Chapter 20: Verified | Nursing Test Ban
Nursing Test Banks
Chapter 20: Researched Case Study
Chapter 20: Case Study
MULTIPLE CHOICE
1. A Caregiver is giving a presentation on malpractice. Which statement indicates the Caregiver understands malpractice?
a. “The elements of duty, breach of duty, and patient injury must be present for a malpractice claim.”
b. “Negligent nursing care and failure to follow standards must be present for a malpractice claim.”
c. “Failure to report, defamation, and discrimination must be present for a malpractice claim.”
d. “Error in judgment and invasion of privacy must be present for a malpractice claim.”
ANS: A
There are three elements that must be present for a malpractice claim: (1) You must have a duty—there must be a
professional Caregiver–patient relationship. (2) You must have breached a duty that was foreseeable—you must have fallen
below the standard of care. (3) Your breach of duty caused patient injury or damages. The other options do not indicate the
Caregiver’s understanding of malpractice.
PTS: 1 DIF: Cognitive Level: Application REF: p. 454
OBJ: Be able to identify the elements of nursing malpractice and how they are proven in a malpractice claim. TOP: Malpractice
MSC: NCLEX®: Not applicable
2. In transcribing orders for a patient, the Caregiver finds a new order for aspirin, 500 mg, QID. The patient has a long history
of gastrointestinal bleeding. What is the best nursing action?
TOPNURS
,Chapter 20: Verified | Nursing Test Ban
a. Give the medication.
b. Withhold the medication and chart why it was not given.
c. Call the physician and question the order in light of the patient’s history.
d. Ask if the patient is allergic to aspirin.
ANS: C
The Caregiver should call the physician and question the medication order for aspirin based on the patient’s history of
gastrointestinal (GI) bleeding. Claims involving medication errors are augmented when the Caregiver fails to recognize side
effects or contraindications or fails to know a patient’s allergies. The Caregiver would withhold the medication until the
physician is notified and the order clarified. Giving the medication could cause the patient to start bleeding. Although asking
for allergies is an important nursing action, the important aspect in this situation in the medical history of GI bleeding.
PTS: 1 DIF: Cognitive Level: Application REF: p. 456
OBJ:Be able to identify the elements of nursing malpractice and how they are proven in a malpractice claim.TOP:Doctor’s
orders
MSC:NCLEX®: Physiological integrity—pharmacological therapies
3. The Caregiver enters a patient’s room to complete the discharge paperwork and finds the patient in tears. The patient
reports that someone from the business office stated they could not leave the hospital until the bill was paid. What is the best
nursing action?
a. Comfort the patient and continue the preparations for discharge.
b. Call the social worker for a financial evaluation.
c. Call the family to arrange for the payment.
TOPNURS
, Chapter 20: Verified | Nursing Test Ban
d. Cancel the discharge plans and notify the physician of the situation.
ANS: A
The best action is to comfort the patient and continue the discharge preparations. If the patient’s claim is accurate, this could
be false imprisonment (wrongfully making someone believe that they cannot leave a place). The Caregiver’s best action is to
comfort the patient and continue the discharge preparations. However, this should also be reported to the supervisor. Calling
the social worker or the contacting the family is not appropriate.
PTS: 1 DIF: Cognitive Level: Application REF: p. 472
OBJ:Incorporate an understanding of legal risks into your nursing practice and how to minimize risks.TOP:False imprisonment
MSC: NCLEX®: Safe and effective care environment—management of care
4. What is a correct statement regarding a Caregiver who acts beyond the scope of practice?
a. Demonstrates what a good Caregiver he or she can be
b. Provides enriched services to patients who would not otherwise receive them
c. May make other Caregivers angry because of the increased expectations created
d. May be disciplined by the board of nursing
ANS: D
States may regulate nursing practice by controlling the scope of practice and determining the specific activities for each level
of nursing. In most states, the Caregiver Practice Act provides definitions and scope of practice for each level of nursing
practice. The power of the board to discipline can have an adverse effect on the Caregiver’s ability to practice. Practicing
beyond the scope of practice does not demonstrate what a good Caregiver the person is and does not provide enriched
services. Other Caregivers would not be angry at increased expectations but at the foolishness of the Caregiver practicing
beyond the scope of practice.
