Leadership Roles and Management functions in Nursing theory and ap
cation 10th edition Chapter 5
1. A. The Nurse Practice Act
Feedback: Nurse Practice Acts define and limit the practice of nursing, stating what
constitutes authorized practice as well as what exceeds the scope of authority.
An attorney
general's office cannot supersede the provisions of a Nurse Practice Act.
Ethical guidelines
do not establish a nurse's scope of practice. Standards of practice describe the quality
of a
nurse's care but not the legal scope.: Two registered nurses have disagreed about their scope
of practice regarding medication administration. What resource should the nurse consult?
A. The Nurse Practice Act
B. The nursing standards of practice
C. The attorney general's office
D. The code of ethics
2. D. Other nurses who practice in similar settings and specialties Feedback: The
testimony of other nurses in the same specialty as the defen- dant may be used
to prove breach of duty. These people are considered a reliable and valid source of
information by the court, more so than members of the public, administrators, or
medical
experts: A nurse is facing a malpractice suit after a client was injured in a fall. When
establishing whether the nurse committed a breach of duty, the court will consult with:
A. Medical experts from the same area of specialty
B. Members of public who have been treated in similar care setting
C. The administrators of health facility where the fall occurred
D. Other nurses who practice in similar settings and specialties
3. ANS: C
Feedback: The rule of personal liability says that every person is liable for his or her
own
conduct, even if someone else prescribed the intervention. The law does not permit a
wrongdoer to avoid legal liability for his or her own wrongdoing, even though someone
else
also may be sued and held legally liable. "Due care" does not negate the consequences
of
, Leadership Roles and Management functions in Nursing theory and ap
cation 10th edition Chapter 5
the nurse's actions or release the nurse from liability if he or she knowingly committed
an
unsafe act. Refusal to carry out the procedure would not be a basis for losing a
nursing
license.: A health care provider prescribes a medical procedure that the staff nurse has reaso
to believe will harm the client. Which principle should guide the nurses choice of action?
a. The staff nurse cannot be held legally liable for any harm to the client if the
procedure is carried out with due care.
b. The nurse may lose his or her license by refusing to carry out the procedure.
c. The nurse can be held legally liable for any harm if the procedure is carried out
without questioning it.
d. Liability rests with the health-care provider, not the nurse.
4. ANS: A
Feedback: Informed consent is obtained by a physician; therefore, in most cases, a
nurse is
not legally responsible for informed consent but is confirming that the client signed th
consent form. If the nurse acts solely in the role of a witness, there are not likely to be
legal
consequences for the nurse. The nurse would not be considered to be a full member of
the
surgical team if his or her role was limited to admitting the client. Surgery is beyond
the
nurse's scope of practice, but this does not form the basis for the nurse's likely exemption
from liability.: The preoperative admitting nurse witnessed a client sign an operative consent
form. The
nurse then cosigned the same document as a witness. The client suffered an injury during
surgery and names the nurse in the suit because the nurse witnessed the consent form. What
is the most likely outcome?
a. The nurse is not likely liable because the signature only specifies that the nurse
witnessed the client signing the consent form.
b. The nurse is likely not liable because surgery is beyond the nurse's scope of
practice.
c. The nurse may be liable because cosigning the consent form makes the nurse an equal
member of the surgical team.
, Leadership Roles and Management functions in Nursing theory and ap
cation 10th edition Chapter 5
d. The nurse is liable because cosigning the consent form confirms that the client fully
understood the risks of surgery.
5. ANS: C
Feedback: Clients possess a right to view their medical records, but the protocols for
facilitating this vary. Consequently, the nurse should check this facility's policy before
acting. It would likely be premature for the nurse to provide the medical record to the
client
before communicating with other members of the care team or administrators to ensur
policy is followed. This matter is outside the purview of ethics committees because it
does
not involve a dilemma. The Nurse Practice Act focuses on scope of practice and other
regulatory issues, not client rights: A client is preparing to be discharged from the health-
care facility and has told the nurse
that he would like to read his medical record. What is the nurse's best initial action?
a. Arrange for the medical record to be provided to the client.
b. Inform the client that this request will be communicated to the facility's ethics
committee.
c. Confirm the facility's policy around providing medical records to clients.
d. Check whether this provision is included in the jurisdiction's Nurse Practice Act.
6. ANS: B
Feedback: It is the responsibility as manager to immediately document the error
according
to hospital policy. Because policies concerning such situations vary, it is vital to know
and
follow established policies. It is not generally appropriate to make such a note on the
client's
chart. Speaking to another nurse or manager is not a sufficient response, although this
may
be one part of the follow-up process.: A charge nurse has discovered that a medication
error was made on the previous shift. What is the nurse's best action?
a. Share that information with the charge nurse on the previous shift.
b. Document the incident and follow it up as per hospital policy.
c. Write a memo to the nurse who made the error requesting an incident report be written.
d. Document in the client's chart that an incident report will be completed.
cation 10th edition Chapter 5
1. A. The Nurse Practice Act
Feedback: Nurse Practice Acts define and limit the practice of nursing, stating what
constitutes authorized practice as well as what exceeds the scope of authority.
