Chapter 3: Ethics, Law, and Delegation in Nursing PDF

Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Chapter 3: Ethics, Law, and Delegatio...

Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Chapter 3: Ethics, Law, and Delegation in Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. 1. A nurse is monitoring a critically ill patient who does not have a do-not-attempt-resuscitation (DNAR) order on file. Family members are at bedside and ask the nurse not to call a code. What is the best nursing action? 1. Initiate a code. 2. Provide comfort measures. 3. Continue to monitor and provide support. 4. Contact hospital attorney. 2. A nurse has been reported to the board of nursing for performing skills that are outside the legal scope of practice. What should the nurse expect to occur next? 1. A lawsuit by the institution for malpractice 2. A hearing by the board of nursing to determine whether the charges are true 3. Immediate revocation of the nursing license 4. Requirement to complete a minimum of 10 continuing education units (CEUs) 3. A nurse witnesses a coworker taking a narcotic medication prescribed for a patient. Which action should the nurse take first? 1. Ask the other nurses on the unit what they would do. 2. Tell the coworker that the incident will be reported the next time it happens. 3. Offer to care for the nurse’s patients until the medication is no longer effective. 4. Report the incident to the nurse supervisor. 4. A nurse is working with a patient and family who disagree about proposed suggestion of an organ transplant for liver failure. Which action should the nurse take first? 1. Tell the family that it is the patient’s decision to make. 2. Tell the family and patient that this is just one available option. 3. Talk to the charge nurse about contacting the hospital ethics committee. 4. Call the health-care provider (HCP) and postpone the procedure. 5. An LPN/LVN is assisting an RN who is caring for a mentally competent patient with a terminal illness. The patient refuses to take prescribed medications. Which action should the nurse take? 1. Ask the RN if the physician should change the patient’s medications so they can be given intravenously. 2. Speak to the family about the patient refusing medications. 3. Report the patient’s decision to the RN in charge and the primary health-care provider (HCP) and continue to provide appropriate compassionate care. 4. Explain to the patient the unwise nature of the decision and the effect that it will have on family members. 6. A charge nurse is reviewing staff performance on the unit. Which situation requires immediate action? 1. The nurse listens to the patient complain about the hospital food. 2. The nurse tells the patient to use the call bell. 3. The nurse agrees with the patient that the individual should change health-care providers (HCP) to get better care. 4. The nurse tells the patient to call dietary to ask for a different food selection. 7. A student nurse asks the nursing instructor about laws affecting student nursing practice. Which information should the instructor provide to the student? ______________________________________________________________________________________________ 32 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 1. 2. 3. 4. Nursing students are not subject to legal jurisdiction. Nursing students practice under the license of the nurse in the hospital setting. Nursing students are held to the same standard as licensed nurses. Nursing students practice under the instructor’s license. 8. During evening rounds a nurse finds a patient lying on the floor next to the bed. What should the nurse do first when documenting this situation? 1. Complete an incident report. 2. Document in the medical record that an incident report was completed. 3. Document in the medical record that the supervisor was notified of the incident. 4. Document the incident in the medical record but not mention an incident report was completed. 9. A nurse does not report changes in a patient’s condition, which leads to medical complications and increases the patient’s length of stay in the hospital. Which legal law has the nurse violated? 1. Malpractice 2. Abandonment 3. Negligence 4. Assault 10. An LPN/LVN takes home paperwork that contains patient information. Which disciplinary action should the nurse manager take? 1. Tell the nurse to make sure that the information is shredded. 2. Tell the nurse that if it happens again, there will be consequences. 3. Remind the nurse that the patient’s medical record is not to be removed from the hospital. 4. Tell the nurse to remove all patient identifier information and then there is no problem. 11. A charge nurse is concerned that patient information was inappropriately shared with family. Which would the nurse observe to come to this conclusion? 1. Nurse provided medication to a patient with family at bedside. 2. Nurse instructed family on the correct way to prepare an insulin syringe for injection. 3. Nurse asked family to leave the room while the patient’s abdominal dressing is changed. 4. Nurse left the computer screen with laboratory data in view at bedside with family present. 12. A nurse is caring for an adolescent patient who is married, is in the military, and has a newborn baby. Which should the nurse consider when providing care to this patient? 1. The patient’s parent needs to sign the consent form for treatment. 2. The patient can sign the informed consent form. 3. The patient’s spouse must be in attendance when completing the assessment. 4. The patient’s military supervisor should be notified of all pending treatments. 