TOPNURS
Nursing Test Banks
Chapter 20: Researched Case Study
Chapter 20: Case Study
MULTIPLE CHOICE
1. A Caregiver is giving a presentation on malpractice. Which statement indicates the Caregiver understands malpractice?
a. “The elements of duty, breach of duty, and patient injury must be present for a malpractice claim.”
b. “Negligent nursing care and failure to follow standards must be present for a malpractice claim.”
c. “Failure to report, defamation, and discrimination must be present for a malpractice claim.”
d. “Error in judgment and invasion of privacy must be present for a malpractice claim.”
ANS: A
There are three elements that must be present for a malpractice claim: (1) You must have a duty—there must be a
professional Caregiver–patient relationship. (2) You must have breached a duty that was foreseeable—you must have fallen
below the standard of care. (3) Your breach of duty caused patient injury or damages. The other options do not indicate the
Caregiver’s understanding of malpractice.
PTS: 1 DIF: Cognitive Level: Application REF: p. 454
OBJ: Be able to identify the elements of nursing malpractice and how they are proven in a malpractice claim. TOP: Malpractice
MSC: NCLEX®: Not applicable
2. In transcribing orders for a patient, the Caregiver finds a new order for aspirin, 500 mg, QID. The patient has a long history
of gastrointestinal bleeding. What is the best nursing action?
TOPNURS
,Chapter 20: Verified | Nursing Test Ban
a. Give the medication.
b. Withhold the medication and chart why it was not given.
c. Call the physician and question the order in light of the patient’s history.
d. Ask if the patient is allergic to aspirin.
ANS: C
The Caregiver should call the physician and question the medication order for aspirin based on the patient’s history of
gastrointestinal (GI) bleeding. Claims involving medication errors are augmented when the Caregiver fails to recognize side
effects or contraindications or fails to know a patient’s allergies. The Caregiver would withhold the medication until the
physician is notified and the order clarified. Giving the medication could cause the patient to start bleeding. Although asking
for allergies is an important nursing action, the important aspect in this situation in the medical history of GI bleeding.
PTS: 1 DIF: Cognitive Level: Application REF: p. 456
OBJ:Be able to identify the elements of nursing malpractice and how they are proven in a malpractice claim.TOP:Doctor’s
orders
MSC:NCLEX®: Physiological integrity—pharmacological therapies
3. The Caregiver enters a patient’s room to complete the discharge paperwork and finds the patient in tears. The patient
reports that someone from the business office stated they could not leave the hospital until the bill was paid. What is the best
nursing action?
a. Comfort the patient and continue the preparations for discharge.
b. Call the social worker for a financial evaluation.
c. Call the family to arrange for the payment.
TOPNURS
, Chapter 20: Verified | Nursing Test Ban
d. Cancel the discharge plans and notify the physician of the situation.
ANS: A
The best action is to comfort the patient and continue the discharge preparations. If the patient’s claim is accurate, this could
be false imprisonment (wrongfully making someone believe that they cannot leave a place). The Caregiver’s best action is to
comfort the patient and continue the discharge preparations. However, this should also be reported to the supervisor. Calling
the social worker or the contacting the family is not appropriate.
PTS: 1 DIF: Cognitive Level: Application REF: p. 472
OBJ:Incorporate an understanding of legal risks into your nursing practice and how to minimize risks.TOP:False imprisonment
MSC: NCLEX®: Safe and effective care environment—management of care
4. What is a correct statement regarding a Caregiver who acts beyond the scope of practice?
a. Demonstrates what a good Caregiver he or she can be
b. Provides enriched services to patients who would not otherwise receive them
c. May make other Caregivers angry because of the increased expectations created
d. May be disciplined by the board of nursing
ANS: D
States may regulate nursing practice by controlling the scope of practice and determining the specific activities for each level
of nursing. In most states, the Caregiver Practice Act provides definitions and scope of practice for each level of nursing
practice. The power of the board to discipline can have an adverse effect on the Caregiver’s ability to practice. Practicing
beyond the scope of practice does not demonstrate what a good Caregiver the person is and does not provide enriched
services. Other Caregivers would not be angry at increased expectations but at the foolishness of the Caregiver practicing
beyond the scope of practice.
TOPNURS
