ACC 999 Fundamental Nursing Skills and Concept 10th Edition

ACC 999 Fundamental Nursing Skills and Concept 10th Edition Test Bank Instant Download With Answers 1. A client who has undergone resection of the intestine is on a liquid diet with a nasogastr comes to his room and insists that a physician be called. The nurse insists that it is the r complications and has to be reoperated upon. How is negligence determined in this situ A) The nurse did not call the physician when the client asked. B) The nurse did not realize the importance of the tube. C) The dietary department sent the wrong diet for the client. D) The nurse did not communicate clearly with the client. Ans: B Feedback: Negligence is defined as harm that occurs because the person did not act reasonably. In nasogastric tube, and should consequently have been on liquid feeds after intestinal sur not calling the physician and communicating poorly do not amount to negligence. The d nurse. 2. A client who is scheduled for hernioplasty needs clarification regarding the procedure. T physician, who is in a bad mood, is overheard telling the client that the nurse is incomp torts has the physician committed? A) Libel B) Battery C) Assault D) Slander Ans: D Feedback: The physician has committed slander by defaming the nurse orally. Slander is a charact damaging statements written and read by others. Assault is an act in which bodily harm contact, not applicable in this situation. 3. A nurse enters a client’s room and finds that the client is lying on the floor. The nurse m assessment. The nurse then informs the physician and the nursing supervisor about this following actions by the nurse indicates correct knowledge of handling an incident repor A) Documents a complete description of the happenings in the client’s records B) Makes a copy of the incident report and places it in the client’s records C) Makes a copy of the incident report to give to the physician D) Mentions in the client’s report that an incident report was completed Ans: A Feedback: An incident report is a written account of an unusual, potentially injurious event involvin medical record. The incident report is a legal document and making a copy of it is not a the nurse can mention the incident in the client’s records without mentioning the incide 4. A nurse is caring for a client with multiple sclerosis. The client informs the nurse that a l sign as witness. Which of the following actions should the nurse take? A) State that the physician will be a witness B) Arrange for other colleagues to sign as a witness C) Note that the nurse caring for the client cannot be a witness D) Inform the physician about the living will Ans: C Feedback: A living will is an instructive form of an advance directive. It is a written document that i to use in a terminal condition, irreversible coma, or persistent vegetative state with no h sign as witnesses; therefore, the nurse cannot sign as witness. Refusing a client may no politely indicate the reason for declining. Calling for a physician or asking another collea 5. A home care nurse is caring for a paralyzed client who needs regular position changes a inquires if he can be of any help to the family. What should be the nurse’s response be? A) The nurse should ask the man to talk to the family directly. B) The nurse should invite the man to learn the caring techniques. C) The nurse should state that the family does not need any help. D) The nurse should refer the man to the local social worker. Ans: A Feedback: The nurse should ask the man to talk to the family directly. Revealing information about should not invite the gentleman for a learning session because it would be a breach of t an appropriate choice. 6. An HIV-positive client discovers that his name is published in a report on HIV care prepa against the nurse. Which of the following offenses has this nurse committed? A) Unintentional tort B) Invasion of privacy C) Defamation D) Negligence of duty Ans: B Feedback: The nurse has committed the tort of invasion of privacy. Personal names and identities a Invasion of privacy is a type of intentional tort. Defamation is an act in which untrue info applicable here. Negligence is the harm that results because a person did not act reason 7. A nurse finds that a colleague is intoxicated while on duty. What appropriate action shou A) Inform the nursing supervisor B) Tell the colleague to take a 30-minute break C) Inform the physician D) Watch the colleague closely during the shift Ans: A Feedback: When a colleague is intoxicated while on duty, the nurse should immediately inform the an irresponsible action if the nurse tells the colleague to take rest. Likewise, informing a ignore the incident and simply observe the colleague because client care may be affect 8. A nurse in a psychiatric care unit finds that a client with psychosis has become violent a nurse take in this case? A) Do not restrain