FUNDAMENTAL NURSING SKILLS AND CONCEPT 10TH EDITION TIMBY - TEST BANK

Sample Test Chapter 3- Laws and Ethics 1. A client who has undergone resection of the intestine is on a liquid diet with a nasogastric tube in place. Hrefuses the food tray with regular food that comes to his room and insists that a physician be called. The ninsists that it is the right food and makes the client to take it. The client develops complications and has toreoperated upon. How is negligence determined in this situation? A) The nurse did not call the physician when the client asked. B) The nurse did not realize the importance of the tube. C) The dietary department sent the wrong diet for the client. D) The nurse did not communicate clearly with the client. FUNDAMENTAL NURSING SKILLS AND CONCEPT 10TH EDITION TIMBY - TEST BANK Ans: B Feedback: Negligence is defined as harm that occurs because the person did not act reasonably. In this case, the nunot realize that the client was on a nasogastric tube, and should consequently have been on liquid feeds intestinal surgery; as a result, the patient developed complications. The acts of not calling the physician acommunicating poorly do not amount to negligence. The dietary department sending the wrong food is unto the nurse. 2. A client who is scheduled for hernioplasty needs clarification regarding the procedure. The nurse calls thephysician at the client’s insistence. The physician, who is in a bad mood, is overheard telling the client thanurse is incompetent and does not know anything. Which of the following legal torts has the physician committed? A) Libel B) Battery C) Assault D) Slander Ans: D Feedback: The physician has committed slander by defaming the nurse orally. Slander is a character attack uttered othe presence of others. Libel refers to damaging statements written and read by others. Assault is an act bodily harm is threatened or attempted. Battery is unauthorized physical contact, not applicable in this situ3. A nurse enters a client’s room and finds that the client is lying on the floor. The nurse makes the client comfortable on the bed and completes an assessment. The nurse then informs the physician and the nurssupervisor about this incident and also completes an incident report. Which of the following actions by theindicates correct knowledge of handling an incident report? A) Documents a complete description of the happenings in the client’s records B) Makes a copy of the incident report and places it in the client’s records C) Makes a copy of the incident report to give to the physician D) Mentions in the client’s report that an incident report was completed Ans: A Feedback: An incident report is a written account of an unusual, potentially injurious event involving a client, employevisitor. It is kept separate from the medical record. The incident report is a legal document and making a cit is not advisable. It should not be placed in the client’s records; however, the nurse can mention the incidthe client’s records without mentioning the incident report. 4. A nurse is caring for a client with multiple sclerosis. The client informs the nurse that a lawyer is coming to prepare a living will and requests the nurse to sign as witness. Which of the following actions should the ntake? A) State that the physician will be a witness B) Arrange for other colleagues to sign as a witness C) Note that the nurse caring for the client cannot be a witness D) Inform the physician about the living will Ans: C Feedback: A living will is an instructive form of an advance directive. It is a written document that identifies a person’spreferences regarding medical interventions to use in a terminal condition, irreversible coma, or persistenvegetative state with no hope of recovery. Employees of the health care facility should not sign as witnesstherefore, the nurse cannot sign as witness. Refusing a client may not be a good communication method;instead, the nurse could politely indicate the reason for declining. Calling for a physician or asking anothecolleague to sign is an inappropriate action. 5. A home care nurse is caring for a paralyzed client who needs regular position changes and back massagman identifying himself as a family friend inquires if he can be of any help to the family. What should be thnurse’s response be? A) The nurse should ask the man to talk to the family directly. B) The nurse should invite the man to learn the caring techniques. C) The nurse should state that the family does not need any help. D) The nurse should refer the man to the local social worker. Ans: A Feedback: The nurse should ask the man to talk to the family directly. Revealing information about the client’s care isviolation of the client’s privacy. The nurse should not invite the gentleman for a learning session because be a breach of the client’s right to privacy. Referring him to a social worker is not an appropriate choice. 6. An HIV-positive client discovers that his name is published in a report on HIV care prepared by his gly opposes this and files a lawsuit against the nurse. Which of the following offenses has this nursecommitted? A) Unintentional tort B) Invasion of privacy C) Defamation D) Negligence of duty Ans: B Feedback: The nurse has committed the tort of invasion of privacy. Personal names and identities are concealed or obliterated in case studies or research work. Invasion of privacy is a type of intentional tort. Defamation isin which untrue information harms a person’s reputation, and is therefore not applicable here. Negligenceharm that results because a person did not act reasonably. 