Term
A nurse is caring for a client who has just returned from surgery. The nurse does not assess this client’s dressing. The client is later discovered to have internal bleeding and requires another surgery. Using the box shown, what category of negligence describes this nurse’s actions?
A.) Failure to communicate
B.) Failure to use equipment in a responsible manner
C.) Failure to document
D.) Failure to follow Standards of care |
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Definition
| D.) Failure to follow standards of care |
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Term
The client tells the nurse she is considering having surgery and mentions the name of the surgeon who will perform the surgery. The nurse tells the client she should find a different doctor because this particular surgeon is not very skilled. This is an example of:
A.) Libel
B.) Invasion of privacy
C.) Slander
D.) Assault |
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Definition
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Term
A nurse recently disagreed with a physician concerning a client’s plan of care. The nurse then tells everyone that this particular physician is completely incompetent and should not be trusted. This is an example of:
A.) Negligence
B.) Slander
C.) Libel
D.) Assault |
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Definition
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Term
A rationale for defining the nursing scope of practice, standards of care, and licensing is:
A.) For public protection
B.) For convenience in litigation
C.) To explain specialty practice
D.) To ensure accountability |
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Definition
| A.) For public protection |
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Term
A lawsuit has been brought against a nurse for inserting a urinary catheter without using lidocaine lubricant at the beginning of the procedure and causing the client unnecessary pain. As the nurse’s lawyer prepares for the case, the standard of practice for this procedure must be confirmed. An appropriate source to determine standard of practice is: (Select all that apply.)
A.) An expert Witness
B.) The nurse practice act
C.) The agency's policy and procedure manual
D.) The 10-year-old textbook the nurse used in nursing school
E.) A survey of peers |
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Definition
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Term
In order to reduce the risk of legal action, the nurse's priority action is to:
A.) Clarify all physician's orders.
B.) Document care provided at the end of the shift
C.) Obtain written informed consent before performing any procedure
D.) Deliver competent care following the nursing process |
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Definition
| D.) Deliver competent care following the nursing process |
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Term
An off-duty nurse is in a grocery store parking lot and notices an elderly woman lying on the ground with her leg at an unnatural angle. The woman is crying in pain. What is the nurse’s priority action?
A.) Stay with the woman, offer emotional support, and call for medical assistance.
B.) Observe the client from a distance until emergency responders arrive.
C.) Assist the woman into the nurse’s car and take the woman to the hospital.
D.) The nurse does not need to do anything because the woman is not an assigned client. |
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Definition
| A.) Stay with the woman, offer emotional support, and call for medical assistance. |
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Term
The nurse is driving home from work one evening, still dressed in uniform. The car traveling in front of the nurse is involved in an accident, striking a pedestrian, and the person driving that car stops to provide assistance to the injured person. The nurse does not stop and continues home. The nurse is protected from litigation because what element of malpractice is missing?
A.) Duty
B.) Causation
C.) Harm or injury
D.) Foreseeability |
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Definition
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Term
The client believes that his hospital-acquired infection was the result of a nurse who did not perform appropriate hand hygiene. What charges will the client bring against the nurse?
A.) Negligence
B.) Malpractice
C.) Felony
D.) Invasion of privacy |
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Definition
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Term
The nurse, caring for a client with a progressive degenerative disease, correctly explains that the purposes of the ADA is to: (Select all that apply.)
A.) Provide a clear and comprehensive national mandate for eliminating discrimination against individuals with disabilities.
B.) Prevent people with disabilities from being fired or discharged from their job.
C.) Ensure that people with disabilities receive greater pay for their work because they must overcome challenges.
D.) Provide clear, strong, consistent, and enforceable standards that address discrimination against individuals with disabilities.
E.) Ensure that the federal government plays a central role in enforcing standards established under the act. |
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Definition
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Term
Two nursing students are riding the bus home after a stressful day of clinical. They are discussing the events of the day and laughing about the blood alcohol level of the school’s basketball coach admitted after an accident. The client was never mentioned by name but common personal details about the client allowed everyone sitting near the students to know the name of their client. The students could be specifically charged with:
A.) Invasion of privacy.
