NUR 220 Module 1 Exam ATI Exam
Questions With Correct Answers
CH4 LEGAL RESPONSIBILITIES
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1. A nurse observes an assistive personnel (AP) reprimanding a client for not
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using the urinal properly. The AP tells the client that diapers will be used next
| | | | | | | | | | | | | | |
time the urinal is used improperly. Which of the following torts is the AP
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committing?
(a) Assault
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(b) Battery
|
(c) False imprisonment
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(d) Invasion of privacy - CORRECT ANSWER✔✔-(a) CORRECT: By threatening the
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client, the AP is committing assault. The AP's threats could make the client
| | | | | | | | | | | | |
become fearful and apprehensive.
| | |
(b) INCORRECT: Battery is actual physical contact without the client's consent.
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Because the AP has only verbally threatened the client, battery has not occurred.
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(c) INCORRECT: Unless the AP restrains the client, there is no false imprisonment
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involved.
(d) INCORRECT: Invasion of privacy involves disclosing information about a client
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to an unauthorized individual.
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2. A nurse is caring for a competent adult client who tells the nurse, "I am leaving
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the hospital this morning whether the doctor discharges me or not." The nurse
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believes that his is not in the client's best interest, and prepares to administer a
| | | | | | | | | | | | | | |
,PRN sedative medication the client has not requested along with the scheduled
| | | | | | | | | | | |
morning medication. Which of the following types of tort is the nurse about to
| | | | | | | | | | | | | |
commit?
(a) Assault |
(b) False imprisonment
| |
(c) Negligence
|
(d) Breach of confidentiality - CORRECT ANSWER✔✔-(b) CORRECT: Administering
| | | | | | | | |
a medication as a chemical restraint to keep the client from leaving the facility
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against medical advice is false imprisonment, because the client neither
| | | | | | | | | |
requested nor consented to receiving the sedative.
| | | | | | |
(a) INCORRECT: Assault is an action that threatens harmful contact without the
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client's consent. The nurse has made no threats in this situation.
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(c) INCORRECT: Negligence is a breach of duty that results in harm to the client. It
| | | | | | | | | | | | | | |
|is unlikely that the medication the nurse administered without his consent
| | | | | | | | | | |
actually harmed the client. | | | |
(d) INCORRECT: The nurse has not disclosed any protected health information, so
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there is no breach of confidentiality involved in this situation.
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3. A nurse in a surgeon's office is providing preoperative teaching for a client who
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|is scheduled for surgery the following week. The client tells the nurse that "I plan
| | | | | | | | | | | | | | |
to prepare my advance directives before I come to the hospital." Which of the
| | | | | | | | | | | | | |
following statements made by the client should indicate to the nurse an
| | | | | | | | | | | |
understanding of advance directives? | | |
(a) "I'd rather have my brother make decisions for me, but I know it has to be my
| | | | | | | | | | | | | | | | | |
wife."
(b) "I know they wont go ahead with the surgery unless I prepare term-3these
| | | | | | | | | | | | | |
forms."
,(c) "I plan to write that I don't want them to keep me on a breathing machine."
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(d) "I will get my regular doctor to approve my plan before I hand it in at the
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hospital." - CORRECT ANSWER✔✔-C. CORRECT: The client has the right to decide
| | | | | | | | | | | |
and specify which medical procedures he wants when a life-threatening situation
| | | | | | | | | | |
arises.
(a) INCORRECT: The client can designate any competent adult to be his health
| | | | | | | | | | | | |
care proxy. It does not have to be his spouse.
| | | | | | | | | |
(b) INCORRECT: The hospital staff must ask the client whether he has prepared
| | | | | | | | | | | | |
advance directives and provide written information about them if he has not. The
| | | | | | | | | | | |
|nurse should document whether the client has signed the advance directives.
| | | | | | | | | | |
The hospital staff cannot refuse care based on the lack of advance directives.
| | | | | | | | | | | | |
(d) INCORRECT: The client does not need his provider's approval to submit his
| | | | | | | | | | | | |
advance directives. However, he should give his primary care provider a copy of
| | | | | | | | | | | | |
the document for his records.
| | | |
4. A nurse is caring for a client who is about to undergo an elective surgical
| | | | | | | | | | | | | | | |
procedure. The nurse should take which of the following actions regarding
| | | | | | | | | | |
informed consent? (Select all that apply.)
| | | | |
(a) Make sure the surgeon obtained the client's consent.
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(b) Witness the client's signature on the consent form.
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(c) Explain the risks and benefits of the procedure.
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(d) Describe the consequences of choosing not to have the surgery.
