A registered nurse enters a client's room and observes the unlicensed assistive personnel (UAP) pushing a client down on the bed. The client starts crying and informs the UAP that he needs to go to the bathroom. The UAP holds the client down and tells him he was just in the bathroom. The nurse observing this incident is aware that the UAP's action is an example
of: Show A client is brought to the emergency department in an unconscious state with a head injury. The client requires surgery to remove a blood clot. What would be the appropriate nursing intervention in keeping with the policy of informed consent prior to a surgical procedure? The nurse ensures that the client's family signs the consent form. Which nursing student would most likely be held liable for negligence? A nursing student administers medication to a resident, while working as an unlicensed assistive personnel (UAP) at a local nursing home. A client is received in a postoperative nursing unit after undergoing abdominal surgery. During this time, the nurse failed to recognize the significance of abdominal swelling, which significantly increased during the next 6
hours. Later, the client had to undergo emergency surgery. The lack of action on the nurse's part is liable for action. Which of the following legal terms describes the case? Nurses practicing in a critical care unit must acquire specialized skills and knowledge to provide care to the critically ill client. These nurses can validate this specialty competence through what process? Nurses are occasionally asked to witness a testator's (person who makes the will) signing of his or her will. Which of the following guidelines is true regarding a nurse's role is witnessing a testator's signature? Witnesses to a signature do not need to read the will. Having recently completed a specialty nursing program in neonatal care, a nurse is now preparing to leave her current position on a medical unit and begin providing care in the hospital's neonatal intensive care unit
(NICU). The nurse has completed which of the following processes of credentialing? A client admitted with Hodgkin disease has a handwritten prescription for vinblastine 3.7 mg intravenously (IV) weekly. The nurse interprets the prescription as vincristine 3.7 mg and administers the wrong medication. The client becomes neurovascularly compromised
and has a fatal reaction to the medication. The client’s family begins a litigious suit against the facility and the nurse’s license is suspended by the board of nursing. In preparation for the lawsuit, the nurse meets with the nurse attorney to review the events. Which appropriate statement, if given by the nurse, indicates he has an understanding of the lawsuit? “I had a duty and it was my responsibility to get clarification before administering the medication, which I did not.” Which is not true regarding Nurse Practice Acts? They describe what medications nurses can prescribe.
A nurse is caring for a client with hypertension whose blood pressure has increased from 154/78 mm Hg to 196/98 mm Hg with a heart rate of 110 beats per minute during the past hour. The nurse goes to lunch without reporting the change to the healthcare provider, and the client suffers a cardiac arrest. What principle has the nurse violated? After
reporting to work for a night shift, the nurse learns that the unit will be understaffed because two RNs called out sick. As a result, each nurse on the unit will need to provide care for an additional four acute clients, in addition to her regular client assignment. Which statement is true for this nurse when working in understaffed circumstances? The nurse will be legally held to the same standards of care as when staffing levels are normal. A medical surgical client is in the radiology department. The client’s cousin arrives on the medical surgical unit and asks to speak with the nurse caring for his cousin. The visitor asks the nurse to provide a brief outline of the client’s illness. Which response, if given by the nurse, would demonstrate application of legal safeguard in her practice? “I cannot give you that information due to client confidentiality.” When making client rounds, the charge nurse observes which action by a staff
nurse that would constitute battery? The elderly client refuses the intramuscular injection, but the staff nurse administered it. A nurse observes another nurse place an unused dose of narcotics in their pocket. If caught, the nurse could be charged with which type of crime? A nurse is called to a deposition for a malpractice charge that has resulted in the death of a client. As the chart is
reviewed, the prosecuting attorney questions the nurse about several defaming comments written in the medical record about the client. What charges can be filed against the nurse due to these comments? Injuries related to lifting or transferring patients occur in the health care setting and may be considered a work-related injury. Which law was intended to
reduce work-related injuries and illnesses? The Occupational Safety and Health Act of 1970 Which of the following is an example of certification? A nurse who demonstrates advanced expertise in a content area of nursing through special testing. A nurse enters the client's room and finds the client lying on the floor experiencing a seizure activity. After stabilizing the client, the nurse informs the physician. The physician advises the nurse to prepare an incident report. What is the purpose of an incident report? To evaluate quality care and potential risks for injury to the client In some cases, the act of providing nursing care in unexpected situations is covered by the Good Samaritan laws. Which nursing actions would most
likely be covered by these laws? emergency care for a choking victim in a restaurant A student nurse is assisting an elderly patient to ambulate following hip
replacement surgery, and the patient falls and reinjures the hip. Who is potentially responsible for the injury to this patient? Which of the following is an example of certification? A nurse who demonstrates advanced expertise in a content area of nursing through special testing. The nurse educator is presenting an in-service on nursing and malpractice.