13. The legal department of a hospital is preparing a seminar to review the types of laws that must be followed while providing patient care. Which could be used as an example of a criminal law? 1. A patient being told that an opinion about care will not be considered for treatment 2. A nurse temporarily providing a patient with excessive intravenous fluid to hasten death 3. A hospital failing to report surgical site errors performed by the same health-care provider (HCP) 4. A nurse documenting that pain medication was provided even though the patient reports it was not 14. A nurse is attempting to log into the computer at work and asks another nurse to use her password because the nurse is unable to log in. What is the best nursing response? 1. Tell the nurse to try a different computer. ______________________________________________________________________________________________ 33 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 2. Provide the password to the nurse. 3. Suggest that the nurse call the hospital IT department for assistance. 4. Notify security about the nurse’s request. 15. A patient’s family member asks the nurse to disclose results of the patient’s laboratory testing. Which action should the nurse take first? 1. Ask the family member to specify which test they are interested in. 2. Ask the patient if it is okay to tell the family member. 3. Do not disclose any information to the family member. 4. Ask the health-care provider (HCP) to talk to the family. 16. A nurse is planning to move to another state. Which action should be done to ensure that the nurse can legally practice nursing in the new state? 1. Nothing; the license covers practice in all states. 2. Plan to take the NCLEX examination in the new state. 3. Contact the state board of nursing of the new state to request state licensure. 4. Ask the nurse manager to write a letter to the new state about the nurse’s performance. 17. A health-care provider (HCP) asks a nurse to have a patient sign a consent form. The patient states that he has additional questions. Which is the priority nursing action? 1. Provide the patient with hospital literature. 2. Have the patient sign the consent. 3. Answer the patient’s questions. 4. Contact the HCP. 18. A patient is being admitted to a nursing home after a hospital admission for a stroke, which has left the patient unresponsive. Which advance directive should the nurse expect to be in place during this admission? 1. Advance directive signed by the patient 2. Proxy directive 3. No advance directive 4. Living will signed by the patient Multiple Response Identify one or more choices that best complete the statement or answer the question. 19. A nurse manager is concerned about sexual harassment occurring in the care area. Which statement should be investigated further? Select all that apply. 1. “Would you please help me with one of my female patients? I need help with getting my patient to the bathroom.” 2. “If I give pain medication to your patient in room 203, what are you going to do for me?” 3. “When my patient’s physician arrives on the floor, let me know. I would like to make rounds with him.” 4. “Could you help me with my patient? She’s very large and difficult to get up.” 5. “Male nurses never carry their weight. I think they use the fact that a female patient won’t let them catheterize them as an excuse, so they don’t have to put in a urinary catheter.” 20. A nurse thinks that the patient should not be discharged from the hospital at this time because the patient lives alone and has no support services available. Which actions should the nurse take? Select all that apply. 1. Refer for psychiatric evaluation. 2. Contact the health-care provider (HCP) for social service referral. 3. Contact case management. ______________________________________________________________________________________________ 34 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 4. Tell the patient that they can’t go home. 5. Administer a mini mental status examination. 21. A student nurse is reviewing the concept of delegation. Which statements reflect an accurate description? Select all that apply. 1. The person performing the task has prerequisite knowledge. 2. It is based on licensure and scope of practice. 3. It requires evaluation. 4. Delegation is similar to the clinical assignment. 5. Not all tasks can be delegated. 22. A student nurse asks the nursing instructor about continuing education requirements once licensed. What is the best response? Select all that apply. 1. Read nursing journals. 2. Participate in professional organizations. 3. Monitor board of nursing reports. 4. Use Google search engine to obtain information. 5. Maintain work schedule. 23. A group of nursing students are reviewing a patient’s medical record at the nurse’s station. Which immediate action is warranted by the nursing instructor? Select all that apply. 1. Determine which students have been assigned to the patient. 2. Ask the students if they have any questions. 3. Tell the students that they should not be copying personal identification information from the chart. 4. Have the students print out the patient chart information that they need. 5. Discuss concept of privacy of medical records. 24. A nursing student has completed the nursing program. What actions should the nursing student take now to obtain licensure? Select all that apply. 1. Apply for reciprocity. 2. Contact the board of nursing (BON) in the state. 3. Pay application fees. 4. Review state nurse practice act. 5. Designate LPN following signature. ______________________________________________________________________________________________ 35 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Chapter 3: Ethics, Law, and Delegation in Nursing Answer Section MULTIPLE CHOICE 1. ANS: 3 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 10. Describe the professional responsibilities of nurses and nursing students. Page: 30 Heading: Do-Not-Attempt-Resuscitation Orders Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Professionalism Difficulty: Difficult Feedback 1 This is incorrect. There is no clinical evidence provided that supports initiating a code at the present time. 2 This is incorrect. The patient is critically ill but not terminal, so providing comfort measures does not address the patient’s critical issues. 