Legal and Ethical

Descrição

Chapter 6 and 7
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Quiz por hammylovesyou, atualizado more than 1 year ago
hammylovesyou
Criado por hammylovesyou mais de 9 anos atrás
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Resumo de Recurso

Questão 1

Questão
A student nurse contaminates the catheter by inserting it into the vagina on a female patient. The student quickly pulls back and reinserts the foley into the urinary meatus. As a result of the technique used when inserting the catheter, the patient develops an urinary tract infection. As a result of this incident which of the following could legally occur?
Responda
  • The student nurse does not have to worry due to the scope of practice of student nurses.
  • The student nurse could be found negligent.
  • The student nurse had informed consent with the patient to agree to allow the student to insert the catheter.
  • The student nurse would not be considered as part of a law suit due to lack of licensure.

Questão 2

Questão
Sources of law that the nurse might consult when investigating the legality of a particular situation might include
Responda
  • Common law
  • Senatorial law
  • Clerical law
  • Misdemeanor

Questão 3

Questão
A student nurse is caring for a patient with a terminal illness for the first time. The patient's wife and daughter disagree with each other on course of treatment. The patient is not able to make decisions and has not made it know how he would prefer the treatment to be directed. It has been determined that an ethical dillemma is present and all the information relevent to care has been gathered. What would the best next step be in processing this ethical dilemma that the nursing student would desire for resolution?
Responda
  • Consider possible courses of action.
  • Evaluate the outcome.
  • Negotiate the outcome to the ethical dilemma.
  • Examine and determine your own values on the issues.

Questão 4

Questão
An example of the intentional tort, assault, that a nurse could commit would be
Responda
  • Showing the patient restraints that the nurse could apply if consent is not obtained.
  • Intentional touching of the patient without the patient's consent.
  • Speaking defamatory statements about a patient.
  • Written publication of false statements that result in damage to the patient's reputation.

Questão 5

Questão
A student nurse tells the patient that he will be back next week for clinical, knowing that he will be advancing to the next level of education and will not see the patient again. This is an example of breaching which health care principle of ethics?
Responda
  • Veracity
  • Autonomy
  • Nonmaleficence
  • Beneficence

Questão 6

Questão
Nurses are aware that the American Nurses' Association (ANA) Standards of Nursing Practice are:
Responda
  • Legal statutes that guide nursing practice.
  • Progressive actions for a nursing procedure.
  • Requirements for registered nurse licensure.
  • Policy statements defining the obligations of nurses.

Questão 7

Questão
A nurse obtains an informed consent from a patient who is to have an invasive procedure. The nurse's signature on the informed consent form indicates that the:
Responda
  • Surgeon described the procedure and its potential risks.
  • Patient knows and understands expected outcomes.
  • Patient actually signed the consent form.
  • Surgeon is protected from being sued.

Questão 8

Questão
A nurse says to a patient, "You should get a second opinion because your physician is not the best." The nurse could be sued for:
Responda
  • Libel
  • Assault
  • Slander
  • Negligence

Questão 9

Questão
The nurse observes a multivehicle collision where several people are seriously injured. When a nurse stops at the scene of this accident, the nurse is:
Responda
  • Given legal immunity by the Good Samaritan Law.
  • Held responsible for the care provided at the scene.
  • Meeting the legal trust that accompanies a nursing license.
  • Immune from prosecution because a contract does not exist.

Questão 10

Questão
Five-year-old Bobby has dietary modifications related to his diabetes. His parents want him to value good nutritional habits and they decide to deprive him of a favorite TV program when he becomes angry after they deny him foods not on his diet. This is an example of what mode of value transmission?
Responda
  • Modeling
  • Moralizing
  • Laissez-faire
  • Rewarding and punishing
  • Responsible choice

Questão 11

Questão
Which of the following is the best professional response to a patient who tells you that she believes that “white nurses are smarter than nurses of color” and then asks if you agree?
Responda
  • “You are right!” (The patient/customer is always right!)
  • “What I think doesn’t matter. What’s important is whatever you believe.” (Value neutrality)
  • “I don’t believe being smart is related to race or ethnicity.” (Commitment to human dignity)

Questão 12

Questão
The American Association of Colleges of Nursing identified five values that epitomize the caring professional nurse. Which of these is best described as acting in accordance with an appropriate code of ethics and accepted standards of practice?
Responda
  • Altruism
  • Autonomy
  • Human dignity
  • Integrity
  • Social justice

Questão 13

Questão
A professional nurse with a commitment to social justice is most apt to:
Responda
  • Provide honest information to patients and the public
  • Promote universal access to healthcare
  • Plan care in partnership with patients
  • Document care accurately and honestly

Questão 14

Questão
When an older nurse complains that nurses just aren’t ethical anymore, which reply reflects the best understanding of moral development?
Responda
  • “The ability to behave ethically must be carefully cultivated; maybe we don’t value this sufficiently to pay it the attention it deserves.”
  • “I don’t agree that nurses were more ethical in the past. It’s a new age and the ethics are new!”
  • “Ethics is genetically determined … it’s like having blue or brown eyes. Maybe we’re evolving out of the ethical sense you and your generation had.”
  • “No kidding! Who could be ethical in a practice setting like this!”