Which statements, made by the nursing staff, would indicate to the educator that further teaching is required? Select all that apply.
When the nurse reports for duty, she finds out her neighbor is admitted to one of units in her facility. The nurse asks a coworker about the neighbor’s condition. The coworker is uncomfortable with the nurse’s request and
confers with the charge nurse. The charge nurse informs the coworker of which potential tort violation she could be charged with if she honors the nurse's request for client information? Nurses practicing in a critical care unit must acquire specialized skills and knowledge to provide care to the critically ill client. These nurses can validate this specialty
competence through what process? Nurses complete incident reports as dictated by the agency protocol. What is the primary reason nurses fill out an incident report? to improve quality of care A client states that his recent fall was caused by the fact that his scheduled antihypertensive medications were mistakenly administered by two different nurses, an event that is disputed by both of the nurses identified by the client. Which measure should the nurses prioritize when anticipating that legal action may follow? Document the client's claims and the events surrounding the alleged incident. Which of the following is an example of certification? A nurse who demonstrates advanced expertise in a content area of nursing through special testing. Which nursing student would most likely be held liable for negligence? A nursing student administers medication to a resident, while working as an unlicensed assistive personnel (UAP) at a local nursing home. A nurse, while off-duty, tells the physiotherapist that a client who was admitted to the nursing unit contracted AIDS due to exposure to sex workers at the age of 18. The client discovers that the nurse has revealed the information to the physiotherapist. With what legal action could the nurse be charged? A public health nurse is involved in planning a community outreach
program for a large assisted living community. Due to the aging population within the community, the program will offer hypertension screening and management. This decision is based on which principle? Which situation is an example of battery that the nurse may experience while performing her duties at the health care facility? performing a surgical procedure without getting consent An HIV-positive client discovers that his name is published in a research report on HIV care prepared by
his nurse. He is hurt and files a lawsuit against her. Which offense has the nurse committed? Professional regulations and laws that govern nursing practice are primarily in place for which reason? to protect the safety of the public A nurse witnesses a traffic accident and dresses the open wounds sustained by a child. Later, in the hospital, the child develops complications from an infection in the wound. The family holds the nurse responsible for the
complications and attempts to file a lawsuit. Which of the following statements is true regarding the Good Samaritan law? The Good Samaritan law will provide legal immunity to the nurse. A client is received in a postoperative nursing unit after undergoing abdominal surgery. During this time, the nurse failed to recognize the significance of abdominal swelling, which significantly increased during the next 6 hours. Later, the client had to undergo emergency surgery. The lack of action on the nurse's part is liable for action. Which of the following legal terms
describes the case? A registered nurse enters a client's room and observes the unlicensed assistive personnel (UAP) pushing a client down on the bed. The client starts crying and informs the UAP that he needs to go to the bathroom. The UAP holds the client down and tells him he was just in the bathroom. The nurse observing this incident is aware that the UAP's action is an example of: A client on a surgical unit asks for the nurse’s opinion of the surgeon. The nurse replies, “He is rude. His clients always end up with infections.” The nurse is at risk of being accused of which of the following? A nurse enters the
client's room and finds the client lying on the floor experiencing a seizure activity. After stabilizing the client, the nurse informs the physician. The physician advises the nurse to prepare an incident report. What is the purpose of an incident report? To evaluate quality care and potential risks for injury to the client The nurse educator is presenting an in-service on nursing and malpractice. Which statements, made by the nursing staff, would indicate to the educator that further teaching is required? Select all that apply.
A nurse observes another nurse place an unused dose of narcotics in their pocket. If caught, the nurse could be charged with which type of crime? During the admission assessment of a female client age 40 years with a suspected mandibular
fracture, the client discloses to the nurse that her injury came as a result of her husband hitting her. Which action should the nurse prioritize when responding to this disclosure? Reporting the abuse to the appropriate authorities A client has a prescription for amoxicillin (Amoxil) 500 mg P.O. (by mouth) every 8 hours. The nurse administers the medication via the intravenous route. Based on the nurse’s action, the client develops a pulmonary embolus, experiences respiratory distress, and is transferred to the intensive care unit. The client’s family files a lawsuit against the facility and the nurse. While reviewing the
case, which legal action has the nurse attorney identified that meets the criteria for the client’s lawsuit? An illegal immigrant with no health insurance sustained life-threatening injuries following an automobile accident. Which action demonstrates the ethical principle of justice? airlifting the client to a local trauma center for emergency surgery A nurse completing admission
paperwork asks the client about having an advanced directive. The client states, “I do not know, what is an advanced directive?” What is the nurse’s best response? “It is a written document that identifies a person's preferences regarding which medical interventions to use in the event of a terminal condition.” A nurse is called to a deposition for a
malpractice charge that has resulted in the death of a client. As the chart is reviewed, the prosecuting attorney questions the nurse about several defaming comments written in the medical record about the client. What charges can be filed against the nurse due to these comments? A client admitted to a mental health unit has exhibited physical behaviors that put him and others at risk.