3 This is correct. The nurse should continue to monitor and provide support to the patient and family members. 4 This is incorrect. The nurse does not have to contact the hospital attorney but rather could follow hospital policy and procedure to have the patient and family members discuss instituting a DNAR order. PTS: 1 CON: Professionalism 2. ANS: 2 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 6. Explain how the following statutory laws affect nurses: the Health Insurance Portability and Accountability Act, the Health Information Technology for Economic and Clinical Health Act, nurse practice acts, and licensing laws. Page: 30 Heading: Legal Issues in Nursing Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate Feedback 1 This is incorrect. The institution may terminate a nurse’s employment, but it is improbable that the institution will file a lawsuit. 2 This is correct. Most likely, a hearing will be conducted by the board of nursing to determine whether the charges reported are true. 3 This is incorrect. The nurse may have the license suspended, but the first course of action will be a hearing by the board of nursing to determine whether the charges are true. ______________________________________________________________________________________________ 36 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 4 This is incorrect. Some boards of nursing may require continuing education or refresher courses, but that will not be the first course of action. PTS: 1 CON: Professionalism 3. ANS: 4 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 2. Discuss the need to identify your own values and ethics in order to provide ethical care for patients. Page: 29 Heading: Ethical Issues in Nursing Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate Feedback 1 This is incorrect. The nurse should never discuss the situation with coworkers. 2 This is incorrect. It is the nurse’s responsibility to report the situation immediately. 3 This is incorrect. Offering to provide care for the nurse’s patients temporarily and not reporting the incident immediately is an inappropriate action. 4 This is correct. The nurse is to report the coworker’s behavior to the nurse supervisor immediately. PTS: 1 CON: Professionalism 4. ANS: 3 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 3. Identify ways to provide ethical nursing care. Page: 30 Heading: Ethics Committee Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate Feedback 1 This is incorrect. The nurse should provide a way to address the family’s concerns and still advocate for the patient to make an informed decision. Telling the family that it is the patient’s decision does not address all concerns of the patient and family unit. 2 This is incorrect. The patient has liver failure, which is not curable and incompatible with maintaining life; therefore, the nurse should not tell the patient about medical treatment options. 3 This is correct. Because the family and patient are experiencing significant stress as a result of the patient’s illness and proposed transplant, the nurse should contact the charge nurse for assistance from the hospital’s ethics committee. 4 This is incorrect. The nurse should not contact the HCP and postpone the procedure because this is outside of the scope of practice. ______________________________________________________________________________________________ 37 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ PTS: 1 CON: Professionalism 5. ANS: 3 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 4. Explain what it means to advocate for the patient and why it is important. Page: 29-30 Heading: Ethical Issues in Nursing > Advocating for the Patient Integrated Processes: Caring Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate Feedback 1 This is incorrect. Forcing medications on a patient is a violation of the patient’s rights. It could also constitute assault and/or battery. 2 This is incorrect. Discussing the patient with the family without permission violates the Health Insurance Portability and Accountability Act. 3 This is correct. It is important to notify the RN in charge and primary health-care provider of the patient’s decision and recognize the patient’s right to discontinue medications. 4 This is incorrect. It is the patient’s right to refuse any form of treatment. The nurse can discuss all options with the patient, but telling a patient that his decision is unwise is inappropriate. PTS: 1 CON: Professionalism 6. ANS: 3 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 4. Explain what it means to advocate for the patient and why it is important. Page: 29-30 Heading: Ethical Issues in Nursing > Advocating for the Patient Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate Feedback 1 This is incorrect. The nurse is being empathetic by listening to the patient complain about hospital food. 2 This is incorrect. The nurse should instruct the patient to use the call bell. 3 This is correct. The nurse should not tell the patient to change HCPs and is being sympathetic rather than empathetic. 4 This is incorrect. The nurse can tell the patient to discuss dietary concerns with the dietary department at the hospital. PTS: 1 CON: Professionalism 7. ANS: 3 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing ______________________________________________________________________________________________ 38 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Objective: 6. Explain how the following statutory laws affect nurses: the Health Insurance Portability and Accountability Act, the Health Information Technology for Economic and Clinical Health Act, nurse practice acts, and licensing laws. Page: 32 Heading: Statutory Laws Affecting Nurses Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate Feedback 1 This is incorrect. Nursing students are held to the same standards as a licensed nurse. 