B.) Defamation.
C.) Slander.
D.) Libel. |
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Definition
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Term
A nurse responded to the alarm on the client’s IV pump that sounded during the entire shift by silencing the alarm and saying “this pump is always beeping at me; if I turn the alarm off I don’t have to come in here every few minutes.” The client received extensive damage to her arm from the IV that was infiltrated and not infusing correctly. The nurse may be liable and charged with:
A.) Malpractice.
B.) Felony.
C.) Failure to communicate.
D.) A misdemeanor. |
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Definition
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Term
After inserting a nasogastric tube declined by the competent client, the nurse is likely to be found guilty of:
A.) Battery
B.) Invasion of privacy
C.) An unintentional tort.
D.) Assault |
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Definition
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Term
A nursing student incorrectly administered an intramuscular injection that resulted in nerve damage to the client. The nursing student told the nursing instructor, “Well, I’m just a student so I can’t get in any trouble.” What is the nursing instructor’s best response?
A.) “I hope you have learned from your mistake so you won’t harm someone else when you graduate.”
B.) “You are correct that you are not liable, but you should write a letter of apology to the client.”
C.) “Because of this mistake, you will not be able to be licensed.”
D.) “Even though you are a student, you are held to the same standard as a professional nurse when you perform a task.” |
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Definition
| D.) Even though you are a student, you are held to the same standard as a professional nurse when you perform a task. |
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Term
A physician orders a medicine that the nurse believes to be contraindicated for the client. The nurse's legal obligation is to:
A.) Disregard the order as an error
B.) Report the order to the supervisor
C.) Administer the medication as ordered
D.) Call the physician to question the order. |
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Definition
| D.) Call the physician to question the order. |
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Term
Most statutes include conscience clauses that are designed to protect hospitals and nurses in matters dealing with abortion services. These clauses allow the nurse to be protected from:
A.) Defamation or unjust prejudice.
B.) Discrimination or retaliation.
C.) Legal liability.
D.) Prejudicial statements. |
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Definition
| B.) Discrimination or retaliation |
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Term
A nurse knows that the main purpose of an advance care directive is to:
A.) Outline a client's wishes about treatment.
B.) Provide a form on which a family member gives permission for a client's treatment
C.) Serve as a substitute for a "Do-Not-Resucitate" (DNR) order by a doctor
D.) Require a "Do-Not-Resucitate" (DNR) order from one institution to be implemented in another. |
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Definition
| A.) Outline a client's wishes about treatment |
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Term
When signing an informed consent after witnessing the client’s signature, the nurse is confirming that:
A.) The client appears competent to give consent.
B.) The nurse has sufficiently explained the surgery.
C.) The signature on the form came from the client.
D.) The client fully understands the procedure to be performed. |
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Definition
| C.) The signature on the from came from the client |
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Term
What is the best way for the nurse to obtain informed consent for a client who cannot read?
A.) Ask a relative to sign the form
B.) Read the consent form to the client
C.) Use picture cards that explain the procedure to the client
D.) Assume that the client gives consent if he nods his head in agreement |
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Definition
| B.) Read the consent form to the client. |
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Term
Two nurses need to discuss a client’s plan of care and choose what environment to hold the discussion in order to prevent a possible HIPAA violation?
A.) Nursing unit hallway
B.) Nursing unit conference room
C.) Elevator
D.) Cafeteria |
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Definition
| B.) Nursing unit conference room |
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Term
The client confides in the nurse that she had unprotected sexual intercourse while on vacation and is afraid that she has a sexually transmitted infection. With whom may the nurse share this information without violating HIPAA?
A.) The unit secretary
B.) The client’s physician
C.) The pharmacist
D.) The laboratory technician |
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Definition
| B.) The client's physician |
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Term
A nurse tells a loud, disruptive client that he must quiet down or a sedative will be administered to quiet the client. When the client continues the behavior, the nurse administers the sedative without the client’s permission. Which of the following describes the torts that the nurse has committed, in the order they were committed?
