Eliopoulos Chapter 8- Legal Aspects of
Gerontological Nursing
1. Which of the following elements of gerontological nursing would be most probably
categorised under non-public law?
A) The regulation of who may call himself or herself a "nurse"
B) The settlement among an older person resident and the proprietors of the ability
C) The legal criteria for affirming an individual mentally incompetent
D) The crook effects for times of elder abuse - ANS-Ans: B
Feedback:
Private regulation entails relationships among people and companies, inclusive of the
agreement between an man or woman and the care facility in query. The other stated
examples could fall under the umbrella of public law.
2. A nurse has been offering take care of a sixty nine-12 months-antique girl patron who has
these days had her right foot amputated because of a chronic diabetic foot ulcer. The nurse
undertook to carry out debridement of the wound regardless of missing the applicable
training and experience. The consumer skilled everlasting nerve harm because of the
nurse's faulty efforts. Which category of legal legal responsibility is most probably relevant in
this example?
A) Larceny
B) Assault
C) Invasion of privacy
D) Negligence - ANS-Ans: D
Feedback:
Negligence entails the fee of an flawed act, as exemplified through the nurse's movements.
Larceny is tantamount to theft, whilst attack involves a deliberate danger to damage. The
scenario might now not be categorized as an invasion of privacy.
Three. An investigation into reviews of substandard care at the subacute geriatric unit of a
medical institution has been undertaken. Which of the subsequent occasions are consultant
of malpractice at the part of the nursing group of workers? Select all that observe.
A) A purchaser with a documented records of seizures become left together with his
mattress raised and with bedrails no longer in region, resulting in a fall and head damage.
B) A purchaser became despatched for a colonoscopy, after which it become learned that
the consumer had never given written consent for the method.
C) A consumer with a analysis of vascular dementia was determined wandering inside the
corridor outdoor the unit.
D) An motionless customer changed into not became over the direction of a night shift and
advanced a strain ulcer on her coccyx.
E) A client admitted with a diagnosis of pneumonia shrunk an antibiotic-resistant organism at
some point of her stay. - ANS-Ans: A, D
Feedback:
Answers A and D encompass all of the additives of malpractice: duty, negligence, and injury.
Answer B involves an abdication of obligation at the part of the physician, now not the nurse,
, while solution C lacks a resultant injury. Answer E does now not always propose negligence
on the a part of care providers.
4. A nurse is imparting take care of an older adult customer who has been admitted to the
sanatorium with liver cirrhosis. The consumer has expressed to the nurse his worries that
the details of his condition and treatment remain personal, and that written documentation
not "get available." How can the nurse exceptional reply to the client's concerns?
A) "Anything this is discussed between us is exclusive and will now not be shared with
everyone else."
B) "The Health Insurance Portability and Accountability Act guarantees that your clinical
records will not go away this medical institution."
C) "Provided you signed a directive on admission, your information will now not be made
public."
D) "The law protects your right to confidentiality and health records from being launched into
unintentional palms." - ANS-Ans: D
Feedback:
The HIPAA pursuits to shield individuals' right to confidentiality and prevent records from
being accessed by people for whom it turned into not intended. It might be inaccurate to
guarantee a customer that every one evaluation findings and interactions will remain among
the client and the nurse, and the HIPAA does now not always guarantee that information will
in no way go away the institution in query. Preventing fitness facts from public get right of
entry to does now not require a signed directive.
5. An eighty one-year-vintage female purchaser become identified 1 yr ago with Alzheimer's
sickness following a great boom in confusion. She now possesses a long lasting strength of
attorney. Which of the subsequent statements most as it should be conveys an aspect of this
criminal arrangement?
A) The parameters of the arrangement need to be revisited if the consumer's condition
declines.
B) The association turned into most possibly initiated by means of court docket order for a
government conservator.
C) The patron appointed someone to attend to her affairs inside the event that she becomes
incompetent.
D) The own family has control of logistical arrangements for the client but must benefit
courtroom permission around economic affairs. - ANS-Ans: C
Feedback:
Usually, a power of attorney turns into invalid if the man or woman granting it will become
incompetent, besides in the case of a long lasting strength of legal professional. A durable
strength of lawyer allows in a position individuals to appoint a person to make selections on
their behalf inside the occasion that they turn out to be incompetent; that is a encouraged
process for individuals with dementias and different disorders in which competency may be
anticipated to say no. It would not have been initiated by way of the court and it
encompasses both logistical and economic problems.
6. During a hectic shift, a registered nurse directed an unlicensed care provider to exchange
the dressing and perform wound care on an older grownup consumer's surgical incision, an
act that exists out of doors of the scope of the unlicensed care company's scope of practice.
Which of the subsequent statements satisfactory captures the prison context of this
occasion?
A) The unlicensed care issuer is only responsible for the inappropriate exercise.
B) The nurse can be held chargeable for the moves of the unlicensed care provider.