Questão 15

Questão
A home health nurse who performs a careful safety assessment of the home of a frail elderly patient to prevent harm to the patient is acting in accord with which of the principles of bioethics?
Responda
  • Autonomy
  • Beneficence
  • Justice
  • Fidelity
  • Nonmaleficence

Questão 16

Questão
A professional nurse committed to the principle of autonomy would be careful to:
Responda
  • Provide the information and support a patient needed to make decisions to advance her own interests
  • Treat each patient fairly, trying to give everyone his or her due
  • Keep any promises made to a patient or another professional caregiver
  • Avoid causing harm to a patient

Questão 17

Questão
A friend asks you about the new Bill of Rights for nurses. What can you tell her that accurately reflects the concerns of the drafters of these rights?
Responda
  • The Bill of Rights was drafted by nurses who care more about themselves than they do about patients.
  • The Bill of Rights was drafted by union nurses who are always looking for a reason to strike.
  • The Bill of Rights was drafted to empower nurses and to improve conditions in the workplace.

Questão 18

Questão
Janie wants to call an ethics consult to clarify treatment goals for a patient no longer able to speak for himself. She believes his dying is being prolonged painfully. She is troubled when the patient’s doctor tells her that she’ll be fired if she raises questions about his care or calls the consult. This is a good example of:
Responda
  • Ethical uncertainty
  • Ethical distress
  • Ethical dilemma

Questão 19

Questão
Nurse advocates often are conflicted about respecting a patient’s right to be self-determining, while at the same time wanting to do everything in their power to promote the patient’s best interests. Which is the best general guideline for situations like these?
Responda
  • Patient rules! “It’s my life!”
  • Nurse rules! “It may be your life, but in this instance you don’t know enough to make the right choice!”
  • When in conflict, weigh the benefits and risks of following each option and then choose wisely.

Questão 20

Questão
When a state attorney decides to charge a nurse with manslaughter for allegedly administering a lethal medication order, this is an example of what type of law?
Responda
  • Public law
  • Private law
  • Civil law
  • Criminal law

Questão 21

Questão
If you wanted to find a list of the violations that can result in disciplinary actions against a nurse, you should read which of the following?
Responda
  • Nurse Practice Act
  • Code of Ethics for Nurses
  • Nurses’ Bill of Rights
  • American Journal of Nursing

Questão 22

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

Questão 23

Questão
Jean’s attorney was careful to explain in her defense that Jean had specialty knowledge, experience, and clinical judgment and had met certain criteria established by a nongovernmental association, as a result of which she was granted recognition in a specified practice area. What is this sort of credential called?
Responda
  • Accreditation
  • Licensure
  • Certification
  • Board approval

Questão 24

Questão
If review of this patient’s record revealed that she had never consented to the eye surgery, of which intentional tort might the surgeon have been guilty?
Responda
  • Assault
  • Battery
  • Invasion of privacy
  • False imprisonment

Questão 25

Questão
What must be established to prove that malpractice or negligence has occurred in this case?
Responda
  • The surgeon who performed the procedure called the nurse’s action pure negligence, saying the patient could have been saved.
  • The fact that this patient should not have died—she was a vibrant grandmother of 10 who had walked three quarters of a mile the morning of her surgery and had sung in her church choir the day before.
  • The nurse intended to harm the patient and was willfully negligent.
  • The nurse had a duty to monitor the patient’s vital signs, failed to do so, the patient died, and it was Jean’s failure to do her duty that caused the patient’s death.

Questão 26

Questão
When the attorney representing the patient’s family calls Jean and asks to talk with her about the case so that he can better understand her actions, how should Jean respond?
Responda
  • “I’m sorry, but I can’t talk with you. You’ll have to contact my attorney.”
  • Answer the attorney’s questions honestly and make sure that he understands her side of the story.
  • Appeal to the attorney’s sense of compassion and try to enlist his sympathy by telling him how busy it was that morning.
  • “Why are you doing this to me? This could ruin me!”