2 This is incorrect. Nursing students are held accountable for their individual practice and do not practice under the license of the nurse in the hospital setting. 3 This is correct. Nursing students are held to the same standards as a licensed nurse. 4 This is incorrect. Nursing students are held accountable for their individual practice and do not practice under the license of their nursing instructor in the clinical setting. PTS: 1 CON: Professionalism 8. ANS: 4 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 9. Discuss four legal documents and the licensed practical/vocational nurse’s responsibilities regarding each of them. Page: 35 Heading: Legal Documents Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate Feedback 1 This is incorrect. The nurse needs to do more than complete an incident report. 2 This is incorrect. The existence of an incident report is not mentioned in the patient’s medical record. 3 This is incorrect. Factual information about the incident belongs in the medical record. 4 This is correct. The incident must be explained in the medical record; however, the completion of an incident report is not included. PTS: 1 CON: Professionalism 9. ANS: 3 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 8. Describe the five areas of civil law (torts) that affect nurses. Page: 34-35 Heading: Civil Laws Affecting Nurses Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Professionalism ______________________________________________________________________________________________ 39 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Difficulty: Difficult Feedback 1 This is incorrect. There is no evidence that the patient has committed malpractice because the nurse performed assessment but did not follow through on communication of findings. 2 This is incorrect. Abandonment is walking away from an assignment without replacement by another nurse. It is premature cessation of professional care without notice or the patient’s permission. 3 This is correct. Negligence occurs when an act performed by the nurse is one that causes harm. Failing to communicate and/or act on reported findings has led to harm. 4 This is incorrect. There is no evidence that the patient was assaulted. PTS: 1 CON: Professionalism 10. ANS: 3 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 11. Describe the professional responsibilities of nurses and nursing students. Page: 37 Heading: Legal Documents > Patient Health Record Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Professionalism Difficulty: Moderate Feedback 1 This is incorrect. This response does not directly address the fact that the nurse took home patient information. Shredding can be used to discard documents when appropriate. 2 This is incorrect. This response does not convey the importance of maintaining confidentiality of the patient’s health record. 3 This is correct. The nurse manager should remind the nurse that this is a violation of patient confidentiality. 4 This is incorrect. This response does not directly address the fact that the nurse took home patient information. Removing patient identification is advised to maintain patient confidentiality. PTS: 1 CON: Professionalism 11. ANS: 4 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 9. Discuss four legal documents and the licensed practical/vocational nurse’s responsibilities regarding each of them. Page: 32 Heading: Statutory Rules Affecting Nurses > Security Rule Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Professionalism Difficulty: Difficult Feedback ______________________________________________________________________________________________ 40 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 1 2 3 4 This is incorrect. Providing medications is not a violation of the patient’s personal information. This is incorrect. Family teaching is not a violation of the patient’s personal information. This is incorrect. Asking family to leave the bedside while care is provided is not a violation of the patient’s personal information. This is correct. Leaving a computer screen with laboratory data in view at the bedside with the family present is a violation of the patient’s personal information. PTS: 1 CON: Professionalism 12. ANS: 2 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 1. Define various terms associated with nursing ethics and law. Page: 37-38 Heading: Legal Issues in Nursing > Informed Consent Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Professionalism Difficulty: Difficult Feedback 1 This is incorrect. The patient is considered an emancipated minor and can sign consent to treatment forms. 2 This is correct. An emancipated minor is younger than age 18 years but is considered an adult because of being married, a parent, and a member of the military. 3 This is incorrect. The spouse does not need to be present during the assessment. 4 This is incorrect. The military supervisor does not need to be informed of all pending treatments. This would be a violation of HIPAA. PTS: 1 CON: Professionalism 13. ANS: 2 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 5. Describe types of laws that affect nurses and their practice. Page: 32 Heading: Legal Issues in Nursing > Types of Laws Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Professionalism Difficulty: Difficult Feedback 1 This is incorrect. A patient not having a voice regarding care decisions can be a violation of constitutional law, or the right to free speech. 