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Fundamental Nursing Care, 2nd Edition by Roberta Pavy Ramont – Test Bank

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Chapter 03 Legal and Ethical Issues of Nursing Exam Name___________________________________ MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1... ) Licensed nurses are often encouraged to carry their own professional liability insurance in addition to what may be offered by their employer. A nurse would be advised to have this insurance if planning to use his or her skills in which of the following roles? (Select all that apply.) 1) A) Being available for any first aid needs for his or her child’s school basketball team B) Agreeing to tutor nursing students in nursing care planning C) Employed at a small walk-in clinic as the triage nurse D) Contracting to do blood pressure screening at a pharmacy E) Volunteering to do health education for early detection of cancer at a community health fair F) Employed as a clinical nursing instructor in medical-surgical nursing for a local LPN/LVN program Answer: A, C, D, E, F Explanation: A) Although an employer may have liability insurance that covers all employees, it is advisable that nurses not rely solely on this. The nurse who volunteers to provide first aid for a sports team or to do health education at a community health fair is potentially providing nursing services outside of employment-related activities and is professionally liable for his or her actions. When tutoring nursing students, no direct nursing service is being offered. Even though a nurse may be protected from liability under the Good Samaritan Acts when nursing service is volunteered, it is not wise to rely on this. Planning Safe, Effective Care Environment – Coordinated Care Application B) Although an employer may have liability insurance that covers all employees, it is advisable that nurses not rely solely on this. The nurse who volunteers to provide first aid for a sports team or to do health education at a community health fair is potentially providing nursing services outside of employment-related activities and is professionally liable for his or her actions. When tutoring nursing students, no direct nursing service is being offered. Even though a nurse may be protected from liability under the Good Samaritan Acts when nursing service is volunteered, it is not wise to rely on this. Planning Safe, Effective Care Environment – Coordinated Care Application C) Although an employer may have liability insurance that covers all employees, it is advisable that nurses not rely solely on this. The nurse who volunteers to provide first aid for a sports team or to do health education at a community health fair is potentially providing nursing services outside of employment-related activities and is professionally liable for his or her actions. When tutoring nursing students, no direct nursing service is being offered. Even though a nurse may be protected from liability under the Good Samaritan Acts when nursing service is volunteered, it is not wise to rely on this. Planning Safe, Effective Care Environment – Coordinated Care Application 1 D) Although an employer may have liability insurance that covers all employees, it is advisable that nurses not rely solely on this. The nurse who volunteers to provide first aid for a sports team or to do health education at a community health fair is potentially providing nursing services outside of employment-related activities and is professionally liable for his or her actions. When tutoring nursing students, no direct nursing service is being offered. Even though a nurse may be protected from liability under the Good Samaritan Acts when nursing service is volunteered, it is not wise to rely on this. Planning Safe, Effective Care Environment – Coordinated Care Application E) Although an employer may have liability insurance that covers all employees, it is advisable that nurses not rely solely on this. The nurse who volunteers to provide first aid for a sports team or to do health education at a community health fair is potentially providing nursing services outside of employment-related activities and is professionally liable for his or her actions. When tutoring nursing students, no direct nursing service is being offered. Even though a nurse may be protected from liability under the Good Samaritan Acts when nursing service is volunteered, it is not wise to rely on this. Planning Safe, Effective Care Environment – Coordinated Care Application F) Although an employer may have liability insurance that covers all employees, it is advisable that nurses not rely solely on this. The nurse who volunteers to provide first aid for a sports team or to do health education at a community health fair is potentially providing nursing services outside of employment-related activities and is professionally liable for his or her actions. When tutoring nursing students, no direct nursing service is being offered. Even though a nurse may be protected from liability under the Good Samaritan Acts when nursing service is volunteered, it is not wise to rely on this. Planning Safe, Effective Care Environment – Coordinated Care Application 2) A nurse’s neighbor has purchased an over-the-counter antihistamine at a pharmacy and has asked the nurse about the effects and possible side effects of this medication. It is most important that the nurse tell the neighbor that this medication: 2) A) Has accompanying literature for the neighbor to read. B) Is an antihistamine. C) Can cause sedation. D) Can cause dry mouth. Answer: C 2 Explanation: A) One of the nurse’s legal responsibilities is as a citizen and the nurse is legally responsible for his or her actions. It is appropriate for the nurse to offer information that is based on knowledge of antihistamines and focuses on safety. The nurse is not offering advice or opinions. The neighbor already knows that the medication is an antihistamine. Suggesting that the neighbor read the accompanying literature, although important, does not focus on safety. Of the two choices that are side effects of the medication, dry mouth is a less important side effect than sedation. Implementation Safe, Effective Care Environment – Safety and Infection Control Analysis B) One of the nurse’s legal responsibilities is as a citizen and the nurse is legally responsible for his or her actions. It is appropriate for the nurse to offer information that is based on knowledge of antihistamines and focuses on safety. The nurse is not offering advice or opinions. The neighbor already knows that the medication is an antihistamine. Suggesting that the neighbor read the accompanying literature, although important, does not focus on safety. Of the two choices that are side effects of the medication, dry mouth is a less important side effect than sedation. Implementation Safe, Effective Care Environment – Safety and Infection Control Analysis C) One of the nurse’s legal responsibilities is as a citizen and the nurse is legally responsible for his or her actions. It is appropriate for the nurse to offer information that is based on knowledge of antihistamines and focuses on safety. The nurse is not offering advice or opinions. The neighbor already knows that the medication is an antihistamine. Suggesting that the neighbor read the accompanying literature, although important, does not focus on safety. Of the two choices that are side