C HAPTER 05: L EGAL AND L EGISLATIVE
I SSUES
1. What initiative is most likel y to promote open communication between
clients and practitioners?
a. Involving health-care consumers as active members of the health -
care team
b. Promoting the creation of cultures of client safet y in health -care
organizations
c. Establishing a federal leadership locus for advocacy of client safet y
and health -care quality
d. Building an evidence -based information and technology system that
impacts client safet y
ANS: A
Feedback:
One way to promote open communication between clients and
practitioners is involving health -care consumers as active members of
the health-care team. Pursuing client safety initiatives prevent medical
injury by promoting th e creation of cultures of client safet y in health -
care organizations, establishing a federal leadership locus for advocacy
of client safet y and health -care qualit y, and building an evidence -based
information and technology system impacts client safet y.
PTS: 1 DIF: Moderate REF: Page: 119 OBJ: 7
NAT: Client Needs: Safe and Effective Care Environment:
, Management of Care TOP: Chapter Number: 05: Title:
Display 5.2 Summary of Recommendations from the Executive
Summary of Health Care in the Crossroads: Strate gies for
Improving the Medical Liabilit y S ystem and Preventing Patient
Injury KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Appl y NOT: Multiple Choice
2. A registered nurse has admitted to the manager that she obtained her
license on false pretenses and that she never actuall y graduated from a
nursing education program. What is most likel y to take place next?
a. An investigation by the board of nursing
b. A civil lawsuit by the health -care facilit y
c. Criminal charges
d. A fine levied by the jurisdicti on where the event took place
ANS: A
Feedback:
Following a complaint, the board of nursing completes an
investigation. The facilit y may or may not pursue a lawsuit and is more
likel y to focus solel y on dismissal. This would be more likel y to be
handled administrativel y by the board of nursing than criminall y, by
the court system. A ban from the profession would be more likel y than
a fine.
PTS: 1 DIF: Easy REF: Page: 129 OBJ: 4 | 14
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 05: Title:
Professional Versus Institutional Licensure KEY:
, Integrated Process: Nursing Process BLM: Cognitive Level:
Understand NOT: Multiple Choice
3. The nurse-manager is working with colleagues to update the policies and
procedures at a health -care facilit y. To ensure that the policies align with
the provisions of Title VII, the team should focus on what aspect of care?
a. Falls prevention
b. Timel y and accurate documentation
c. Relationships between practical and registered nurses
d. Avoiding discrimination against clients
ANS: D
Feedback:
Title VII is the Civil Rights Act which covers many different
manifestations of diversit y. The major focus of Title VII is civil rights
and the avoidance of discrimination. Topics such as injury p revention,
documentation, and interprofessional relationships are not normall y
within the scope of civil rights.
PTS: 1 DIF: Moderate REF: Page: 128 OBJ: 16
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 05: Title: Legal
Considerations of Managing a Diverse Workforce KEY:
Integrated Process: Communication and Documentation
BLM: Cognitive Level: Appl y NOT: Multiple Choice
4. Which nurse could face discipline for committing an intentional tort?
I SSUES
1. What initiative is most likel y to promote open communication between
clients and practitioners?
a. Involving health-care consumers as active members of the health -
care team
b. Promoting the creation of cultures of client safet y in health -care
organizations
c. Establishing a federal leadership locus for advocacy of client safet y
and health -care quality
d. Building an evidence -based information and technology system that
impacts client safet y
ANS: A
Feedback:
One way to promote open communication between clients and
practitioners is involving health -care consumers as active members of
the health-care team. Pursuing client safety initiatives prevent medical
injury by promoting th e creation of cultures of client safet y in health -
care organizations, establishing a federal leadership locus for advocacy
of client safet y and health -care qualit y, and building an evidence -based
information and technology system impacts client safet y.
PTS: 1 DIF: Moderate REF: Page: 119 OBJ: 7
NAT: Client Needs: Safe and Effective Care Environment:
, Management of Care TOP: Chapter Number: 05: Title:
Display 5.2 Summary of Recommendations from the Executive
Summary of Health Care in the Crossroads: Strate gies for
Improving the Medical Liabilit y S ystem and Preventing Patient
Injury KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Appl y NOT: Multiple Choice
2. A registered nurse has admitted to the manager that she obtained her
license on false pretenses and that she never actuall y graduated from a
nursing education program. What is most likel y to take place next?
a. An investigation by the board of nursing
b. A civil lawsuit by the health -care facilit y
c. Criminal charges
d. A fine levied by the jurisdicti on where the event took place
ANS: A
Feedback:
Following a complaint, the board of nursing completes an
investigation. The facilit y may or may not pursue a lawsuit and is more
likel y to focus solel y on dismissal. This would be more likel y to be
handled administrativel y by the board of nursing than criminall y, by
the court system. A ban from the profession would be more likel y than
a fine.
PTS: 1 DIF: Easy REF: Page: 129 OBJ: 4 | 14
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 05: Title:
Professional Versus Institutional Licensure KEY:
, Integrated Process: Nursing Process BLM: Cognitive Level:
Understand NOT: Multiple Choice
3. The nurse-manager is working with colleagues to update the policies and
procedures at a health -care facilit y. To ensure that the policies align with
the provisions of Title VII, the team should focus on what aspect of care?
a. Falls prevention
b. Timel y and accurate documentation
c. Relationships between practical and registered nurses
d. Avoiding discrimination against clients
ANS: D
Feedback:
Title VII is the Civil Rights Act which covers many different
manifestations of diversit y. The major focus of Title VII is civil rights
and the avoidance of discrimination. Topics such as injury p revention,
documentation, and interprofessional relationships are not normall y
within the scope of civil rights.
PTS: 1 DIF: Moderate REF: Page: 128 OBJ: 16
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 05: Title: Legal
Considerations of Managing a Diverse Workforce KEY:
Integrated Process: Communication and Documentation
BLM: Cognitive Level: Appl y NOT: Multiple Choice
4. Which nurse could face discipline for committing an intentional tort?