the client, as it is equivalent to false imprisonment. B) Restrain the client, as he is harmful to the other patients. C) Do not restrain the client, as it is equivalent to battery. D) Inform the physician and complete a comprehensive assessment. Ans: B Feedback: The nurse should restrain the client because he is potentially harmful to other patients i resort and their use should be justified. Unnecessary restraining can lead to allegations case, however. The nurse should inform the physician about the client, but sometimes it 9. A nurse warns a client who has a recent history of seizures that he may fall off his bed d raised. Before leaving the client’s room, the nurse puts up the side rails, but after the nu fall from the bed during seizures and holds the nurse responsible for it. Which of the foll A) Good Samaritan law B) Statute of limitations C) Common law D) Assumption of risk Ans: D Feedback: The nurse is protected by the provision of assumption of risk. If a client is forewarned of court may hold the client responsible. It is essential that the nurse documents that he o warning. Good Samaritan laws provide legal immunity to passersby who provide emerge designated time within which a person can file a lawsuit. Common laws are decisions ba 10. A client informs the nurse that he wants to discontinue his treatment and go home. Late the nurse take in this situation? A) Let the client go after signing a document stating he is going against medic B) Restrain the client until his medical treatment is over. C) Call the physician and get his discharge paper signed. D) Warn the client that he may not be able to access health care again. Ans: A Feedback: If a client wishes to go before his medical treatment is finished, he should sign a docum advice. The nurse should not restrain the patient, as it would make the nurse liable for l discharge paper signed, but this is not appropriate. The nurse cannot warn the client th access the health care facility whenever he needs. 11. A client is admitted with symptoms of psychosis. The nurse hurries to the client’s room on the ground. The nurse assists the client back to the bed and performs a thorough ass incident report. Which of the following statements should the nurse document in the inc A) The client was trying to lower the side rails. B) The client was found lying on the floor. C) The client was trying to get out of the bed. D) The client was not aware that he had fallen. Ans: B Feedback: An incident report is a written account of an unusual, potentially injurious event involvin incident report should be accurate and not assumed. Accurate and detailed documentat appropriately in the circumstance. The nurse should document that the client was found should not be included in the incident report. 12. A nurse assesses a client with psychotic symptoms and determines that the client likely adamantly opposed to this. What would be the best nursing action? A) Contact the physician and obtain necessary orders B) Restrain the client with vest restraints C) Ask a family member to come in to supervise the client D) Apply wrist restraints instead of vest restraints Ans: A Feedback: If a nurse feels that a client needs to be restrained, the nurse should inform the physicia with the client’s family members and ask their opinion. Applying a wrist restraint instea necessary. It would be inappropriate to delegate this aspect of care to a family member. 13. A nurse is caring for a client who has undergone coronary angioplasty. The cardiac moni The nurse does not recognize the importance of the sign. As a result, the client’s conditi emergency procedure. Which of the following describes the nurse’s legal liability? A) Felony B) Defamation C) Tort D) Slander Ans: C Feedback: A tort is a cause of action in which one person asserts that a physical, emotional, or fina failure to act. A tort implies that a person breached his or her duty to another person. In serious criminal offense, such as murder. Defamation is an act in which untrue informati uttered orally in the presence of others. 14. A nurse, while off-duty, tells the physiotherapist that a client who was admitted to the n age of 18. The physiotherapist, during his usual care to the client, expresses his concern discovers that the nurse has revealed the information to the physiotherapist. With what A) Libel B) Slander C) False imprisonment D) Unintentional tort Ans: B Feedback: The nurse can be charged with slander, which is a character attack uttered orally in the and read by others. The description is also not appropriate for false imprisonment. Slan 15. A nurse witnesses a traffic accident in which a child is badly hurt. The nurse dresses the monetary compensation, which the nurse refuses. Later, in the hospital, the child develo the nurse responsible for the complications and wants to file a lawsuit. Which of the foll A) The Good Samaritan law will provide legal immunity to the nurse. B) The Good Samaritan law will not protect the nurse, as she did not accept th C) The Good Samaritan law is not applicable to health care workers. D) The Good Samaritan law provides absolute exemption from all forms of pro Ans: A Feedback: Good Samaritan laws provide legal immunity to passersby who provide emergency first nurse as well; moreover, the nurse did not accept any compensation for the service pro provide absolute exemption from prosecution in cases of negligence. Paramedics, ambu assistance are still held to a higher standard of care because they have training above a negligence, health care workers may be charged with a criminal offense. 