2 This is correct. Providing a patient with a purposeful overdose of fluid to hasten death is a criminal act. 3 This is incorrect. Failing to report errors is a violation of civil law. ______________________________________________________________________________________________ 41 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 4 This is incorrect. Not providing medication that is documented as having been done is a violation of a statutory law. PTS: 1 CON: Professionalism 14. ANS: 3 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 6. Explain how the following statutory laws affect nurses: the Health Insurance Portability and Accountability Act, the Health Information Technology for Economic and Clinical Health Act, nurse practice acts, and licensing laws. Page: 32 Heading: Statutory Rules Affecting Nurses > Security Rule Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Professionalism Difficulty: Difficult Feedback 1 This is incorrect. Telling the nurse to use a different computer does not address the issue of password login. 2 This is incorrect. The nurse should never share a password with another nurse because this is a violation of security. 3 This is correct. The nurse should instruct the other nurse to obtain help from the hospital IT department because it relates to password login information. 4 This is incorrect. The nurse should not notify security at this time. PTS: 1 CON: Professionalism 15. ANS: 3 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 6. Explain how the following statutory laws affect nurses: the Health Insurance Portability and Accountability Act, the Health Information Technology for Economic and Clinical Health Act, nurse practice acts, and licensing laws. Page: 33 Heading: Laboratory and Diagnostic Connection > Confidentiality of Test Results Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Professionalism Difficulty: Difficult Feedback 1 This is incorrect. Test results of patients are confidential. The nurse should not ask the family member to provide information about a specific test. 2 This is incorrect. The nurse can ask the patient about disclosure of information, but it is not the first action that should be taken. 3 This is correct. Test results of patients are confidential. The nurse should not disclose information. 4 This is incorrect. The nurse should not ask the HCP to talk with the family because it is the patient’s decision about whether or not to disclose information. ______________________________________________________________________________________________ 42 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ PTS: 1 CON: Professionalism 16. ANS: 3 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 6. Explain how the following statutory laws affect nurses: the Health Insurance Portability and Accountability Act, the Health Information Technology for Economic and Clinical Health Act, nurse practice acts, and licensing laws. Page: 33 Heading: Nurse Practice Acts Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate Feedback 1 This is incorrect. Only 25 states are considered compact states, which acknowledge specific state licenses. 2 This is incorrect. The NCLEX examination does not need to be taken again. 3 This is correct. The nurse should not assume that the current state license is appropriate to practice in the new state of residence. This must be confirmed with the state board of nursing. 4 This is incorrect. The manager’s letter will not help the nurse obtain licensure in the new state of residence. PTS: 1 CON: Professionalism 17. ANS: 4 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 10. Describe the professional responsibilities of nurses and nursing students. Page: 37-38 Heading: Informed Consent Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Professionalism Difficulty: Difficult Feedback 1 This is incorrect. Providing the patient with hospital literature does not address the concern of informed consent. 2 This is incorrect. Having the patient sign the consent when they have additional questions does not address informed consent. 3 This is incorrect. The HCP is responsible for obtaining informed consent and providing answers to questions to the patient’s satisfaction. 4 This is correct. The nurse should contact the HCP to let them know that the patient has additional questions. PTS: 1 CON: Professionalism 18. ANS: 2 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing ______________________________________________________________________________________________ 43 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Objective: 9. Discuss four legal documents and the licensed practical/vocational nurse’s responsibilities regarding each of them. Page: 38 Heading: Advanced Directives Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate Feedback 1 This is incorrect. Because the patient is unresponsive, it is not likely that the patient will be able to sign a legal document. 2 This is correct. The nurse would expect a proxy directive to be in place, which designates the individual legally responsible for making medical decisions once the person is unable to make decisions 3 This is incorrect. Federal law requires hospitals, nursing homes, and home health agencies to ask patients when admitted whether they have a living will or other advance directive. 