Questão 27

Questão
If you harm a patient by administering a medication (wrong drug, wrong dose, etc.) ordered by a physician, which of the following is true?
Responda
  • You are not responsible, since you were merely following the doctor’s orders.
  • Only you are responsible, since you actually administered the medication.
  • Only the physician is responsible, since he or she actually ordered the drug.
  • Both you and the physician are responsible for your respective actions.

Questão 28

Questão
A friend tells you not to even think about carrying your own insurance because “you’ll be a magnet for attorneys trying to make a buck.” When you seek the advice of the American Nurses Association, you are likely to read which of the following reasons for purchasing a personal professional liability insurance policy? (1) Protection of the nurse’s best interests (2) Limitations of employer’s coverage (3) Care or advice given outside of work (4) Protection of the institution’s best interests
Responda
  • (1)
  • (1) and (2)
  • (1), (2), (3)
  • All of the above

Questão 29

Questão
A fellow student asks you about your legal liability when you do your clinical practice. Which of the following are true? (1) Student nurses are responsible for their own acts of negligence if these result in patient injury. (2) Students nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse. (3) A hospital may also be held liable for the negligence of a student nurse enrolled in a hospital-controlled program because the student is considered an employee of the hospital. (4) Nursing instructors may share a student’s responsibility for damages in the event of patient injury if the instructor failed to provide reasonable and prudent clinical supervision.
Responda
  • (1) and (3)
  • (2) and (4)
  • (1), (2), (3)
  • All of the above

Questão 30

Questão
What is altruism?
Responda
  • Concern for the well-being of others.
  • Maintenance for moral, legal, and humanistic principles.
  • The right to self-determination.
  • Respect for the worth of people and populations.

Questão 31

Questão
What is autonomy?
Responda
  • Maintenance for moral, legal, and humanistic principles.
  • Acting according to a code or certain standards.
  • The right to self determination.
  • Concern for the well being of others.

Questão 32

Questão
Human dignity is respecting the worth of people and populations.
Responda
  • True
  • False

Questão 33

Questão
Integrity is maintenance of moral, legal, and humanistic principles.
Responda
  • True
  • False

Questão 34

Questão
Social justice is maintenance of moral, legal, and humanistic principles.
Responda
  • True
  • False

Questão 35

Questão
A nurse is guilty of __________________ when she restrains a patient, without an order, for using the call light too frequently.
Responda
  • Fact witness
  • Fraud
  • Battery
  • False imprisonment

Questão 36

Questão
In a malpractice lawsuit, a nurse accused of a wrongful act is the __________________.
Responda
  • Sentinel
  • Defendant
  • Plantiff
  • Libel

Questão 37

Questão
A nurse documents that a patient is “too lazy” to turn every 2 hours and “extremely difficult” to care for. She is guilty of ______________.
Responda
  • Libel
  • Fraud
  • Assault
  • Battery

Questão 38

Questão
A nurse may be committing ___________ if he gives a patient a dose of IV Ativan without the patient’s awareness or consent.
Responda
  • Fraud
  • False imprisonment
  • Battery
  • Fact witness

Questão 39

Questão
A nurse is called to court for a malpractice hearing because she was present at the time a surgeon failed to maintain a sterile field during a procedure. This nurse would be considered a ______________.
Responda
  • Eye witness
  • Fact witness
  • Sentinel
  • Expert witness

Questão 40

Questão
The physician tells a patient that her lap band surgery will cure her of heart disease and diabetes. This physician is potentially guilty of ________________.
Responda
  • Libel
  • Assault
  • Nonmaleficence
  • Fraud

Questão 41

Questão
A wound care nurse may be called as the _____________ in a malpractice suit when a patient develops a pressure ulcer due to a lack of competent nursing care.
Responda
  • Expert witness
  • Eye witness
  • Fact witness
  • Defendant

Questão 42

Questão
After an open cholecystectomy (gallbladder removal), an abdominal X-ray reveals an unknown foreign object in the abdominal cavity. This is an example of ________________.
Responda
  • Negligence
  • Sentinel
  • Fraud
  • Veracity

Questão 43

Questão
The nurse tech witnesses a patient fall while attempting to transfer from the bed to the chair. Which of the following statements should not be included in the incident report?
Responda
  • The patient received 0.5 mg of Ativan 30 minutes before the incident.
  • The patient was wearing nonskid footwear at the time of the incident.
  • The patient is drug-seeking and fell on purpose to receive pain medication.
  • The incident occurred in the patient’s room at 1300.

Questão 44

Questão
Which of the following is true regarding an occurrence/incident report:
Responda
  • It is a method used to discipline negligent employees.
  • It is always completed by the physician on call.
  • An occurrence/incident report is only completed when there is harm to a patient.
  • It is used as a quality improvement measure to help promote safe nursing care.

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