Chapter 7: Legal Dimensions of Nursing Practice

Alexandra Bozan
Quiz by Alexandra Bozan, updated more than 1 year ago
Alexandra Bozan
Created by Alexandra Bozan almost 4 years ago
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Unit I: Foundations of Nursing Practice Chapter 7: Legal Dimensions of Nursing Practice

Resource summary

Question 1

Question
A state attorney decides to charge a nurse w/ manslaughter for allegedly administering a lethal medication. This is an example of what type of law?
Answer
  • Public law
  • Private law
  • Civil law
  • Criminal law

Question 2

Question
Newly hired nurses in a busy suburban hospital are required to read the sate Nurse Practice Act as part of their training. Which topics are covered by this act?
Answer
  • Violations that may result in disciplinary action
  • clinical procedures
  • medication administration
  • scope of practice
  • delegation policies
  • medicare reimbursement

Question 3

Question
Jean a veteran nurse, pleaded guilty to a misdemeanor negligence charge in the case of a 75 year old woman who died after slipping into a coma during routine outpatient eye surgery at an eye surgery center. Jean admitted that she failed to monitor the woman's vital signs during the procedure. The surgeon who performed the procedure called the nurses's action pure negligence, saying that the patient could have been saved. The patient was a vibrant grandmother of 10 who had walked 3/4 of a mile the morning of her surgery and had sung in her church choir the day before. As part of her plea arrangement, the nurse agreed to serve 6 months of probation - the first 2 months on house arrest - and surrender her nursing license. Those bringing the changes against Jean are called
Answer
  • Appellates
  • Defendants
  • Plaintiffs
  • Attorneys

Question 4

Question
Jean a veteran nurse, pleaded guilty to a misdemeanor negligence charge in the case of a 75 year old woman who died after slipping into a coma during routine outpatient eye surgery at an eye surgery center. Jean admitted that she failed to monitor the woman's vital signs during the procedure. The surgeon who performed the procedure called the nurses's action pure negligence, saying that the patient could have been saved. The patient was a vibrant grandmother of 10 who had walked 3/4 of a mile the morning of her surgery and had sung in her church choir the day before. As part of her plea arrangement, the nurse agreed to serve 6 months of probation - the first 2 months on house arrest - and surrender her nursing license. Jean's attorney was careful to explain in her defense that Jean had specialty knowledge, experience, and clinical judgment and had met certain criteria established by a nongovernmental association, as a result of which she was granted recognition in a specified practice area. What is this sort of credential called?
Answer
  • accreditation
  • lincensure
  • certification
  • board approval

Question 5

Question
Jean a veteran nurse, pleaded guilty to a misdemeanor negligence charge in the case of a 75 year old woman who died after slipping into a coma during routine outpatient eye surgery at an eye surgery center. Jean admitted that she failed to monitor the woman's vital signs during the procedure. The surgeon who performed the procedure called the nurses's action pure negligence, saying that the patient could have been saved. The patient was a vibrant grandmother of 10 who had walked 3/4 of a mile the morning of her surgery and had sung in her church choir the day before. As part of her plea arrangement, the nurse agreed to serve 6 months of probation - the first 2 months on house arrest - and surrender her nursing license. If review of this patient's record revealed that she had never consented to the eye surgery, of which intentional tort might the surgeon have been guilty?
Answer
  • assault
  • battery
  • invasion of privacy
  • false imprisonment

Question 6

Question
Jean a veteran nurse, pleaded guilty to a misdemeanor negligence charge in the case of a 75 year old woman who died after slipping into a coma during routine outpatient eye surgery at an eye surgery center. Jean admitted that she failed to monitor the woman's vital signs during the procedure. The surgeon who performed the procedure called the nurses's action pure negligence, saying that the patient could have been saved. The patient was a vibrant grandmother of 10 who had walked 3/4 of a mile the morning of her surgery and had sung in her church choir the day before. As part of her plea arrangement, the nurse agreed to serve 6 months of probation - the first 2 months on house arrest - and surrender her nursing license. What must be established to prove that malpractice or negligence has occurred in this case?
Answer
  • The surgeon who performed the procedure called the nurse's action pure negligence, saying that the patient could have been saved
  • The fact that this patient should not have died - she was a vibrant grandmother of 10 who had walked 3/4 of a mile the morning of her surgery and had sung in her church choir the day before
  • The nurse intended to harm the patient and was willfully negligent
  • The nurse had a duty to monitor the patient's vital signs, failed to do so, the patient died, and it was Jean's failure to do her duty that caused the patient's death

Question 7

Question
Jean a veteran nurse, pleaded guilty to a misdemeanor negligence charge in the case of a 75 year old woman who died after slipping into a coma during routine outpatient eye surgery at an eye surgery center. Jean admitted that she failed to monitor the woman's vital signs during the procedure. The surgeon who performed the procedure called the nurses's action pure negligence, saying that the patient could have been saved. The patient was a vibrant grandmother of 10 who had walked 3/4 of a mile the morning of her surgery and had sung in her church choir the day before. As part of her plea arrangement, the nurse agreed to serve 6 months of probation - the first 2 months on house arrest - and surrender her nursing license. When the attorney representing the patient's family calls Jean and asks to talk w/her about the case so that he can better understand her actions, how should Jean respond?
Answer
  • I'm sorry, but I can't talk w/you. You'll have to contact my attorney.
  • Answer the attorney's questions honestly and make sure he understands her side of the story
  • Appeal to the attorney's sense of compassion and try to enlist his sympathy by telling him how busy it was that morning
  • Why are you doing this to me? This could ruin me!