A.) False imprisonment, then assault
B.) Battery, then invasion of privacy
C.) Assault, then invasion of privacy
D.) Assault, then battery |
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Definition
| D.) Assault, then battery |
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Term
A nurse documents in the client’s chart that the physician is incompetent because he did not respond promptly to the nurse’s calls regarding a client. This is an example of:
A.) Slander.
B.) Assault.
C.) Libel.
D.) Invasion of privacy. |
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Definition
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Term
After disclosing a substance addiction problem to the nursing supervisor, what can the nurse anticipate will occur?
A.) The nurse’s license will be revoked.
B.) The nurse will enter a supervised treatment program for 6 weeks.
C.) The nurse will continue to work as before but must submit to regular, random drug screening.
D.) The nurse will be encouraged to enter a diversion program. |
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Definition
| D.) The nurse will be encouraged to enter a diversion program |
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Term
When a nurse moves to another state in the country, he or she will:
A.) Obtain a new license in the new state
B.) Work with the license from the original state of licensure
C.) Use his or her existing license if the home state is part of the multistage nurse compact
D.) Practice up to 60 days using his or her license from the original state of licensure |
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Definition
| A.) Obtain a new license in the new state |
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Term
A client is a third-semester student nurse and appears anxious. The client is reporting frequent infections, fatigue, and weight loss. The nurse suspects the symptoms are due to:
A.) Spiritual need.
B.) Emotional stress.
C.) Lack of physical exercise.
D.) Cultural shock. |
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Definition
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Term
A client tells the nurse, “I’ll never get married. I’m so fat, and my hair just hangs.” The nurse realizes this client might be experiencing:
A.) Poor economic status.
B.) Poor self-esteem.
C.) Poor body image development.
D.) Poor role development. |
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Definition
| C.) Poor body image development |
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Term
During an assessment at the primary care clinic, the nurse asks what the client had for breakfast, and the client is unable to answer. This observation may indicate:
A.) Memory problem.
B.) Anxiety.
C.) Depression.
D.) Cognitive dysfunction. |
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Definition
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Term
Why would the nurse ask detailed questions about the client’s family history?
A.) To test the client’s memory
B.) To gather information about coping mechanisms
C.) To make the client feel more comfortable
D.) To gather information that might indicate a psychosocial dysfunction |
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Definition
| D.) To gather information that might indicate a psychosocial dysfunction |
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Term
The nurse is aware that attention to a client’s psychosocial functioning is important because alteration in this can affect:
(Select all that apply.)
A.) Physical health.
B.) Coping ability.
C.) Stress level.
D.) Response to treatment.
E.) Genetics. |
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Definition
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Term
The nurse is about to assess a client new to the clinic and reviews the areas to cover. A client’s psychosocial functioning is best assessed when the nurse considers the client’s: (Select all that apply.)
A.) Illness.
B.) Body.
C.) Spirit.
D.) Mind.
E.) Life crises. |
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Definition
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Term
When assessing a new client’s psychosocial health, the nurse at the primary care clinic asks specific questions to gather information about:
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
A.) Judgment.
B.) Reasoning.
C.) Country of origin.
D.) Church affiliation.
E.) Friendships. |
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Definition
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Term
A client shares with the nurse feelings of loss and depression following the death of a close friend. The client is describing an alteration in which dimension of psychosocial health?
A.) Social
B.) Mental
C.) Spiritual
D.) Emotional |
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Definition
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Term
The nurse discusses the Healthy People 2020 goal of reducing fall-related deaths with an older client. What action should the nurse suggest to the client to help achieve this goal?
A.) Remove throw rugs in the home.
B.) Encourage strenuous exercise every day.
C.) Avoid the use of shoes in the home.
D.) Limit the use of night lights. |
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Definition
| A.) Remove throw rugs in the home |
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Term
The nurse is planning a community education program for senior citizens to address the Healthy People 2020 goal of reducing the death rate among the population with diabetes. What should the nurse include in this program?
(Select all that apply.)
A.) Blood pressure screening
B.) Importance of nutrition
C.) Regular eye, dental, and foot examinations
D.) Role of exercise
E.) Weight management |
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Definition
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Term
During this inspection the nurse notes several seborrheic keratoses. What nursing action is indicated by this finding?