effects of the medication, dry mouth is a less important side effect than sedation. Implementation Safe, Effective Care Environment – Safety and Infection Control Analysis D) One of the nurse’s legal responsibilities is as a citizen and the nurse is legally responsible for his or her actions. It is appropriate for the nurse to offer information that is based on knowledge of antihistamines and focuses on safety. The nurse is not offering advice or opinions. The neighbor already knows that the medication is an antihistamine. Suggesting that the neighbor read the accompanying literature, although important, does not focus on safety. Of the two choices that are side effects of the medication, dry mouth is a less important side effect than sedation. Implementation Safe, Effective Care Environment – Safety and Infection Control Analysis 3) A student nurse is caring for a one-day postoperative client who has had hip replacement surgery. The client is taking oral food and fluids, has an indwelling catheter, and has an abductor pillow in place when in bed. The client is to ambulate twice during the shift. Which of the following actions, if done by the student nurse during the course of care, identify the correct application of nursing knowledge to the nursing care? (Select all that apply.) 3) A) The head of the bed is rolled up to semi-Fowler’s position when the client is eating. B) Pillows are placed under the shoulders, hips, and heels while the client is in bed to prevent skin breakdown and promote comfort. 3 C) The client’s lungs and abdomen are assessed at least twice during the shift. D) The abductor pillow is placed between the knees and the ankles when the client is in bed. E) The client sits on the side of the bed for a few minutes before ambulating. F) The catheter drainage bag is kept below the level of the bladder at all times. Answer: C, F Explanation: A) All actions except keeping the drainage bag below the level of the bladder and assessing the client’s lungs and abdomen at least twice during the shift place the client at risk for injury or postoperative complications. To minimize liability, the student nurse (and all nurses) must know and apply the principles of nursing care with each client (care with an indwelling catheter and expected assessments of a postoperative client). After hip replacement surgery, the client should not flex the hips, which would occur in the semi-Fowler’s position and sitting on the side of the bed. An abductor pillow is placed to prevent internal rotation of the hips and placing it between the lower legs does not accomplish this. Placing pillows under potential pressure areas often increases pressure, especially with the client in a supine position. Evaluation Physiological Integrity – Reduction of Risk Potential Application B) All actions except keeping the drainage bag below the level of the bladder and assessing the client’s lungs and abdomen at least twice during the shift place the client at risk for injury or postoperative complications. To minimize liability, the student nurse (and all nurses) must know and apply the principles of nursing care with each client (care with an indwelling catheter and expected assessments of a postoperative client). After hip replacement surgery, the client should not flex the hips, which would occur in the semi-Fowler’s position and sitting on the side of the bed. An abductor pillow is placed to prevent internal rotation of the hips and placing it between the lower legs does not accomplish this. Placing pillows under potential pressure areas often increases pressure, especially with the client in a supine position. Evaluation Physiological Integrity – Reduction of Risk Potential Application C) All actions except keeping the drainage bag below the level of the bladder and assessing the client’s lungs and abdomen at least twice during the shift place the client at risk for injury or postoperative complications. To minimize liability, the student nurse (and all nurses) must know and apply the principles of nursing care with each client (care with an indwelling catheter and expected assessments of a postoperative client). After hip replacement surgery, the client should not flex the hips, which would occur in the semi-Fowler’s position and sitting on the side of the bed. An abductor pillow is placed to prevent internal rotation of the hips and placing it between the lower legs does not accomplish this. Placing pillows under potential pressure areas often increases pressure, especially with the client in a supine position. Evaluation Physiological Integrity – Reduction of Risk Potential Application 4 D) All actions except keeping the drainage bag below the level of the bladder and assessing the client’s lungs and abdomen at least twice during the shift place the client at risk for injury or postoperative complications. To minimize liability, the student nurse (and all nurses) must know and apply the principles of nursing care with each client (care with an indwelling catheter and expected assessments of a postoperative client). After hip replacement surgery, the client should not flex the hips, which would occur in the semi-Fowler’s position and sitting on the side of the bed. An abductor pillow is placed to prevent internal rotation of the hips and placing it between the lower legs does not accomplish this. Placing pillows under potential pressure areas often increases pressure, especially with the client in a supine position. Evaluation Physiological Integrity – Reduction of Risk Potential Application E) All actions except keeping the drainage bag below the level of the bladder and assessing the client’s lungs and abdomen at least twice during the shift place the client at risk for injury or postoperative complications. To minimize liability, the student nurse (and all nurses) must know and apply the principles of nursing care with each client (care with an indwelling catheter and expected assessments of a postoperative client). After hip replacement surgery, the client should not flex the hips, which would occur in the semi-Fowler’s position and sitting on the side of the bed. An abductor pillow is placed to prevent internal rotation of the hips and placing it between the lower legs does not accomplish this. Placing pillows under potential pressure areas often increases pressure, especially with the client in a supine position. Evaluation Physiological Integrity – Reduction of Risk Potential Application F) All actions except keeping the drainage bag below the level of the bladder and assessing the client’s lungs and abdomen at least twice during the shift place the client at risk for injury or postoperative complications. To minimize liability, the student nurse (and all nurses) must know and apply the principles of nursing care with each client (care with an indwelling catheter and expected assessments of a postoperative client). After hip replacement surgery, the client should not flex the hips, which would occur in the semi-Fowler’s position and sitting on the side of the bed. An abductor pillow is placed to prevent internal rotation of the hips and placing it between the lower legs does not accomplish this. Placing pillows under potential pressure areas often increases pressure, especially with the client in a supine position. Evaluation Physiological Integrity – Reduction of Risk Potential Application [Show More]

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