16. A nurse is caring for a very weak client with a multiple pregnancy. Which of the followin A) Support the procedure of selective abortion B) Argue that destroying any fetus is wrong C) Avoid telling the truth to the client D) Avoid analyzing ethical dilemmas of a case Ans: A Feedback: A teleologist may argue that selective abortion is ethical because it will ensure the full-t dilemmas on a case-by-case basis. A deontologist may argue that destroying any fetus i never acceptable because it violates the duty to tell the truth to those entitled to hones 17. A nurse is applying for professional liability insurance. The nurse knows that professiona reasons? A) To obtain sound compensation for work that is performed B) To mitigate the financial obligations arising from unexpected health outcom C) To upgrade professional knowledge and meet standards of practice D) To meet the requirements of the state board of nursing Ans: B Feedback: The number of lawsuits involving nurses is increasing. It is to every nurse’s advantage t mechanisms, such as Good Samaritan laws and statutes of limitations that may prevent Professional liability insurance does not focus on upgrading the nurse’s professional kno sound compensation. 18. A client with a bone infection had a central venous catheter ordered for the long-term a the bedside by a qualified nurse, but the nurse was observed to make a serious lapse in law most directly addresses this situation? A) Criminal law B) Civil law C) Common law D) Statutory law Ans: B Feedback: This nurse has committed a breach of duty, which is an offense under civil law. It is unlik common law do not address such events that involve an act between two individuals. 19. After several years of providing bedside care in an inpatient setting, a nurse has taken a may contribute to which of the following activities of a state board of nursing? A) Issuing and transferring nursing licenses within the state B) Providing consultation on ethically challenging clinical situations C) Promoting the visibility of the nursing profession within the state D) Allocating financial resources within clinics and hospitals in the state Ans: A Feedback: State boards of nursing perform multiple roles, including issuing and transferring license resources, and promotion of the nursing profession are not typical activities of state boa 20. A nurse who works on a palliative care unit has participated in several clinical scenarios as A) The relationship between law and culture B) Moral values that are considered to be universal C) The principles that determine whether an act is right or wrong D) The laws that govern acceptable and unacceptable behavior Ans: D Feedback: Ethics involves moral or philosophical principles that direct actions as being either right not synonymous. Similarly, morals and values are closely associated with ethics, but the universally agreed upon, as many different applications exist. 21. A group of nursing students are reviewing the ANA’s current code of ethics. A code of et A) Nurses are highly vulnerable to criminal and civil prosecution in the course B) Nurses interact with clients and families from diverse cultural and religious C) Nursing practice involves numerous interactions between laws and individu D) Nurses are responsible for carrying out actions that have been ordered by o Ans: C Feedback: A code of ethics is necessary to guide nurses’ conduct, especially with regard to the inte liability do not provide the main justification for a code of ethics, though each is often a orders of others is not the justification for a code of ethics. 22. A group of nurses who work at a large, long-term care facility have become embroiled in seasonal influenza vaccination. Specifically, there is controversy around the appropriate residents to become immunized. A teleological perspective on this issue would prioritize A) The “rightness” or “wrongness” of coercion B) The legal rights of the individual C) The greatest good for the greatest number D) Historical precedents Ans: C Feedback: Teleology is ethical theory based on final outcomes. It is also known as utilitarianism be best for the most people. Deontology focuses on the morality of an act. Teleology does n individual.