Question 1

Patients have expectations regarding the health care services they receive. To protect these expectations, which of the following has become law?

Accepted Answer

A)  American Hospital Association's Patient's Bill of Rights 
B)  Self-determination act 
C)  American Hospital Association's Standards of Care 
D)  The Joint Commission's rights and responsibilities of patients 
A)  American Hospital Association's Patient's Bill of Rights 
B)  Self-determination act 
C)  American Hospital Association's Standards of Care 
D)  The Joint Commission's rights and responsibilities of patients A

Question 2

A nurse is considering purchasing malpractice insurance. What should the nurse be aware of regarding malpractice insurance provided by the hospital?

Accepted Answer

A)  Only offers protection while on duty 
B)  Is limited in the amount of coverage 
C)  Is difficult to renew 
D)  Can be terminated at any time 
A)  Only offers protection while on duty 
B)  Is limited in the amount of coverage 
C)  Is difficult to renew 
D)  Can be terminated at any time A

Question 3

What fundamental principle must the nurse first observe when confronted with an ethical decision?

Accepted Answer

A)  Autonomy 
B)  Beneficence 
C)  Respect for people 
D)  Nonmaleficence 
A)  Autonomy 
B)  Beneficence 
C)  Respect for people 
D)  Nonmaleficence C

Question 4

The nurse has strong moral convictions that abortions are wrong. When assigned to assist with an abortion, what is the most appropriate action for the nurse to take?

Accepted Answer

A)  Ask for another assignment 
B)  Leave work 
C)  Transfer to another floor 
D)  Protest to the supervisor 
A)  Ask for another assignment 
B)  Leave work 
C)  Transfer to another floor 
D)  Protest to the supervisor

Question 5

An LPN/LVN is asked by the RN to administer an IV chemotherapeutic agent to a patient in the acute care setting. What law should this nurse refer to before initiating this intervention?

Accepted Answer

A)  Standards of care 
B)  Regulation of practice 
C)  American Nurses' Association Code 
D)  Nurse practice act 
A)  Standards of care 
B)  Regulation of practice 
C)  American Nurses' Association Code 
D)  Nurse practice act

Question 6

A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This nurse could be found guilty of:

Accepted Answer

A)  malpractice. 
B)  harm to the patient. 
C)  negligence. 
D)  failure to follow the nurse practice act. 
A)  malpractice. 
B)  harm to the patient. 
C)  negligence. 
D)  failure to follow the nurse practice act.

Question 7

A nurse failed to monitor a patient's respiratory status after medicating the patient with a narcotic analgesic. The patient's respiratory status worsened, requiring intubation. The patient's family claimed the nurse committed malpractice. What must be present for the nurse to be held liable? (Select all that apply.)

Accepted Answer

A)  A nurse-patient relationship exists. 
B)  The nurse failed to perform in a reasonable manner. 
C)  There was harm to the patient. 
D)  The nurse was prudent in her performance. 
E)  The nurse did not cause the patient harm. 
A)  A nurse-patient relationship exists. 
B)  The nurse failed to perform in a reasonable manner. 
C)  There was harm to the patient. 
D)  The nurse was prudent in her performance. 
E)  The nurse did not cause the patient harm.

Question 8

Acts whose performance is required, permitted, or prohibited are defined by ___________ of ______________.

Accepted Answer

standards, care
Standards of c

Question 9

How can the medical record be used in litigation? (Select all that apply.)

Accepted Answer

A)  Public record 
B)  Proof of adherence to standards 
C)  Evidence of omission of care 
D)  Documentation of time lapses 
E)  Evidence by only the plaintiff
F) Duty does not exist. 
A)  Public record 
B)  Proof of adherence to standards 
C)  Evidence of omission of care 
D)  Documentation of time lapses 
E)  Evidence by only the plaintiff
F) Duty does not exist.

Question 10

What is true about nurse practice acts?

Accepted Answer

A)  They informally define the scope of nursing practice. 
B)  They provide for unlimited scope of nursing practice. 
C)  Only some states have adopted a nurse practice act. 
D)  The nurse must know the nurse practice act within his or her state. 
A)  They informally define the scope of nursing practice. 
B)  They provide for unlimited scope of nursing practice. 
C)  Only some states have adopted a nurse practice act. 
D)  The nurse must know the nurse practice act within his or her state.

Question 11

During a lunch break, an emergency department (ED) nurse truthfully tells another nurse about the condition of a patient who came to the ED last night. What is the ED nurse guilty of? (Select all that apply.)

Accepted Answer

A)  HIPAA violation 
B)  Slander 
C)  Libel 
D)  Invasion of privacy 
E)  Defamation 
A)  HIPAA violation 
B)  Slander 
C)  Libel 
D)  Invasion of privacy 
E)  Defamation

Question 12

When a nurse becomes involved in a legal action, the first step to occur is that a document is filed in an appropriate court. What is this document called?

Accepted Answer

A)  Deposition 
B)  Appeal 
C)  Complaint 
D)  Summons 
A)  Deposition 
B)  Appeal 
C)  Complaint 
D)  Summons

Question 13

The nurse caring for a patient in the acute care setting assumes responsibility for a patient's care. What is this legally binding situation?