Gerontological Nursing
1. Which of the following elements of gerontological nursing would be most probably
categorised under non-public law?
A) The regulation of who may call himself or herself a "nurse"
B) The settlement among an older person resident and the proprietors of the ability
C) The legal criteria for affirming an individual mentally incompetent
D) The crook effects for times of elder abuse - ANS-Ans: B
Feedback:
Private regulation entails relationships among people and companies, inclusive of the
agreement between an man or woman and the care facility in query. The other stated
examples could fall under the umbrella of public law.
2. A nurse has been offering take care of a sixty nine-12 months-antique girl patron who has
these days had her right foot amputated because of a chronic diabetic foot ulcer. The nurse
undertook to carry out debridement of the wound regardless of missing the applicable
training and experience. The consumer skilled everlasting nerve harm because of the
nurse's faulty efforts. Which category of legal legal responsibility is most probably relevant in
this example?
A) Larceny
B) Assault
C) Invasion of privacy
D) Negligence - ANS-Ans: D
Feedback:
Negligence entails the fee of an flawed act, as exemplified through the nurse's movements.
Larceny is tantamount to theft, whilst attack involves a deliberate danger to damage. The
scenario might now not be categorized as an invasion of privacy.
Three. An investigation into reviews of substandard care at the subacute geriatric unit of a
medical institution has been undertaken. Which of the subsequent occasions are consultant
of malpractice at the part of the nursing group of workers? Select all that observe.
A) A purchaser with a documented records of seizures become left together with his
mattress raised and with bedrails no longer in region, resulting in a fall and head damage.
B) A purchaser became despatched for a colonoscopy, after which it become learned that
the consumer had never given written consent for the method.
C) A consumer with a analysis of vascular dementia was determined wandering inside the
corridor outdoor the unit.
D) An motionless customer changed into not became over the direction of a night shift and
advanced a strain ulcer on her coccyx.
E) A client admitted with a diagnosis of pneumonia shrunk an antibiotic-resistant organism at
some point of her stay. - ANS-Ans: A, D
Feedback:
Answers A and D encompass all of the additives of malpractice: duty, negligence, and injury.
Answer B involves an abdication of obligation at the part of the physician, now not the nurse,
, while solution C lacks a resultant injury. Answer E does now not always propose negligence
on the a part of care providers.
4. A nurse is imparting take care of an older adult customer who has been admitted to the
sanatorium with liver cirrhosis. The consumer has expressed to the nurse his worries that
the details of his condition and treatment remain personal, and that written documentation
not "get available." How can the nurse exceptional reply to the client's concerns?
A) "Anything this is discussed between us is exclusive and will now not be shared with
everyone else."
B) "The Health Insurance Portability and Accountability Act guarantees that your clinical
records will not go away this medical institution."
C) "Provided you signed a directive on admission, your information will now not be made
public."
D) "The law protects your right to confidentiality and health records from being launched into
unintentional palms." - ANS-Ans: D
Feedback:
The HIPAA pursuits to shield individuals' right to confidentiality and prevent records from
being accessed by people for whom it turned into not intended. It might be inaccurate to
guarantee a customer that every one evaluation findings and interactions will remain among
the client and the nurse, and the HIPAA does now not always guarantee that information will
in no way go away the institution in query. Preventing fitness facts from public get right of
entry to does now not require a signed directive.
5. An eighty one-year-vintage female purchaser become identified 1 yr ago with Alzheimer's
sickness following a great boom in confusion. She now possesses a long lasting strength of
attorney. Which of the subsequent statements most as it should be conveys an aspect of this
criminal arrangement?
A) The parameters of the arrangement need to be revisited if the consumer's condition
declines.
B) The association turned into most possibly initiated by means of court docket order for a
government conservator.
C) The patron appointed someone to attend to her affairs inside the event that she becomes
incompetent.
D) The own family has control of logistical arrangements for the client but must benefit
courtroom permission around economic affairs. - ANS-Ans: C
Feedback:
Usually, a power of attorney turns into invalid if the man or woman granting it will become
incompetent, besides in the case of a long lasting strength of legal professional. A durable
strength of lawyer allows in a position individuals to appoint a person to make selections on
their behalf inside the occasion that they turn out to be incompetent; that is a encouraged
process for individuals with dementias and different disorders in which competency may be
anticipated to say no. It would not have been initiated by way of the court and it
encompasses both logistical and economic problems.
6. During a hectic shift, a registered nurse directed an unlicensed care provider to exchange
the dressing and perform wound care on an older grownup consumer's surgical incision, an
act that exists out of doors of the scope of the unlicensed care company's scope of practice.
Which of the subsequent statements satisfactory captures the prison context of this
occasion?
A) The unlicensed care issuer is only responsible for the inappropriate exercise.
B) The nurse can be held chargeable for the moves of the unlicensed care provider.
