Leadership Roles and Management functions in
Nursing theory and application 10th edition Chapter 5
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. - correct answerANS: 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 client has provided informed consent for surgery and is being assessed by the nurse. What
statement by the client should prompt the nurse to contact the surgeon?
a.
"Why am I not allowed to eat and drink before the surgery?"
b.
"How long do you think I'll stay in the recovery room?"
c.
"Do you think this surgery is actually safe and necessary?"
d.
"What is the difference between the surgeon and the anesthesiologist?" - correct answerANS: C
Feedback: Nurses are obligated to provide teaching and to clarify information given to
patients by their physicians. This could include such topics as the different roles of the OR
team, typical recovery times, and the rationale for fasting. However, nurses must be careful
,not to give new information or to go outside the scope of practice. Addressing the safety and
relative risks of a surgery, or the necessity for surgery, would be beyond the nurse's scope
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. - correct answerANS:
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 ensure
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 health care provider prescribes a medical procedure that the staff nurse has reason 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. - correct answerANS: 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
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 nurse failed to supervise a confused client, and the client fell while transferring to the
bathroom. The client was unharmed, but the client's family has launched a malpractice suit,
citing the nurse's breach of duty. What is the most likely outcome of this case?
a.
The outcome will depend on the extent to which the client was responsible for the
incident.
b.
It will likely be successful, provided the family can prove the event was reasonably
foreseeable.
c.
It will likely be unsuccessful because the client was not injured.
d.
The outcome will depend on how the nurse's actions compare to the established
standard of care. - correct answerANS: C
Feedback: A malpractice suit requires evidence of actual injury to the offended party. The
fact that this client was unharmed would likely jeopardize the suit, regardless of the client's
role or the standard of care. Even if the event was foreseeable, the absence of injury
removes a key criterion of malpractice
A nurse has been hired to manage a busy medical-surgical unit. What actions should the
nurse-manager perform to ensure compliance with legal issues? Select all that apply.
a.
Develop a vision for the organization's future and communicates this vision.
Nursing theory and application 10th edition Chapter 5
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. - correct answerANS: 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 client has provided informed consent for surgery and is being assessed by the nurse. What
statement by the client should prompt the nurse to contact the surgeon?
a.
"Why am I not allowed to eat and drink before the surgery?"
b.
"How long do you think I'll stay in the recovery room?"
c.
"Do you think this surgery is actually safe and necessary?"
d.
"What is the difference between the surgeon and the anesthesiologist?" - correct answerANS: C
Feedback: Nurses are obligated to provide teaching and to clarify information given to
patients by their physicians. This could include such topics as the different roles of the OR
team, typical recovery times, and the rationale for fasting. However, nurses must be careful
,not to give new information or to go outside the scope of practice. Addressing the safety and
relative risks of a surgery, or the necessity for surgery, would be beyond the nurse's scope
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. - correct answerANS:
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 ensure
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 health care provider prescribes a medical procedure that the staff nurse has reason 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. - correct answerANS: 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
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 nurse failed to supervise a confused client, and the client fell while transferring to the
bathroom. The client was unharmed, but the client's family has launched a malpractice suit,
citing the nurse's breach of duty. What is the most likely outcome of this case?
a.
The outcome will depend on the extent to which the client was responsible for the
incident.
b.
It will likely be successful, provided the family can prove the event was reasonably
foreseeable.
c.
It will likely be unsuccessful because the client was not injured.
d.
The outcome will depend on how the nurse's actions compare to the established
standard of care. - correct answerANS: C
Feedback: A malpractice suit requires evidence of actual injury to the offended party. The
fact that this client was unharmed would likely jeopardize the suit, regardless of the client's
role or the standard of care. Even if the event was foreseeable, the absence of injury
removes a key criterion of malpractice
A nurse has been hired to manage a busy medical-surgical unit. What actions should the
nurse-manager perform to ensure compliance with legal issues? Select all that apply.
a.
Develop a vision for the organization's future and communicates this vision.
