ch03.rtf

8/20/2019 Ch03.rtf

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Chapter 3: Nursing Practice and the Law

1. Wilhelmina, an RN for over !ears, had her licensed suspended "ecause an audit of hercontinuing education credits showed that she had not met the mandator! course re#uirements.$he %oard of Nursing has the a"ilit! to do this "ased on:

&' Case law%' &dministrative law

C' Civil law(' )tatutor! law

*. +erem! graduated from an associate degree nursing program * !ears ago. e is "rought "efore the )tate %oard of Nursing for offering to give ph!sicals for summer camp for -*.%ecause +erem! has violated the Nurse Practice &ct in his state, he is charged with committinga:

&' /isdemeanor %' 0elon!C' Civil law

(' Common law

3. Which of the following would not "e considered one of the elements for a negligenceclaim

&' (ut!%' %reach of dut!C' )pontaneous dut!(' arm

2. Lorena, an RN, is fl!ing from Los &ngeles to New or4. $he flight attendant re#ueststhe help of a nurse or ph!sician if one is on "oard. Lorena approaches the flight attendant andas4s if she can assist. Lorena is protected "! the 5ood )amaritan &ct "ecause the act states thata licensed health6care provider can:

&' &dminister care an! time%' Provide care that an! other prudent individual with the same education would provideC' Provide the same care as a paramedic(' Provide care outside the scope of her practice as long as she 4nows how to performthe re#uired procedure

. Larr! was "rought to the hospital "! two police officers. e was com"ative and ver"all!a"usive. &fter waiting for over an hour, Larr! tells the nurse he is leaving. $he nurse removesLarr!7s clothes from the room, leaving him onl! in his underwear. $he nurse ma! "e chargedwith:

&' Cruel and unusual punishment%' )lander and li"elC' 0alse imprisonment(' &ssault and "atter!

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. +ose and his girlfriend are driving on the highwa! and witness a motor vehicle accident.e calls 811 and pulls over to the side of the road. e immediatel! "egins to assess the victim todetermine what he can do until the paramedics arrive. is girlfriend sa!s, 9$his gu! can7t give!ou permission to help him ma!"e !ou should ;ust leave him alone< +ose e=plains that he has

implied consent. >mplied consent is assumed when a client:&' )ees a ph!sician or nurse "! appointment in the office or clinic setting%' &rrives in the operating suiteC' >s admitted to the hospital(' >s treated at the scene of an accident

?. $hree nursing students are in the elevator and overhear @van, one of the staff nurses,discussing his neigh"or who was hospitaliAed last night for liver failure. @van told his colleaguethat a mutual friend told him that the neigh"or was 94nown for li4ing his "rand!.< & famil!mem"er was in the elevator and also overheard the conversation. @van ma! "e charged with:

&' )lander %' Li"elC' 0raud(' %reach of confidentialit!

B. +uliana, an RN, is caring for /ar! Lewis, B !ears old. /s. Lewis falls and in;uresherself. Which of the following actions should +uliana ta4e to decrease her lia"ilit!

&' (ocument the incident carefull! on an incident report form%' Chart the facts surrounding the client7s fall, condition, and follow6up careC' (o not document an!thing a"out the fall(' +ust tell the on6coming nurse that /ar! fell

8. &n action that can lead to a malpractice suit would "e:&' &ssessing a client more than once per shift%' Listening to the ph!sician e=plain the "enefits and ris4s of a procedure as the! are "eing e=plained to the clientC' Reporting that heDshe has witnessed a cowor4er using controlled su"stances whenwor4ing(' &ltering a client7s record

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1. /r. Phillipe has suffered a stro4e. is daughter "rings (NR and power of attorne!documents to the hospital. $he purpose of the (NR is to:

&' (ocument the terminal nature of the client7s condition%' &llow an alternative to the universal standing order to provide cardiopulmonar!resuscitation to all clients

C' Provide an opportunit! for the client, famil!, and caregivers to discuss the nature ofthe client7s condition and the "est possi"le course of action if the client has a cardiacarrest(' Provide legal protection for nurses who "elieve a client should not "e resuscitated

11. /arie, an RN, accompanies the surgeon to /s. &llen, a dia"etic with gangrene of thelower left e=tremit!. $he surgeon e=plains to /s. &llen that he will perform a "elow6the64neeamputation that will remove the infection. e will give her some anti"iotics, and she will pro"a"l! go home in few da!s. &fter the surgeon leaves, /arie "rings in the consent forms andas4s /s. &llen to tell her what the surgeon said. /s. &llen states, 9Eh, he is going to remove the

infection and give me anti"iotics and then > can go home. > feel so much "etter now "ecause m!other doctor told me the! were going to cut off m! legF< %ased on this information, /arie7s ne=tstep should "e:

&' ave /s. &llen sign the consent form%' (raw a picture of a "elow6the64nee amputation for /s. &llenC' $ell /s. &llen that she did not hear what her doctor told her (' Call the surgeon and e=plain the situation to him

1*. 5lenn is an RN on a "us! medicalDsurgical unit. e comes to wor4 toda! for his usualshift after wor4ing a dou"le shift !esterda!. &t the end of this da!, two RNs call in, and the nursemanager tells 5lenn he needs to sta! and cover the ne=t shift. 5lenn ma! refuse to accept anassignment if:

&' e is "eing as4ed to care for too man! difficult clients%' e "elieves his assignment is unsafeC' e is "eing as4ed to wor4 overtime(' e "elieves there are not enough nurses to wor4 with him

8/20/2019 Ch03.rtf



Answer Key

1. %*. %3. C

2. %. C. (?. &B. %8. (1. %11. (1*. C

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ch03.rtf

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