An attorney
general's office cannot supersede the provisions of a Nurse Practice Act.
Ethical guidelines
do not establish a nurse's scope of practice. Standards of practice describe the quality
of a
nurse's care but not the legal scope.: Two registered nurses have disagreed about their scope
of practice regarding medication administration. What resource should the nurse consult?
A. The Nurse Practice Act
B. The nursing standards of practice
C. The attorney general's office
D. The code of ethics
2. D. Other nurses who practice in similar settings and specialties Feedback: The
testimony of other nurses in the same specialty as the defen- dant may be used
to prove breach of duty. These people are considered a reliable and valid source of
information by the court, more so than members of the public, administrators, or
medical
experts: A nurse is facing a malpractice suit after a client was injured in a fall. When
establishing whether the nurse committed a breach of duty, the court will consult with:
A. Medical experts from the same area of specialty
B. Members of public who have been treated in similar care setting
C. The administrators of health facility where the fall occurred
D. Other nurses who practice in similar settings and specialties
3. ANS: C
Feedback: The rule of personal liability says that every person is liable for his or her
own
conduct, even if someone else prescribed the intervention. The law does not permit a
wrongdoer to avoid legal liability for his or her own wrongdoing, even though someone
else
also may be sued and held legally liable. "Due care" does not negate the consequences
of
, Leadership Roles and Management functions in Nursing theory and ap
cation 10th edition Chapter 5
the nurse's actions or release the nurse from liability if he or she knowingly committed
an
unsafe act. Refusal to carry out the procedure would not be a basis for losing a
nursing
license.: A health care provider prescribes a medical procedure that the staff nurse has reaso
to believe will harm the client. Which principle should guide the nurses choice of action?
a. The staff nurse cannot be held legally liable for any harm to the client if the
procedure is carried out with due care.
b. The nurse may lose his or her license by refusing to carry out the procedure.
c. The nurse can be held legally liable for any harm if the procedure is carried out
without questioning it.
d. Liability rests with the health-care provider, not the nurse.
4. ANS: A
Feedback: Informed consent is obtained by a physician; therefore, in most cases, a
nurse is
not legally responsible for informed consent but is confirming that the client signed th
consent form. If the nurse acts solely in the role of a witness, there are not likely to be
legal
consequences for the nurse. The nurse would not be considered to be a full member of
the
surgical team if his or her role was limited to admitting the client. Surgery is beyond
the
nurse's scope of practice, but this does not form the basis for the nurse's likely exemption
from liability.: The preoperative admitting nurse witnessed a client sign an operative consent
form. The
nurse then cosigned the same document as a witness. The client suffered an injury during
surgery and names the nurse in the suit because the nurse witnessed the consent form. What
is the most likely outcome?
a. The nurse is not likely liable because the signature only specifies that the nurse
witnessed the client signing the consent form.
b. The nurse is likely not liable because surgery is beyond the nurse's scope of
practice.
c. The nurse may be liable because cosigning the consent form makes the nurse an equal
member of the surgical team.
, Leadership Roles and Management functions in Nursing theory and ap
cation 10th edition Chapter 5
d. The nurse is liable because cosigning the consent form confirms that the client fully
understood the risks of surgery.
5. ANS: C
Feedback: Clients possess a right to view their medical records, but the protocols for
facilitating this vary. Consequently, the nurse should check this facility's policy before
acting. It would likely be premature for the nurse to provide the medical record to the
client
before communicating with other members of the care team or administrators to ensur
policy is followed. This matter is outside the purview of ethics committees because it
does
not involve a dilemma. The Nurse Practice Act focuses on scope of practice and other
regulatory issues, not client rights: A client is preparing to be discharged from the health-
care facility and has told the nurse
that he would like to read his medical record. What is the nurse's best initial action?
a. Arrange for the medical record to be provided to the client.
b. Inform the client that this request will be communicated to the facility's ethics
committee.
c. Confirm the facility's policy around providing medical records to clients.
d. Check whether this provision is included in the jurisdiction's Nurse Practice Act.
6. ANS: B
Feedback: It is the responsibility as manager to immediately document the error
according
to hospital policy. Because policies concerning such situations vary, it is vital to know
and
follow established policies. It is not generally appropriate to make such a note on the
client's
chart. Speaking to another nurse or manager is not a sufficient response, although this
may
be one part of the follow-up process.: A charge nurse has discovered that a medication
error was made on the previous shift. What is the nurse's best action?
a. Share that information with the charge nurse on the previous shift.
b. Document the incident and follow it up as per hospital policy.
c. Write a memo to the nurse who made the error requesting an incident report be written.
d. Document in the client's chart that an incident report will be completed.
