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Chapter 023

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Potter & Perry: Fundamentals of Nursing, 7th Edition Test Bank Chapter 23: Legal Implications in Nursing Practice MULTIPLE CHOICE 1. Which source of law best addresses a situation where nurse accidentally administers an incorrect dosage of morphine sulfate to the client? 1. Civil law 2. Criminal law 3. Common law 4. Administrative law ANS: 1 Civil laws protect the rights of individual persons within our society and encourage fair and equitable treatment among people. Generally, violations of civ
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  Potter & Perry: Fundamentals of Nursing, 7 th  Edition Test Bank Chapter 2: !egal mpli#ations in Nursing Pra#ti#e$%!T P!E C' CE 1.Which source of law best addresses a situation where nurse accidentally administers an incorrect dosage of morphine sulfate to the client?1.Civil law2.Criminal law3.Common law4.Administrative lawA! 1Civil laws protect the rights of individual persons within our society and encourage fair and e#uitable treatment among people. $enerally% violations of civil laws cause harm to an individual or property and damages involve payment of money. Administering an incorrect dosage of morphine sulfate would fall under civil law because it could cause harm to an individual. Criminal laws prevent harm to society and provide punishment for crimes &often imprisonment'. Common law is created by (udicial decisions made in courts when individual legal cases are decided &i.e.% informed consent'. Administrative law is created by administrative bodies% such as state boards of nursing when they pass rules and regulations &i.e.% the duty to report unethical nursing conduct')*+ A,-+ 32/0 Comprehension/ ursing rocess *mplementation!C C5-67 test plan designation !afe% -ffective Care -nvironment2.What standard of care applies to the student nurse8s conduct when providing care normally performed by a registered nurse &,'? 1.he same standard of care as an ,2.A standard of care of an unlicensed person3.o special standard of care because her faculty member is responsible for her conduct4.A standard similar to but not the same as the staff nurse with whom she is assigned to wor9 A! 1!tudent nurses are e:pected to perform as professional nurses &i.e.% as an , would in  providing safe client care'. !tudents are not wor9ing in the same capacity as an unlicensed person% and therefore are not compared to the standard of an unlicensed  person. o special standard of care because her faculty member is responsible for her conduct is not a true statement. !taff nurses may serve as preceptors% but that does not e:cuse the student from performing at the level of an ,. *f a client is harmed as a direct result of a nursing student8s actions or lac9 of action% the liability for the incorrect action is generally shared by the student% instructor% hospital or health care facility% and university or educational institution. osby items and derived items ; 2<<=% 2<<> by osby% *nc.% an affiliate of -lsevier *nc.  est 0an9 )*+ A,-+ 333/0 Comprehension/ ursing rocess *mplementation!C C5-67 test plan designation !afe% -ffective Care -nvironment3.Which of the following is the most important factor in a nurse deciding whether or not to carry malpractice insurance?1.he nurse8s 9nowledge level of $ood !amaritan laws 2.he amount of malpractice insurance provided by the nurse8s employer 3.he time frames and individual liability of the employer8s malpractice coverage 4.he evaluation of whether the nurse wor9s in a critical area of nursing where clients have higher morbidity and mortality ratesA! 3*t would be important to 9now the time frames of the employer8s malpractice coverage. *n other words% is the nurse only covered during the times he or she is wor9ing within the institution? *t would be important to 9now the individual liability. +or e:ample% if sued% what financial responsibility would the nurse have? he nurse should be aware of $ood !amaritan laws% but this would not be sufficient coverage for most nursing practice. herefore it is not the most importance factor in determining whether to purchase private malpractice insurance. he amount of malpractice insurance provided by the employer is not the most important factor in deciding whether to carry private insurance. $enerally% the employer8s malpractice insurance coverage is much greater than private insurance coverage. he area of nursing in which the nurse is employed is not the most important factor in deciding whether or not to carry malpractice insurance. 5awsuits can occur anywhere.)*+ A,-+ 33433>/0 Comprehension/ ursing rocess *mplementation!C C5-67 test plan designation !afe% -ffective Care -nvironment4.An unconscious client with a head in(ury needs surgery to live. @is wife only spea9s +rench% and the health care providers are having a difficult time e:plaining his condition. Which of the following is the most correct answer regarding this situation?1.An institutional review board needs to be contacted to give their emergency advice on the situation.2.he health care team should continue with the surgery after providing information in the best manner possible.3.A friend of the family could act as an interpreter% but the e:planation could not  provide details of the client8s accident% because of confidentiality laws.4.wo licensed health care personnel should witness and sign the preoperative consent indicating they heard an e:planation of the procedure given in -nglish.A! 2 osby items and derived items ; 2<<=% 2<<> by osby% *nc.