4 This is incorrect. Because the patient is unresponsive, it is not likely that the patient will be able to sign a legal document. PTS: 1 CON: Professionalism MULTIPLE RESPONSE 19. ANS: 2, 5 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 8. Describe five areas of civil law (torts) that affect nurses. Page: 35 Heading: Civil Laws Affecting Nurses > Sexual Harassment Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Safety | Violence and Neglect Difficulty: Moderate 1 2 3 4 5 Feedback This is incorrect. Seeking assistance with ambulating patient does not constitute sexual harassment. This is correct. Asking what someone else will do for you, particularly between male and female nurses, can create a sexual innuendo. This could result in complaints of sexual harassment. This is incorrect. Stating a wish to make rounds with a physician does not constitute sexual harassment. This is incorrect. Seeking assistance in positioning a patient does not constitute sexual harassment. This is correct. The accusation that male nurses do not carry their weight targets one gender and can result in complaints of sexual harassment. ______________________________________________________________________________________________ 44 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ PTS: 1 CON: Safety | Violence and Neglect 20. ANS: 2, 3 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 5. Describe types of laws that affect nurses and their practice. Page: 35 Heading: False Imprisonment Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Professionalism | Safety Difficulty: Difficult 1 2 3 4 5 Feedback This is incorrect. There is no clinical evidence to support a psychiatric evaluation. This could lead to false imprisonment. This is correct. The nurse can contact the HCP for a social services referral to assist the patient. This is correct. The nurse can directly contact case management for assistance for the patient with supportive services upon discharge. This is incorrect. The nurse cannot tell the patient that they can’t be discharged because discharging a patient is based on physician evaluation. This is correct. There is no clinical evidence to support the nurse performing a mini mental status examination on the patient. PTS: 1 CON: Professionalism | Safety 21. ANS: 1, 2, 3, 5 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 11. Explain the five rights of delegation and how they apply to licensed practical/vocational nurses. Page: 40 Heading: Delegating Tasks in Nursing Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism | Collaboration Difficulty: Moderate 1 2 3 4 5 Feedback This is correct. Delegation is based on the individual having prerequisite knowledge to complete a task. This is correct. Delegation is based on licensure and scope of practice. This is correct. Delegation of a task requires monitoring and follow-up evaluation. This is incorrect. Assignment is not the same as delegation. Delegation is distinguished from assignment, which is the distribution of work that each staff member is responsible for during a given work period. This is correct. Not all tasks can be delegated. Nurses cannot delegate nursing judgment, critical decision making, or care for an unstable patient unless this is within the delegatee’s scope of practice in the NPA for that state. ______________________________________________________________________________________________ 45 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ PTS: 1 CON: Professionalism | Collaboration 22. ANS: 1, 2, 3 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 10. Describe the professional responsibilities of nurses and nursing students. Page: 40-41 Heading: Continuing Your Education Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate 1 2 3 4 5 Feedback This is correct. Subscribing to and reading nursing journals regularly will help support continuing education. This is correct. Participating in professional organizations will help support continuing education. This is correct. Keeping up to date with board of nursing reports will help support continuing education. This is incorrect. Using Google as a search engine does not directly refer to peerreviewed or evidence-based practice information. This is correct. Maintaining a work schedule does not directly relate to advancing continuing education. PTS: 1 CON: Professionalism 23. ANS: 1, 3, 5 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 10. Describe the professional responsibilities of nurses and nursing students. Page: 32 Heading: Statutory Laws Affecting Nurses >Privacy Rule Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Leadership and Management |Professionalism Difficulty: Difficult 1 2 3 4 Feedback This is correct. Only the students assigned to the patient should be reviewing the patient’s medical record. This is incorrect. The nursing instructor should first determine which students have been assigned to access the patient’s medical record rather than ask if the students have questions. This is correct. This action is warranted because privacy of the patient’s medical record is critical. This is incorrect. The students should not print out information from the patient’s medical record. ______________________________________________________________________________________________ 46 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 5 This is correct. This action is warranted because the nursing instructor should remind students about the privacy of medical records. PTS: 1 CON: Leadership and Management |Professionalism 24. ANS: 2, 3, 4 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 10. Describe the professional responsibilities of nurses and nursing students. Page: 34 Heading: Licensure Integrated Processes: Clinical Problem-Solving Process: Nursing Process Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate 1 2 3 4 5 Feedback This is incorrect. Applying for reciprocity can occur only after the student has passed NCLEX. This is correct. The nursing student should contact the BON in the state of the program to find out specific information about how to apply for licensure. This is correct. The nursing student should pay all application fees as indicated for NCLEX. This is correct. Each nursing student should be aware of their state nurse practice act. This is incorrect. Legal nursing signature designation is used once the nursing student has passed NCLEX and received their nursing license. PTS: 1 CON: Professionalism ______________________________________________________________________________________________ 47 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year?