HEALTH CARE LAW ADAPTIVE QUIZZING latest with thoroughly explained answers

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HEALTH CARE LAW ADAPTIVE QUIZZING The hospital administrators warn the nurse about being negligent while providing patient care. Which is the most appropriate reason for the warning? The nurse has thr... eatened a patient with the use of physical restraints to control the patient. The nurse has published the wrong assessment findings of a patient in a scientific journal. The nurse has given an excessive dose of hepatotoxic drug to a patient with liver failure. The nurse has informed the spouse about the patient’s disease without the patient’s consent. p. 309 The nurse is explaining the Americans with Disabilities Act (ADA) to a patient with human immunodeficiency virus (HIV). Which information should the nurse include? People with HIV who are asymptomatic also come under the category of disabled people. People with HIV have the right to decide whether to disclose their infection. Healthcare workers have the choice to not treat patients who are HIV positive. Healthcare professionals who are HIV positive can also choose to decide whether to disclose their infection. The motive of ADA is to provide equal opportunities for people with disabilities. p. 304 A patient has just been diagnosed with hepatitis B. Which is the most appropriate nursing action to avoid invasion of privacy? Inform the patient’s spouse about the disease. Do not inform the patient or the family members about the disease. Obtain permission from the patient to inform the patient’s spouse about the disease. Obtain informed consent from the spouse to reveal the illness to the patient. Test-Taking Tip: Do not choose responses that violate confidentiality of patient health care information, even to spouses. The patient must be the one to give consent for anyone else to gain access to healthcare information. You could think of this point as the legal extension of patient-centered care. p. 308 The nurse wraps and ties a cloth to prevent bleeding from the site of injury for a patient who is a victim of a traffic accident. The patient is taken to the hospital and presents with signs of infection. Which action will be taken against the nurse? The nurse will not face any action. The nurse will be given a warning for gross negligence. The nurse will face liable charges for not getting an informed consent. The nurse will be sued for not obtaining orders from the primary healthcare provider before intervening. The nurse attends to a trauma patient who has been transferred from the intensive care unit (ICU). The nurse finds out that the ICU nurse provided a detailed explanation on the patient’s condition to the family without consent from the patient. The ICU nurse also gave the patient a steroid shot even though the patient refused the medication. Which torts would the ICU nurse be guilty of? Malpractice Battery Invasion of privacy Negligence Defamation of character A graduate nurse is being mentored by a more experienced nurse. They are discussing the ways nurses need to remain active professionally. Which statements below indicate the new graduate understands ways to remain involved professionally? "I am thinking about joining the health committee at my church." "I need to read newspapers, watch news broadcasts, and search the Internet for information related to health." "I will join nursing committees at the hospital after I have several years of experience and better understand the issues affecting nursing." "Nurses do not have very much voice in legislation in Washington, DC, because of the shortage of nurses." "Nurses should take direction from physicians in the hospital setting." The nurse is caring for a surgical patient in the preoperative area. The nurse witnesses the patient’s informed consent for the surgical procedure. Which statements are true regarding informed consent? It must be signed while the patient is free from mind-altering medications. It can be witnessed by the nurse or nursing student. It may be withdrawn at any time. It must be signed by patients age 16 and older. It is usually obtained by the healthcare provider and not the nurse. The nurse is learning about negligence in unintentional torts. Which actions would the nurse consider as common acts of negligence? Failure to follow orders Failure to perform malpractice Failure to document monitoring Failure to follow policies and guidelines Failure to explain the risks of a surgery to a patient The nurse is assessing a postsurgical patient who is in acute pain. The patient is not willing to change position for x-rays. The nurse tells the patient that a sedative injection will be administered if the patient does not cooperate for the procedure. Which tort is indicated? Assault Battery Invasion of privacy False imprisonment Test-Taking Tip: To distinguish assault from battery in your mind, think of battery as batting; battery involves intentional touching without consent. No contact is necessary for assault to take place. p. 308 The nurse is learning about the legal implications in nursing practice. Which statements are true about the various sources of law? Civil laws protect the rights of individuals in the society. Common law presents decisions made by administrative bodies. Criminal laws protect society by providing punishment for crimes. Criminal laws are passed to protect society from nursing negligence. Regulatory law reflects decisions made by administrative bodies when they pass rules. When witnessing a patient giving informed consent prior to undergoing surgery, which actions should the nurse perform? If the patient refuses to sign the consent, leave the situation as it is. Confirm that the patient has understood the information about the surgery. Inform the healthcare provider if the patient refuses to undergo the surgery. Sign the consent form as a witness, once the patient voluntarily gives consent. Ask a nursing student to witness the informed consent if the nurse is busy. The nurse is caring for a patient who recently had coronary bypass surgery. Which legal sources of standards of care should the nurse use to deliver safe healthcare? Information provided by the nurse manager Policies and procedures of the employing hospital State Nurse Practice Act Regulations identified in The Joint Commission’s manual The American Nurses Association standards of nursing practice The nurse has failed to obtain informed consent before performing a procedure on a patient. Which type of torts result from this nursing action? Assault Battery Negligence False imprisonment Libel A student nurse is gossiping with colleagues about a patient’s many romantic relationships. The registered nurse warns the student nurse about talking about the patient’s personal life in a public place. The nurse’s warning is intended to prevent which error? Assault Libel Invasion of privacy Defamation of character The nurse is caring for a patient who is extremely irritable and agitated. The nurse first transfers the patient forcefully to an isolated room to avoid disturbing other patients in the ward. The nurse then sedates the patient by giving a morphine injection. Which torts has the nurse committed? Assault Battery False imprisonment Invasion of privacy Defamation of character The nurse received a hand-off report at the change of shift in the conference room from the night shift nurse. The nursing student assigned to the nurse asks to review the medical records of the patients assigned to them. The nurse begins assessing the assigned patients and lists the nursing care information for each patient on each individual patient’s message board in the patient rooms. The nurse also lists the patients’ medical diagnoses on the message board. Later in the day the nurse discusses the plan of care for a patient who is dying with the patient’s family. Which action violates the Health Insurance Portability and Accountability Act (HIPAA)? Discussing patient conditions in the nursing report room at the change of shift Allowing nursing students to review patient charts before caring for patients to whom they are assigned Posting medical information about a patient on a message board in the patient’s room Releasing patient information regarding terminal illness to family when the patient has given permission for information to be shared A patient who has tested positive for human immunodeficiency virus (HIV) tells the nurse, "I feel helpless. My boss fired me because I’m HIV positive." Which is the best response by the nurse? "Don’t worry. You’re protected by Good Samaritan laws." "Don’t lose hope. Take this as an opportunity to spend time with your family." "I understand your feelings, but I think you should concentrate on your health now." "You should approach a lawyer. You’re protected by the Americans with Disabilities Act." also not appropriate to recommend that the patient overlook this violation of rights and concentrate on his or her health. p. 304 The nurse has been falsely accused of providing inadequate care to a patient by another nurse. The nurse has received praise in the past for providing quality care to the patients. Which tort does this indicate? Libel Slander Malpractice Invasion of privacy Because the nurse has received praise in the past for providing quality care to patients, the implication is A terminally ill patient does not want to be resuscitated if complications arise. Which document would record the patient’s wishes regarding treatment? Nurse’s records Living will Health care proxies Durable powers of attorney In which situations is the nurse allowed to use physical restraints? The patient is extremely irritated. The patient has suicidal ideation. The healthcare provider has given a written order. The patient is potentially dangerous to other patients. The patient’s family members have asked to restrain the patient. [Show More]

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