% an affiliate of -lsevier *nc. 232  est 0an9 *n emergency situations% if it is impossible to obtain consent from the client or an authoried person% the procedure re#uired to benefit the client or save a life may be underta9en without liability for failure to obtain consent. *n such cases% the law assumes that the client would wish to be treated. *n an emergency% it is not necessary to contact theinstitutional review board. *n doing so% it would ta9e up valuable time. A family member or ac#uaintance that is able to spea9 a client8s language should not be used to interpret health information. An official interpreter must be available to e:plain the terms of consent &e:cept in an emergency situation'. elephone consents usually re#uire two witnesses. his is not the case in this situation.)*+ A,-+ 333/0 Comprehension/ ursing rocess *mplementation!C C5-67 test plan designation !afe% -ffective Care -nvironment>.A physician as9s a family nurse practitioner to prescribe a medication that the nurse  practitioner 9nows is incompatible with the current medication regimen. *f the nurse  practitioner follows the physician8s desire% which of the following is the most correct answer?1.$ood !amaritan laws will protect the nurse.2.he nurse practitioner will be liable for the action.3.his type of situation is why nurse practitioners should have malpractice insurance.4.*f the nurse practitioner has developed a good relationship with the client% there will probably not be a problem.A! 2A nurse carrying out an inaccurate or inappropriate order may be legally responsible for any harm suffered by the client. $ood !amaritan laws will not protect the nurse in this situation. $ood !amaritan laws are for providing care at the scene of an accident. he nurse should refuse to administer the medication when he or she 9nows it is wrong. @aving malpractice insurance is not the answer% as it does not protect the client from harm. he nurse practitioner should refuse administering the medication. )eveloping a good relationship with the client is important% but will not protect the nurse from legal liability for providing incompetent care.)*+ A,-+ 32B/0 Comprehension/ ursing rocess *mplementation!C C5-67 test plan designation !afe% -ffective Care -nvironment.A registered nurse interprets a scribbled medication order by the attending physician as 2> mg. he nurse administers 2> mg of the medication to a client% and then discovers that the dose was incorrectly interpreted and should have been 1> mg. Who would ultimately  be responsible for the error?1.Attending physician2.Assisting resident3.harmacist4.urse osby items and derived items ; 2<<=% 2<<> by osby% *nc.% an affiliate of -lsevier *nc. 233  est 0an9 A! 4A nurse carrying out an inaccurate or inappropriate order may be legally responsible for any harm suffered by the client. he nurse should clarify the order with the physician if unable to read the order. he attending physician could be included in a lawsuit% but it would be the nurse who is ultimately responsible for the error. he assisting resident would not be ultimately responsible for the error. he assisting resident did not carry out an inaccurate order. he pharmacist could be included in a lawsuit% but it would be the nurse who is ultimately responsible for the error because the nurse was the individual who carried out an inaccurate order.)*+ A,-+ 32B/0 Comprehension/ ursing rocess *mplementation!C C5-67 test plan designation !afe% -ffective Care -nvironmentB.A nurse is being as9ed to move from the eye unit to a general surgery floor where she in ine:perienced in this specialty due to an influena epidemic among the nursing staff. !he is aware of her ine:perience. he nurse8s initial recourse is to 1.+ill out a report noting her dissatisfaction2.As9 to wor9 with another general surgery nurse3.otify the !tate 0oard of ursing of the problem4.olitely refuse to move% ta9e a leaveofabsence day% and go homeA! 2 urses who float should inform the supervisor of any lac9 of e:perience in caring for the type of clients on the nursing unit. hey should also re#uest and be given orientation to the unit. As9ing to wor9 with another general surgery nurse would be an appropriate action. A nurse can ma9e a written protest to nursing administrators% but it should not be the nurse8s initial recourse. otifying the state board of nursing should not be the nurse8s initial recourse. he nurse should first notify the supervisor and re#uest appropriate orientation and training. *f problems continue% the nurse should attempt the usual chain of command within the institution before contacting the state board of nursing. A nurse who refuses to accept an assignment may be considered insubordinate% and clients will not  benefit from having less staff available.)*+ A,-+ 33>33/0 Comprehension/ ursing rocess *mplementation!C C5-67 test plan designation !afe% -ffective Care -nvironment.here are issues concerning death and dying may influence nursing practice which the nurse recognies. Concerning the legalities of death and dying issues% which of the following is true?1.assive euthanasia is illegal in all states.2.Assisted suicide is a constitutional right.3./rgan donation must be attempted if it will save the recipient8s life.4.+eedings may be refused by competent individuals who are unable to selffeed.A! 4 osby items and derived items ; 2<<=% 2<<> by osby% *nc.% an affiliate of -lsevier *nc. 234

Chapter 013

Jul 23, 2017

Chapter 017

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