The nurse applies four-point restraints on the client without obtaining a physician’s order or the client’s consent. The nurse is at risk of being accused of which of the following? A nurse, while off-duty, tells the physiotherapist that a client who was admitted to the nursing unit contracted AIDS due to exposure to sex workers at the age of 18. The client discovers that the nurse has
revealed the information to the physiotherapist. With what legal action could the nurse be charged? A client with end-stage renal disease decides against further treatment and requests a “Do Not Resuscitate” (DNR) order. The DNR status is part of the change-of-shift report. The client stops breathing and a nurse begins cardiopulmonary resuscitation. The family is upset and makes a
complaint to the charge nurse. When discussing the nurse’s action, the charge nurse appropriately identifies which wrongdoing the nurse has violated? The nursing faculty is lecturing on unintentional and intentional torts. The faculty asks a nursing student to provide an example of an unintentional tort. Which example, if provided by the student, would
indicate the student has a clear understanding of torts? A nurse gives a medication and client has an adverse reaction. Nurses practicing in a critical care unit must acquire specialized skills and knowledge to provide care to the critically ill client. These nurses can validate this specialty competence through what process? Two nurses meet at their home, where one of the nurses discusses a client who had been physically
abused. The next day, the client is shifted to another nursing unit after a surgical procedure and becomes the care of the second nurse who had been part of the original discussion. Nurse No. 2 asks the client about the physical abuse. The client discovers that his original nurse revealed the information and is hurt. What would be the charges if the client files a suit? The nurses could be charged for slander. Which of the following is an example of certification? A nurse who demonstrates advanced expertise in a content area of nursing through special testing. A nurse working in a coronary care unit resuscitates a client who had expressed wishes not to be
resuscitated. Which tort has the nurse committed? A nurse hired to work in an ambulatory setting attends new employee orientation. The nurse never worked in ambulatory before and is concerned about the Scope and Standards of Practice for Professional Ambulatory Care Nursing. Which response, given by the nurse educator, would further explain the Scope and
Standards of Practice for Professional Care Nursing to the new nurse? “The Scope and Standards of Practice for Professional Ambulatory Care Nursing deal with the professional obligations of a nurse working in the ambulatory setting.” A nurse
is caring for a client following endotracheal intubation. Before applying soft wrist restraints to prevent the client from pulling out the endotracheal tube, what is the most appropriate action of the nurse? During the orientation to the hospital, the staff development educator discusses unit and institutional-based policies. What is the source
of the practice rules that result in unit and institutional-based policies? A client is scheduled for a colonoscopy. The nurse realizes immediately after administering medications to induce conscious sedation that the client has not signed the informed consent. If the nurse has the client sign the informed consent, which element of informed consent
would be violated? A nurse witnesses a traffic accident and dresses the open wounds sustained by a child. Later, in the hospital, the child develops complications from an infection in the wound. The family holds the nurse responsible for the complications and attempts to file a lawsuit. Which of the following statements is true regarding the
Good Samaritan law? The Good Samaritan law will provide legal immunity to the nurse.
Legal safeguards are in place in the nursing practice to protect the nurse from exposure to legal risks as well as to protect the client from harm. What are examples of legal safeguards for the nurse? Select all that apply.
A nurse completing admission paperwork asks the client about having an advanced directive. The client states, “I do not know, what is an advanced directive?” What is the nurse’s best response? “It is a written document that identifies a person's preferences regarding which medical interventions to use in the event of a terminal condition.” What is the best legal safeguard for a nurse?What is the nurse's best safeguard against legal prosecution? Competent practice is the nurse's most important and best legal safeguard. Each nurse is responsible for making sure their educational background and clinical experience are adequate to fulfill their responsibilities as a professional nurse.
How can I protect my nursing?5 Steps to Take to Protect Your Nursing License. Focus on communication.. Always follow facility protocol.. Avoid relying on coworkers.. Keep your social media profiles private.. Assume someone is watching.. Have You Received a Letter From Your State Board?. What can the nurse do to promote a safe environment for the client?4 ways to improve the nursing environment, patient safety. governing boards that focus on safety.. leadership and evidence-based management structures and processes.. effective nursing leadership.. safe and adequate staffing.. organizational support for ongoing learning and decision support.. What is the Washington State nurse Practice Act?Each individual, upon entering the practice of nursing, assumes a measure of responsibility and public trust and the corresponding obligation to adhere to the professional and ethical standards of nursing practice. The nurse shall be responsible and accountable for the quality of nursing care given to clients.
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What are the best ways for a nurse to be protected legally? select all that apply.
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