CORRECT VERIFIED ANSWERS
◉ After a car/pedestrian accident, the pedestrian is brought to the ER.
The client is alert & oriented but complains of dyspnea. O2 sat levels
vary from 88-90%. O2 is applied at 2 L per nc with no improvement
in SpO2. Radiograph films reveal no obvious injury or fractures.
Suddenly the pt loses consciousness has a respiratory arrest &
subsequently dies. During the respiratory arrest resuscitation it is
determined that a nurse failed to open the valve to the O2 tank & the
client had not been receiving O2. What is the key ethical principal
involved in this situation?
1. Nonmaleficence
2. Fidelity
3. Beneficence
4. Justice Answer: Correct answer # 1 - nonmaleficenceis the
requirement that health care providers do no harm to their clients
either intentionally or unintentionally. Think of remember
nonmaleficenceis not harm
2 - incorrect - fidelity is the obligation of an individual to be faithful
3 - incorrect - beneficence is doing food for the clients
4 - incorrect - justice is the obligation to be fair to all people.
,◉ Which factor is unique to malpractice when comparing negligence
and malpractice?
1. The action did not meet standards of care.
2. The inappropriate care is an act of commission.
3. There is harm to the patient as a result of the care
4. There is a contractual relationship between the nurse and patient.
Answer: Correct answer - 4 - only malpractice is misconduct
performed in professional practice, where there is a contractual
relationship between the patient and nurse, which results in harm to
the patient.
1 - incorrect - there is a violation of standards of care with both
negligence and malpractice
2 - incorrect - negligence and malpractice both involve acts of either
commission (did do something) or omission (did not do something).
3 - incorrect - the patient must have sustained injury, damage, or harm
with both negligence and malpractice.
◉ An anxious patient repeatedly uses the call bell to get the nurse to
come to the room. Finally the nurse says to the patient, "If you keep
ringing, there will come a time I won't answer your bell."this is an
example of:
1. Slander
2. Assault
3. Battery
,4. Libel Answer: Correct answer 2 - this is an example of assault.
Assault is a verbal attack or unlawful threat causing a fear of harm.
No actual contact is necessary for a threat to be an assault.
1 - incorrect - slander is a false spoken statement resulting in damage
to a person's character or reputation.
3 - incorrect - battery is the unlawful touching of a person's body
without consent.
4 - incorrect - libel is a false printed statement resulting in damage to
a person's character or reputation.
◉ A patient asks the nurse, "what is a Living Will?"the nurse should
respond that it is a document that:
1. Instructs a physician to withhold/withdraw life sustaining
procedures if death is near.
2. Enables a person to request medication to end life in a humane and
dignified manner.
3. Gives consent to perform life sustaining medical interventions
during an emergency
4. Wills ones organs to help others who needs a transplant to sustain
life. Answer: Correct answer - 1 - a living will provides specific
instructions about the care the person does or does not want to
receive, including withholding or withdrawing life sustaining
procedures.
2 - incorrect - euthanasia is the act of painlessly putting to death a
person who is suffering and is against the law in most states.
, 3 - incorrect - when an individual can not provide written or oral
consent (express consent) during an emergency, care is provided
under the concept of implied consent.
4 - incorrect - under the Uniform Anatomical Gift Act and the
National Organ Transplant Act in the US, individuals 18 years or
odlermay donate all or part of their bodies for education, research,
advancement of science, therapy, or transplantation. Consent for
organ donation usually is made via a signed organ donation card.
◉ A patient falls while getting out of bed unassisted. When
completing an Incident Report, the nurse understands that its main
purpose is to:
1. Ensure that all parties have an opportunity to document what
happened.
2. Help establish who is responsible for the incident
3. Make data available for quality control analysis
4. Document the incident on the patient's chart Answer:
Corrrectanswer - 3 - incident reports help identify patterns of risk so
that corrective action plans can take place.
1 - incorrect - the nurse who identifies or creates the potential or
actual harm completes the Incident Report. The report identifies the
people involved in the incident, describes the incident, and records the
date, time, location, actions taken, and other relevant information.
2 - incorrect - documentation should be as factual as possible and
avoid accusations. Questions of liability are the responsibility of the
courts.