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(e) Tell the client about alternatives to having the surgery. - CORRECT
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ANSWER✔✔-(a) CORRECT: It is the nurse's responsibility to verify that the | | | | | | | | | | |
surgeon obtained the client's consent and that the client understands the
| | | | | | | | | | |
information the surgeon gave them. | | | | |
, (b) CORRECT: It is the nurse's responsibility to witness the client's signing of the
| | | | | | | | | | | | | |
consent form, and to verify that they are consenting voluntarily and appear to be
| | | | | | | | | | | | | |
competent to do so. The nurse also should verify that the client understands the
| | | | | | | | | | | | | |
information the surgeon has provided. | | | | |
(c) INCORRECT: It is the surgeon's responsibility to explain the risks and benefits
| | | | | | | | | | | | |
of the procedure.
| | |
(d) INCORRECT: It is the surgeon's responsibility to describe the consequences of
| | | | | | | | | | | |
choosing not to have the surgery.
| | | | | |
(e) INCORRECT: It is the surgeon's responsibility to tell the client about any
| | | | | | | | | | | | |
available alternatives to having the surgery.
| | | | |
5. A nurse has noticed several occasions in the past week when another nurse on
| | | | | | | | | | | | | | |
the unit seemed drowsy and unable to focus on the issue at hand. Today, the
| | | | | | | | | | | | | | |
nurse was found asleep in a chair in the break room not during a break time.
| | | | | | | | | | | | | | | |
Which of the following actions should the nurse take?
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(a) Alert the American Nurses Association.
| | | | |
(b) Fill out an incident report.
| | | | |
(c) Report the observations to the nurse manager on the unit.
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(d) Leave the nurse alone to sleep. - CORRECT ANSWER✔✔-(c) CORRECT: Any
| | | | | | | | | | | |
nurse who notices behavior that could jeopardize client care or could indicate a
| | | | | | | | | | | | |
substance use disorder has a duty to report the situation immediately to the
| | | | | | | | | | | | |
nurse manager. |
(a) INCORRECT: Do not alert the American Nurses Association. The state's board
| | | | | | | | | | | |
of nursing regulates disciplinary action and can revoke a nurse's license for
| | | | | | | | | | | |
substance use. | |
Questions With Correct Answers
CH4 LEGAL RESPONSIBILITIES
| |
1. A nurse observes an assistive personnel (AP) reprimanding a client for not
| | | | | | | | | | | | |
using the urinal properly. The AP tells the client that diapers will be used next
| | | | | | | | | | | | | | |
time the urinal is used improperly. Which of the following torts is the AP
| | | | | | | | | | | | | |
committing?
(a) Assault
|
(b) Battery
|
(c) False imprisonment
| | |
(d) Invasion of privacy - CORRECT ANSWER✔✔-(a) CORRECT: By threatening the
| | | | | | | | | | |
client, the AP is committing assault. The AP's threats could make the client
| | | | | | | | | | | | |
become fearful and apprehensive.
| | |
(b) INCORRECT: Battery is actual physical contact without the client's consent.
| | | | | | | | | | |
Because the AP has only verbally threatened the client, battery has not occurred.
| | | | | | | | | | | | |
(c) INCORRECT: Unless the AP restrains the client, there is no false imprisonment
| | | | | | | | | | | | |
involved.
(d) INCORRECT: Invasion of privacy involves disclosing information about a client
| | | | | | | | | | |
to an unauthorized individual.
| | |
2. A nurse is caring for a competent adult client who tells the nurse, "I am leaving
| | | | | | | | | | | | | | | | |
the hospital this morning whether the doctor discharges me or not." The nurse
| | | | | | | | | | | | |
believes that his is not in the client's best interest, and prepares to administer a
| | | | | | | | | | | | | | |
,PRN sedative medication the client has not requested along with the scheduled
| | | | | | | | | | | |
morning medication. Which of the following types of tort is the nurse about to
| | | | | | | | | | | | | |
commit?
(a) Assault |
(b) False imprisonment
| |
(c) Negligence
|
(d) Breach of confidentiality - CORRECT ANSWER✔✔-(b) CORRECT: Administering
| | | | | | | | |
a medication as a chemical restraint to keep the client from leaving the facility
| | | | | | | | | | | | | |
against medical advice is false imprisonment, because the client neither
| | | | | | | | | |
requested nor consented to receiving the sedative.
| | | | | | |
(a) INCORRECT: Assault is an action that threatens harmful contact without the
| | | | | | | | | | | |
client's consent. The nurse has made no threats in this situation.
| | | | | | | | | | |
(c) INCORRECT: Negligence is a breach of duty that results in harm to the client. It
| | | | | | | | | | | | | | |
|is unlikely that the medication the nurse administered without his consent
| | | | | | | | | | |
actually harmed the client. | | | |
(d) INCORRECT: The nurse has not disclosed any protected health information, so
| | | | | | | | | | | |
there is no breach of confidentiality involved in this situation.
| | | | | | | | |
3. A nurse in a surgeon's office is providing preoperative teaching for a client who
| | | | | | | | | | | | | |
|is scheduled for surgery the following week. The client tells the nurse that "I plan
| | | | | | | | | | | | | | |
to prepare my advance directives before I come to the hospital." Which of the
| | | | | | | | | | | | | |
following statements made by the client should indicate to the nurse an
| | | | | | | | | | | |
understanding of advance directives? | | |
(a) "I'd rather have my brother make decisions for me, but I know it has to be my
| | | | | | | | | | | | | | | | | |
wife."