A.) Measure the lesions and describe their location in the client’s medical record.
B.) Cover the lesions with sterile gauze bandages.
C.) No action is necessary as these lesions are common among older adults.
D.) Collaborate with the client’s healthcare provider regarding removal of these precancerous lesions. |
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Definition
| A.) Measure the lesions and describe their location in the client's medical record |
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Term
Upon inspection of this client’s chest, the nurse notes a slightly increased anterior-posterior diameter and remembers that the client has a history of chronic obstructive pulmonary disease (COPD). Which percussion note would the nurse expect in this client’s lung fields?
A.) Dull
B.) Tympanic
C.) Hyperresonate
D.) Resonant |
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Definition
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Term
The nurse assesses borborygmi while assessing the abdomen of an older client. What does this assessment finding indicate to the nurse?
A.) Bleeding or inflammatory bowel disease
B.) Aneurysm
C.) Small bowel obstruction
D.) Stenosis |
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Definition
| A.) Bleeding or inflammatory bowel disease |
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Term
During the cardiovascular system assessment of an older client, the nurse auscultates an S3. The nurse interprets this finding as being:
A.) Pulmonary hypertension.
B.) Aortic calcification.
C.) Valvular stenosis.
D.) Common in older people. |
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Definition
| D.) Common in older people |
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Term
While conducting the focused interview with an older client, the nurse learns that the client’s finances are being controlled by an older child who often forgets to purchase food or prescribed medication for the client. The nurse is concerned that the client is a victim of which type of abuse?
A.) Physical
B.) Emotional
C.) Financial
D.) Abandonment |
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Definition
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Term
The nurse detects the smell of alcohol on the breath of an older client. The client admits to drinking more alcohol than usual during the last few months. To assess the impact of alcohol use on the client’s life, the nurse is using the CAGE assessment. In which order should the nurse ask the client these questions?
A.) Have you ever had to cut back on your drinking?
B.) Have you ever needed to start the day with a drink?
C.) Have you ever felt guilty about your drinking?
D.) Have people annoyed you with criticism about your drinking? |
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Definition
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Term
After observing an older client ambulate to the examination table, what can the nurse do to assess the client’s upper body dexterity?
A.) Instruct the client to perform chair stands.
B.) Test the brachial radial reflex.
C.) Ask the client which arm is preferred to measure blood pressure.
D.) Ask the client to undress and observe clothing being unbuttoned and removed. |
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Definition
| D.) Ask the client to undress and observe clothing being unbuttoned or removed |
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Term
The nurse, preparing to assess an older client for vulnerability to problems while hospitalized, is using the SPICES acronym for the assessment. In which order will the nurse complete this assessment?
A.) Evidence of falls
B.) Confusion
C.) Skin breakdown
D.) Problems with eating and feeding
E.) Incontinence
F.) Sleep disorders |
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Definition
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Term
During the physical assessment of an older client, the nurse notes that the client has lost 1 inch in height over the last 2 years. What should the nurse explain to the client as the reason for this height decrease?
A.) There is decreased viscosity of synovial fluid.
B.) Vertebrae and intervertebral disks dry and flatten.
C.) There is bone loss because of less estrogen produced.
D.) There is a loss of muscle mass. |
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Definition
| B.) Vertebrae and intervertebral disks dry and flatten |
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Term
During the physical assessment of an older client’s eyes, the nurse notes several changes consistent with aging that include:
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. (1point)
A.) Xanthelasma.
B.) Cheilitis.
C.) Presbycusis.
D.) Pingueculae.
E.) Arcus senilis. |
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Definition
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Term
The daughter of an older client tells the nurse about the client not wanting to spend time with family members and not taking an interest in previously desired activities. The nurse identifies this client as demonstrating which sociologic theory of aging?
A.) Individualism
B.) Thriving
C.) Activity
D.) Disengagement |
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Definition
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Term
The nurse, assessing an older client who appears older than the chronological age, wonders if the client is aging according to the error theories of biologic aging, which include: (Select all that apply.)
A.) Wear and tear.
B.) Crosslinking.
C.) Free radical.
D.) Longevity.
E.) Rate of living. |
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Definition
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