Nursing Chapter 4 Rationale Libel Defamation Character Means Print Writing

A nurse is caring for a client in the emergency department (ED) who was brought in by her adult child for vague,

flu-like symptoms. While helping the client to change into a gown, the nurse notices numerous bruises on the

client’s back and arms. When questioned, the client is distracted and ambiguous with her answers. Which action

should the nurse take?

1. Report the situation to law enforcement.

2. Report the situation to social services.

3. Question the adult child who brought the client to the ED.

4. File a written report in the client’s chart.

Question 17

Type: MCSA

A nurse who has been a longtime employee of a hospital, providing bedside care to clients, was seriously injured

and is paralyzed from the shoulders down, with limited use of the upper arms. Through rehabilitation, the nurse is

able to mobilize with a wheelchair and has no cognitive or psychological deficits. The nurse wants to return to the

same position held prior to the injury. Under the guidelines of the ADA, what should the hospital do?

1. The hospital is required to accommodate the nurse.

2. The hospital must find another job for the nurse.

3. The hospital should claim undue hardship to accommodate this nurse.

4. The hospital terminate the nurse’s employment.

Question 18

Type: MCSA

A nurse on the unit notices that a co-worker exhibits a pattern of behavior suggestive of drug abuse. What should

the nurse do?

1. Report the situation to the unit charge nurse.

2. Send an anonymous letter to the director of nursing.

3. Let other co-workers know about the situation.

4. Report the situation, then let management take care of it.

Question 19

Type: MCSA

A nurse’s co-worker makes a practice of telling offensive jokes or stories with a sexual undertone during the shift.

Which action should the nurse take first?

1. Ignore the co-worker and walk away.

2. Report the incident to the nurse manager.

3. Tell the co-worker to stop the activity because the conduct is offensive.

4. Ask to be scheduled opposite this co-worker.

Question 20

Type: MCSA

A nurse who is opposed to abortion works in a hospital where abortions are performed. According to the Supreme

Court’s conscience clause, which action should the nurse take?

1. The nurse should not take action, because the nurse cannot interfere with a woman’s constitutional right to

privacy.

2. The nurse should voluntarily terminate employment.

3. The nurse should counsel women before they have an abortion.

4. The nurse should refuse to participate in abortions.

Question 21

Type: MCSA

A client woke in the middle of the night, confused and unaware of the surroundings. Although the call light was

within reach, the client got out of bed unassisted, tripped on the bedside chair, and fell. Which element of

malpractice should the client’s attorney realize is missing in this case?

1. Foreseeability

2. Damages

3. Injury

4. Duty

Question 22

Type: MCSA

A client scheduled for surgery has signed the consent form but refuses to have a Foley catheter placed, saying

“That’s not part of the surgery.” What should the nurse do?

1. Explain that this is part of the surgical prep and continue with the procedure.

2. Explain that the client has already signed the consent, and place the catheter.

3. Respect the client’s wishes and document accordingly.

4. Offer to call the physician.

Question 23

Type: MCSA

The nurse documents in a client’s medical record: “The client is a drug addict and is always asking for more

medication than what is necessary.” With what might the nurse be charged?

1. Defamation

2. Slander

3. Libel

4. Incompetence

Question 24

Type: MCSA

The nurse is reviewing the Good Samaritan acts. For which situation should the nurse realize that these laws

apply?

1. Giving CPR to a client brought to the emergency department, when the client later is found to have a “Do Not

Resuscitate” order

2. Giving first aid to a child injured in a sporting event

3. Permitting a nursing student to try to insert an airway in an unconscious client

4. Leaving the scene of an emergency to call for help

5. Helping deliver the baby of a neighbor during a snowstorm

Question 25

Type: MCMA

When providing client care the nurse demonstrates practices that are designed to provide legal protections from

liability. Which actions is the nurse demonstrating?

Standard Text: Select all that apply.

1. Checking the client’s name band prior to the administration of a preoperative medication

2. Asking for help when moving a comatose client because the client can not be safely handled by one nurse

3. Attending an in-service on the appropriate use of a new piece of equipment used in the facility

4. Delegating only those tasks that he or she can’t personally perform

5. Reviewing the five rights of medication administration when the client states, “This doesn’t look like my usual

pill”

Question 26

Type: MCMA

The clinical nursing instructor determines that a nursing student understands the legal responsibilities to clients

when providing care. What did the instructor observe to come to this conclusion?

Standard Text: Select all that apply.

1. Prepared to discuss the client’s medical diagnosis in pre-conference

2. Overheard stating, “My care is held to the same standards as that of the unit nurses”

3. Offers to stay with the client who is about to experience a painful diagnostic procedure

4. Addresses the staff and clients respectfully and by their full names

5. Asks for help with a dressing change involving techniques he or she has not yet performed alone

[New Questions: ]

Question 27

Type: MCMA

While working a scheduled shift the nurse focuses on actions to protect the privacy of a client with local notoriety.

What actions should the nurse take at this time?

Standard Text: Select all that apply.

1. Secure the client’s medical record.

2. Review the client’s care with the media.

3. Remove the client’s name from the door.

4. Permit family to view the client’s record.

5. Fax the client’s lab values with a cover sheet.

Question 28

Type: MCMA

The nurse manager is concerned that a staff nurse’s care demonstrates gross negligence. What actions did the

manager use to make this determination?

Standard Text: Select all that apply.

1. Removed a client’s central line

2. Reconnected contaminated intravenous tubing to a client

3. Accessed the computerized documentation system with a password

4. Walked a client with a blood pressure of 70/58 mm Hg to the bathroom

5. Delegated nasotracheal suctioning for a client to unlicensed assistive personnel