Question 8

Question
A nurse administers the wrong medication to a patient and the patient is harmed. The physician who ordered the medication didn't read the documentation that the patient was allergic to the drug. Which statement is true regarding liability for the administration of the wrong medication?
Answer
  • The nurse is not responsible, because the nurse was merely following the doctor's needs
  • Only the nurse is responsible, because the nurse actually administered the medication
  • Only the physician is responsible, because the physician actually ordered the drug
  • Both the nurse and the physician are responsible for their respectice actions

Question 9

Question
A nurse answers a patient's call light and finds the patient on the floor by the bathroom door. AFter calling for assistance and examining the patient for injury, the nurse helps the patient back to bed and then fills out an incident report. Which statements accurately describe aspects of this procedure?
Answer
  • An incident report is used as disciplinary action against staff members
  • an incident report is used as a means of identifying risks
  • an incident report is used for quality control
  • the facility manager completes the incident report
  • an incident report makes facts available in case litigation occurs
  • filing of an incident report should be documented in the patient record

Question 10

Question
A nursing students asks the charge nurse about legal liability when performing clinical practice. Which statement regarding liability is true?
Answer
  • Students are not responsible for their acts of negligence resulting in patient injury
  • Student nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse
  • hospitals are exempt from liability for student negligence if the student nurse is properly supervised by an instructor.
  • Most nursing programs carry group professional liability making student personal professional liability insurance unnecessary

Question 11

Question
Drug or alcohol abuse is currently the most frequent reason the State boards of nursing may revoke or suspend a nurse's license or registration.
Answer
  • True
  • False

Question 12

Question
All states privilege nurse-patient communication.
Answer
  • True
  • False

Question 13

Question
Negligence may be an act of [blank_start]omission[blank_end] or [blank_start]commission[blank_end].
Answer
  • omission
  • commission

Question 14

Question
Consent must be [blank_start]written[blank_end].
Answer
  • written

Question 15

Question
Consent is not needed in an emergency if there is an immediate threat to life or health and if the patient is unable to consent and a legally authorized person cannot be reached.
Answer
  • True
  • False

Question 16

Question
Your role as a nurse is to [blank_start]confirm[blank_end] that a signed consent form is present in the patient's chart and to [blank_start]answer[blank_end] any patient questions about the consent.
Answer
  • confirm
  • answer

Question 17

Question
Unless obtaining consent for a nurse-prescribed and nurse-initiated intervention, as a nurse you sign the consent form as a [blank_start]witness[blank_end] to having seen the patient sign the form, not as having [blank_start]obtained[blank_end] the consent yourself.
Answer
  • witness
  • obtained

Question 18

Question
The patient should sign a [blank_start]release[blank_end] [blank_start]form[blank_end] indicating one's refusal to consent and releasing the nurse, physician, and agency from responsibility for outcomes of this act. This statement should be [blank_start]witnessed[blank_end].
Answer
  • release
  • form
  • witnessed

Question 19

Question
Practicing nurses enter into legally valid and binding contracts with both their [blank_start]employers[blank_end] and their [blank_start]patients[blank_end].
Answer
  • employers
  • patients

Question 20

Question
Contracts w/patients are not implied.
Answer
  • True
  • False

Question 21

Question
If a patient refuses health education or refers you to a family member, [blank_start]document[blank_end] this in the patient's record. If the patient requests not to be given any more info, document the patient's initial [blank_start]response[blank_end] to teaching, the patient's [blank_start]request[blank_end] that it be stopped, and if you complied, your reason for doing so.
Answer
  • document
  • response
  • request

Question 22

Question
An HIV-positive client discovers that his name is published in a research report on HIV care provided by his nurse. He is hurt and files a lawsuit against her. Which of the following offenses has the nurse committed?
Answer
  • Defamation of client
  • Invasion of privacy
  • Negligence of duty
  • Unintentional tort

Question 23

Question
A client states that his recent fall was caused by the fact that his scheduled antihypertensives were mistakenly administered by two nurses, an event that is disputed by both of the nurses. Which of the following measures should the nurses prioritize when anticipating that legal action may follow?
Answer
  • enlist support from nursing/non-nursing colleagues from the unit
  • consult w/practice advisors from the state board of nursing
  • document's the client claims and events surrounding the alleged incident
  • consult w/the hospital's legal dept asap

Question 24

Question
A registered nurse has had her license suspended. What governing body has the authority to revoke or suspend a nursing's license?
Answer
  • the national league for nursing
  • the supreme court
  • the employing health care institution
  • the state board of nurse examiners

Question 25

Question
A client is scheduled for a colonoscopy. The nurse realizes immediately after administering medications to induce conscious sedation that the client has not signed the informed consent. If the nurse has the client sign the informed consent, which element of informed consent would be violated?
Answer
  • voluntariness
  • disclosure
  • comprehension
  • competence

Question 26

Question
A nurse exits the room of a confused client w/out raising the side rails on the bed. The failure to raise the side rails would be which of the following elements of liability related to malpractice?
Answer
  • damages
  • duty
  • breach of duty
  • causation

Question 27

Question
Which of the following situations is an example of battery that the nurse may experience while performing her nursing duties at the health care facilities?
Answer
  • telling the client that he cannot leave the hospital
  • witnessing a procedure done on a client w/out his consent
  • taking a client's photograph w/out his consent
  • performing a surgical procedure w/out getting consent

Question 28

Question
The nurse fails to contact the physician regarding a client who had an open-reduction internal fixation of the tibia and has experienced increasing pain (unrelieved by pain medication) for the past 4 hours. Which element of liability has been violated?
Answer
  • breach of duty
  • damages
  • duty
  • causation
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