness or condition.

Question 3

A nurse new to geriatric nursing asks the nurse manager to clarify how to handle a client's claim she has been physically abused.The nurse manager responds most appropriately when stating:

Accepted Answer

To be responsive to the legal obligation to report reasonably suspicious acts of abuse and because there is great variation among the states, nurses should determine the specific reporting requirements of their jurisdictions, including where reports and complaints are received and in what form they must be made.

Question 4

A nurse caring for older adult clients shows an understanding of the implementation of standards of care when:

Accepted Answer

A standard of care is a guideline for nursing practice and establishes an expectation for the nurse to provide safe and appropriate care.

Question 5

The nurse recognizes that a nursing aide likely to abuse an older client is one who has: ineffective verbal communication skills.

Accepted Answer

It has been shown that the primary abusers of nursing facility residents are nurse aides and orderlies who have never received training in stress management.

Question 6

A nurse responsible for the care of older adult clients shows the best understanding of the nursing standards of practice when basing nursing care upon the:

Accepted Answer

Nursing standards of practice are measured according to the expected level of professional practice of those in similar roles and clinical fields.

Question 7

The nurse is caring for an unresponsive 67-year-old client who has terminal cancer with a Do Not Resuscitate order in affect.A family member tells the nurse, "I'll sue you and every other nurse here if you don't do everything possible to keep her alive." The nurse understands that protection from legal prosecution in this situation is provided by:

Accepted Answer

In this case, immunity applies only to the physician and not to the nurse because the physician is given the legal duty to put into effect the client's wishes. Consequently, the nurse must rely on effective communication with the physician, client, and family, and on the quality of the facility's policies and procedures, to be sure that his or her actions are consistent with the legally required steps.

Question 8

An alert but disoriented 84-year-old client lives with family members.The home health nurse, being aware of the role of client advocate, recognizes the obligation to report possible client abuse based on:

Accepted Answer

Even when a client exhibits disorientation, any report of mistreatment or neglect is to be considered reasonably suspicious and so should be reported.

Question 9

A 69-year-old client diagnosed with Tourette's syndrome has been experiencing restlessness and has often been found by nursing staff wandering in and out of other clients' rooms during the night.The nurse views the client's PRN antipsychotic medication order as:

Accepted Answer

Reasons for the use of antipsychotic drugs do not include behaviors such as restlessness, insomnia, yelling or screaming, inability to manage the resident, or wandering.

Question 10

An older adult resident of a long-term care nursing facility frequently attempts to get out of bed and is at risk of sustaining an injury.The nurse's planned interventions to minimize the client's risk for injury is guided by:

Accepted Answer

The drug use guidelines are based on the principles that certain problems can be handled with nondrug interventions and that such forms of treatment must be ruled out before drug therapy is initiated.

Question 11

During a client's orientation to a skilled nursing facility, a member asks the nurse to explain what an ombudsman does.The nurse's most appropriate response is:

Accepted Answer

The ombudsman's role is to receive and resolve health and human services complaints affecting residents in nursing facilities.

Question 12

The nurse caring for an older client who resides in an assistant living facility is asked to obtain and witness the client's signature on a living will document.The nurse responds most appropriately when stating:

Accepted Answer

It is not permissible for the nurse to secure the client's signature or to witness the client's signature on a Living Will document.

Question 13

In order to best address the client's right to self-determination, at the time of admission to a nursing facility, the nurse asks which of the follow questions? Select all that apply.

Accepted Answer

All the correct options address the client's right to making informed decision regarding health care issues by using various advance directives.

Question 14

The nurse is caring for a terminally ill older client who has a living will that excludes pulmonary and cardiac resuscitation.The family expresses a concern that the client may "change her mind." The nurse best reassures the family by stating:

Accepted Answer

AMD provisions appropriately provide that people can change their minds at any time and by any means. Nurses need to be alert to any indications from a client. Based on the person's medical condition, subtle signs such as a gesture or a nod of the head may be easily overlooked.

Question 15

An older adult client has been approached to participate in a research study.The nurse best advocates for the client's right of self-determination by:

Accepted Answer

The right to self-determination has its basis in the doctrine of informed consent. Informed consent is the process by which competent individuals are provided with information that enables them to make a reasonable decision about any treatment or intervention that is to be performed on them.
DIF Analysis (Analyze)

Quiz 3: Legal and Ethical Issues