7. A nurse finds that a colleague is intoxicated while on duty. What appropriate action should the nurse take?A) Inform the nursing supervisor B) Tell the colleague to take a 30-minute break C) Inform the physician D) Watch the colleague closely during the shift Ans: A Feedback: When a colleague is intoxicated while on duty, the nurse should immediately inform the nursing supervisomay take necessary action. It would be an irresponsible action if the nurse tells the colleague to take restLikewise, informing a physician is not the appropriate response. The nurse should not ignore the incident simply observe the colleague because client care may be affected. 8. A nurse in a psychiatric care unit finds that a client with psychosis has become violent and has struck anopatient in the unit. What action should the nurse take in this case? A) Do not restrain the client, as it is equivalent to false imprisonment. B) Restrain the client, as he is harmful to the other patients. C) Do not restrain the client, as it is equivalent to battery. D) Inform the physician and complete a comprehensive assessment. Ans: B Feedback: The nurse should restrain the client because he is potentially harmful to other patients in the psychiatric cRestraints should be used as a last resort and their use should be justified. Unnecessary restraining can lallegations of false imprisonment and battery; both are not applicable in this case, however. The nurse shinform the physician about the client, but sometimes it may not be logical to wait for orders to restrain a viclient. 9. A nurse warns a client who has a recent history of seizures that he may fall off his bed during a seizure athe does not leave the side rails of the bed raised. Before leaving the client’s room, the nurse puts up the srails, but after the nurse has left, the client lowers them again. Later, the client has a fall from the bed duriseizures and holds the nurse responsible for it. Which of the following legal provisions protects the nurse case? A) Good Samaritan law B) Statute of limitations C) Common law D) Assumption of risk Ans: D Feedback: The nurse is protected by the provision of assumption of risk. If a client is forewarned of a potential safetyand chooses to ignore the warning, the court may hold the client responsible. It is essential that the nursedocuments that he or she warned the client and that the client disregarded the warning. Good Samaritan provide legal immunity to passersby who provide emergency first aid to accident victims. The statute of limitations is the designated time within which a person can file a lawsuit. Common laws are decisions baprior similar cases. 10. A client informs the nurse that he wants to discontinue his treatment and go home. Later, the nurse finds tclient dressed to leave. What action should the nurse take in this situation? A) Let the client go after signing a document stating he is going against medical advice. B) Restrain the client until his medical treatment is over. C) Call the physician and get his discharge paper signed. D) Warn the client that he may not be able to access health care again. Ans: A Feedback: If a client wishes to go before his medical treatment is finished, he should sign a document indicating persresponsibility for leaving against medical advice. The nurse should not restrain the patient, as it would manurse liable for legal action. The nurse may call the physician and get the discharge paper signed, but thisappropriate. The nurse cannot warn the client that he will be denied health care in future, because it is hisaccess the health care facility whenever he needs. 11. A client is admitted with symptoms of psychosis. The nurse hurries to the client’s room when she hears thcalling for help. She finds the client lying on the ground. The nurse assists the client back to the bed and performs a thorough assessment. The nurse informs the physician and completes the incident report. Whthe following statements should the nurse document in the incident report? A) The client was trying to lower the side rails. B) The client was found lying on the floor. C) The client was trying to get out of the bed. D) The client was not aware that he had fallen. Ans: B Feedback: An incident report is a written account of an unusual, potentially injurious event involving a client, an empla visitor. All of the details given in the incident report should be accurate and not assumed. Accurate and documentation helps to prove that the nurse acted reasonably or appropriately in the circumstance. The nshould document that the client was found lying on the floor. The other statements are assumptions and snot be included in the incident report. 12. A nurse assesses a client with psychotic symptoms and determines that the client likely poses a safety thneeds vest restraints. The client is adamantly opposed to this. What would be the best nursing action? A) Contact the physician and obtain necessary orders