Accepted Answer

A)  Nurse-patient relationship 
B)  Accountability 
C)  Advocacy 
D)  Standard of care 
A)  Nurse-patient relationship 
B)  Accountability 
C)  Advocacy 
D)  Standard of care

Question 14

The new LPN/LVN is concerned regarding what should or should not be done for patients. What resource will best provide this information?

Accepted Answer

A)  Nurse practice act 
B)  Standards of care 
C)  Scope of nursing practice 
D)  Professional organizations 
A)  Nurse practice act 
B)  Standards of care 
C)  Scope of nursing practice 
D)  Professional organizations

Question 15

The nurse is assisting a patient to clarify values by encouraging the expression of feelings and thoughts related to the situation. What is the most appropriate action for the nurse?

Accepted Answer

A)  Compare values with those of the patient 
B)  Make a judgment 
C)  Withhold an opinion 
D)  Give advice 
A)  Compare values with those of the patient 
B)  Make a judgment 
C)  Withhold an opinion 
D)  Give advice

Question 16

When asked to perform a procedure that the nurse has never done before, what should the nurse do to legally protect himself or herself?

Accepted Answer

A)  Go ahead and do it 
B)  Refuse to perform it, citing lack of knowledge 
C)  Discuss it with the charge nurse, asking for direction 
D)  Ask another nurse who has performed the procedure 
A)  Go ahead and do it 
B)  Refuse to perform it, citing lack of knowledge 
C)  Discuss it with the charge nurse, asking for direction 
D)  Ask another nurse who has performed the procedure

Question 17

Which is a nursing care error that violates the Health Insurance Portability and Accountability Act (HIPAA)?

Accepted Answer

A)  Administering a stronger dose of drug than was ordered 
B)  Refusing to give a patient's daughter information over the phone 
C)  Informing the patient's medical power of attorney of a medication change 
D)  Leaving a copy of the patient's history and physical in the photocopier 
A)  Administering a stronger dose of drug than was ordered 
B)  Refusing to give a patient's daughter information over the phone 
C)  Informing the patient's medical power of attorney of a medication change 
D)  Leaving a copy of the patient's history and physical in the photocopier

Question 18

What role is the nurse who diligently works for the protection of patients' interests playing?

Accepted Answer

A)  Caregiver 
B)  Health care administrator 
C)  Advocate 
D)  Health care evaluator 
A)  Caregiver 
B)  Health care administrator 
C)  Advocate 
D)  Health care evaluator

Question 19

When a nurse protects the information in a patient's record what ethical responsibility is the nurse fulfilling?

Accepted Answer

A)  Privacy 
B)  Disclosure 
C)  Confidentiality 
D)  Absolute secrecy 
A)  Privacy 
B)  Disclosure 
C)  Confidentiality 
D)  Absolute secrecy

Question 20

A lumbar puncture was performed on a patient without a signed informed consent form. This patient might sue for:

Accepted Answer

A)  punitive damages. 
B)  civil battery. 
C)  assault. 
D)  nothing; no violation has occurred. 
A)  punitive damages. 
B)  civil battery. 
C)  assault. 
D)  nothing; no violation has occurred.

Exam 2: Legal and Ethical Aspects of Nursing

Patients have expectations regarding the health care services they receive. To protect these expectations, which of the following has become law?

A nurse is considering purchasing malpractice insurance. What should the nurse be aware of regarding malpractice insurance provided by the hospital?

What fundamental principle must the nurse first observe when confronted with an ethical decision?

The nurse has strong moral convictions that abortions are wrong. When assigned to assist with an abortion, what is the most appropriate action for the nurse to take?

An LPN/LVN is asked by the RN to administer an IV chemotherapeutic agent to a patient in the acute care setting. What law should this nurse refer to before initiating this intervention?

A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This nurse could be found guilty of:

Acts whose performance is required, permitted, or prohibited are defined by ___________ of ______________.

How can the medical record be used in litigation? (Select all that apply.)

What is true about nurse practice acts?

During a lunch break, an emergency department (ED) nurse truthfully tells another nurse about the condition of a patient who came to the ED last night. What is the ED nurse guilty of? (Select all that apply.)

When a nurse becomes involved in a legal action, the first step to occur is that a document is filed in an appropriate court. What is this document called?

The nurse caring for a patient in the acute care setting assumes responsibility for a patient's care. What is this legally binding situation?

The new LPN/LVN is concerned regarding what should or should not be done for patients. What resource will best provide this information?

The nurse is assisting a patient to clarify values by encouraging the expression of feelings and thoughts related to the situation. What is the most appropriate action for the nurse?

When asked to perform a procedure that the nurse has never done before, what should the nurse do to legally protect himself or herself?

Which is a nursing care error that violates the Health Insurance Portability and Accountability Act (HIPAA)?

What role is the nurse who diligently works for the protection of patients' interests playing?

When a nurse protects the information in a patient's record what ethical responsibility is the nurse fulfilling?

A lumbar puncture was performed on a patient without a signed informed consent form. This patient might sue for:

Evolution of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Professional Roles and Leadership

Filters

Acts whose performance is required, permitted, or prohibited are defined by _ of ____.