(b) "I know they wont go ahead with the surgery unless I prepare term-3these
| | | | | | | | | | | | | |
forms."
,(c) "I plan to write that I don't want them to keep me on a breathing machine."
| | | | | | | | | | | | | | | |
(d) "I will get my regular doctor to approve my plan before I hand it in at the
| | | | | | | | | | | | | | | | | |
hospital." - CORRECT ANSWER✔✔-C. CORRECT: The client has the right to decide
| | | | | | | | | | | |
and specify which medical procedures he wants when a life-threatening situation
| | | | | | | | | | |
arises.
(a) INCORRECT: The client can designate any competent adult to be his health
| | | | | | | | | | | | |
care proxy. It does not have to be his spouse.
| | | | | | | | | |
(b) INCORRECT: The hospital staff must ask the client whether he has prepared
| | | | | | | | | | | | |
advance directives and provide written information about them if he has not. The
| | | | | | | | | | | |
|nurse should document whether the client has signed the advance directives.
| | | | | | | | | | |
The hospital staff cannot refuse care based on the lack of advance directives.
| | | | | | | | | | | | |
(d) INCORRECT: The client does not need his provider's approval to submit his
| | | | | | | | | | | | |
advance directives. However, he should give his primary care provider a copy of
| | | | | | | | | | | | |
the document for his records.
| | | |
4. A nurse is caring for a client who is about to undergo an elective surgical
| | | | | | | | | | | | | | | |
procedure. The nurse should take which of the following actions regarding
| | | | | | | | | | |
informed consent? (Select all that apply.)
| | | | |
(a) Make sure the surgeon obtained the client's consent.
| | | | | | | |
(b) Witness the client's signature on the consent form.
| | | | | | | |
(c) Explain the risks and benefits of the procedure.
| | | | | | | |
(d) Describe the consequences of choosing not to have the surgery.
| | | | | | | | | |
(e) Tell the client about alternatives to having the surgery. - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-(a) CORRECT: It is the nurse's responsibility to verify that the | | | | | | | | | | |
surgeon obtained the client's consent and that the client understands the
| | | | | | | | | | |
information the surgeon gave them. | | | | |
, (b) CORRECT: It is the nurse's responsibility to witness the client's signing of the
| | | | | | | | | | | | | |
consent form, and to verify that they are consenting voluntarily and appear to be
| | | | | | | | | | | | | |
competent to do so. The nurse also should verify that the client understands the
| | | | | | | | | | | | | |
information the surgeon has provided. | | | | |
(c) INCORRECT: It is the surgeon's responsibility to explain the risks and benefits
| | | | | | | | | | | | |
of the procedure.
| | |
(d) INCORRECT: It is the surgeon's responsibility to describe the consequences of
| | | | | | | | | | | |
choosing not to have the surgery.
| | | | | |
(e) INCORRECT: It is the surgeon's responsibility to tell the client about any
| | | | | | | | | | | | |
available alternatives to having the surgery.
| | | | |
5. A nurse has noticed several occasions in the past week when another nurse on
| | | | | | | | | | | | | | |
the unit seemed drowsy and unable to focus on the issue at hand. Today, the
| | | | | | | | | | | | | | |
nurse was found asleep in a chair in the break room not during a break time.
| | | | | | | | | | | | | | | |
Which of the following actions should the nurse take?
| | | | | | | |
(a) Alert the American Nurses Association.
| | | | |
(b) Fill out an incident report.
| | | | |
(c) Report the observations to the nurse manager on the unit.
| | | | | | | | | |
(d) Leave the nurse alone to sleep. - CORRECT ANSWER✔✔-(c) CORRECT: Any
| | | | | | | | | | | |
nurse who notices behavior that could jeopardize client care or could indicate a
| | | | | | | | | | | | |
substance use disorder has a duty to report the situation immediately to the
| | | | | | | | | | | | |
nurse manager. |
(a) INCORRECT: Do not alert the American Nurses Association. The state's board
| | | | | | | | | | | |
of nursing regulates disciplinary action and can revoke a nurse's license for
| | | | | | | | | | | |
substance use. | |
