Test Bank For Nursing Today: Transition and Trends
11th Edition by JoAnn Zerwekh, Ashley Garneau
1. A nurse is giving a presentation on malpractice. Which statement indicates the
nurse understands malpractice?
a.
"The elements of duty, breach of duty, and patient injury must be present for a
malpractice claim."
b.
"Negligent nursing care and failure to follow standards must be present for a
malpractice claim."
c.
"Failure to report, defamation, and discrimination must be present for a malpractice
claim."
d.
"Error in judgment and invasion of privacy must be present for a malpractice claim." -
ANSWER ANS: A
There are three elements that must be present for a malpractice claim: (1) You must
have a duty—there must be a professional nurse-patient relationship. (2) You must
have breached a duty that was foreseeable—you must have fallen below the
standard of care. (3) Your breach of duty caused patient injury or damages. The
other options do not indicate the nurse's understanding of malpractice.
2. In transcribing orders for a patient, the nurse finds a new order for aspirin, 500 mg,
QID. The patient has a long history of gastrointestinal bleeding. What is the best
nursing action?
a.
Give the medication.
b.
Withhold the medication and chart why it was not given.
c.
Call the physician and question the order in light of the patient's history.
,d.
Ask if the patient is allergic to aspirin. - ANSWER ANS: C
The nurse should call the physician and question the medication order for aspirin
based on the patient's history of gastrointestinal (GI) bleeding. Claims involving
medication errors are augmented when the nurse fails to recognize side effects or
contraindications or fails to know a patient's allergies. The nurse would withhold the
medication until the physician is notified and the order clarified. Giving the
medication could cause the patient to start bleeding. Although asking for allergies is
an important nursing action, the important aspect in this situation in the medical
history of GI bleeding.
3. The nurse enters a patient's room to complete the discharge paperwork and finds
the patient in tears. The patient reports that someone from the business office stated
they could not leave the hospital until the bill was paid. What is the best nursing
action?
a.
Comfort the patient and continue the preparations for discharge.
b.
Call the social worker for a financial evaluation.
c.
Call the family to arrange for the payment.
d.
Cancel the discharge plans and notify the physician of the situation. - ANSWER 3.
The nurse enters a patient's room to complete the discharge paperwork and finds the
patient in tears. The patient reports that someone from the business office stated
they could not leave the hospital until the bill was paid. What is the best nursing
action?
a.
Comfort the patient and continue the preparations for discharge.
b.
Call the social worker for a financial evaluation.
c.
Call the family to arrange for the payment.
, d.
Cancel the discharge plans and notify the physician of the situation.
4. What is a correct statement regarding a nurse who acts beyond the scope of
practice?
a.
Demonstrates what a good nurse he or she can be
b.
Provides enriched services to patients who would not otherwise receive them
c.
May make other nurses angry because of the increased expectations created
d.
May be disciplined by the board of nursing - ANSWER ANS: D
States may regulate nursing practice by controlling the scope of practice and
determining the specific activities for each level of nursing. In most states, the Nurse
Practice Act provides definitions and scope of practice for each level of nursing
practice. The power of the board to discipline can have an adverse effect on the
nurse's ability to practice. Practicing beyond the scope of practice does not
demonstrate what a good nurse the person is and does not provide enriched
services. Other nurses would not be angry at increased expectations but at the
foolishness of the nurse practicing beyond the scope of practice.
5. Which error in judgment would be the most serious for the nurse defendant in a
legal case?
a.
Discussing the case with the plaintiff
b.
Tampering with the chart
c.
Hiding information from the plaintiff's attorney
d.
11th Edition by JoAnn Zerwekh, Ashley Garneau
1. A nurse is giving a presentation on malpractice. Which statement indicates the
nurse understands malpractice?
a.
"The elements of duty, breach of duty, and patient injury must be present for a
malpractice claim."
b.
"Negligent nursing care and failure to follow standards must be present for a
malpractice claim."
c.
"Failure to report, defamation, and discrimination must be present for a malpractice
claim."
d.
"Error in judgment and invasion of privacy must be present for a malpractice claim." -
ANSWER ANS: A
There are three elements that must be present for a malpractice claim: (1) You must
have a duty—there must be a professional nurse-patient relationship. (2) You must
have breached a duty that was foreseeable—you must have fallen below the
standard of care. (3) Your breach of duty caused patient injury or damages. The
other options do not indicate the nurse's understanding of malpractice.
2. In transcribing orders for a patient, the nurse finds a new order for aspirin, 500 mg,
QID. The patient has a long history of gastrointestinal bleeding. What is the best
nursing action?
a.
Give the medication.
b.
Withhold the medication and chart why it was not given.
c.
Call the physician and question the order in light of the patient's history.
,d.
Ask if the patient is allergic to aspirin. - ANSWER ANS: C
The nurse should call the physician and question the medication order for aspirin
based on the patient's history of gastrointestinal (GI) bleeding. Claims involving
medication errors are augmented when the nurse fails to recognize side effects or
contraindications or fails to know a patient's allergies. The nurse would withhold the
medication until the physician is notified and the order clarified. Giving the
medication could cause the patient to start bleeding. Although asking for allergies is
an important nursing action, the important aspect in this situation in the medical
history of GI bleeding.
3. The nurse enters a patient's room to complete the discharge paperwork and finds
the patient in tears. The patient reports that someone from the business office stated
they could not leave the hospital until the bill was paid. What is the best nursing
action?
a.
Comfort the patient and continue the preparations for discharge.
b.
Call the social worker for a financial evaluation.
c.
Call the family to arrange for the payment.
d.
Cancel the discharge plans and notify the physician of the situation. - ANSWER 3.
The nurse enters a patient's room to complete the discharge paperwork and finds the
patient in tears. The patient reports that someone from the business office stated
they could not leave the hospital until the bill was paid. What is the best nursing
action?
a.
Comfort the patient and continue the preparations for discharge.
b.
Call the social worker for a financial evaluation.
c.
Call the family to arrange for the payment.
, d.
Cancel the discharge plans and notify the physician of the situation.
4. What is a correct statement regarding a nurse who acts beyond the scope of
practice?
a.
Demonstrates what a good nurse he or she can be
b.
Provides enriched services to patients who would not otherwise receive them
c.
May make other nurses angry because of the increased expectations created
d.
May be disciplined by the board of nursing - ANSWER ANS: D
States may regulate nursing practice by controlling the scope of practice and
determining the specific activities for each level of nursing. In most states, the Nurse
Practice Act provides definitions and scope of practice for each level of nursing
practice. The power of the board to discipline can have an adverse effect on the
nurse's ability to practice. Practicing beyond the scope of practice does not
demonstrate what a good nurse the person is and does not provide enriched
services. Other nurses would not be angry at increased expectations but at the
foolishness of the nurse practicing beyond the scope of practice.
5. Which error in judgment would be the most serious for the nurse defendant in a
legal case?
a.
Discussing the case with the plaintiff
b.
Tampering with the chart
c.
Hiding information from the plaintiff's attorney
d.
