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Exam (elaborations)

L/E Final Exam

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Exam of 47 pages for the course L/E at L/E (L/E Final Exam)

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L/E Final Exam With Appropriate And
Detailed Answers
A rnurse rnamed rin ra rmalpractice rcase rmay rwish rto ravoid rthe rexpense rof ra rtrail rby
rgoing rto rarbitration. rWhat ris ranother rrationale rfor rusing rthis rprocess?


A) rarbitration ris rnot rbinding, rso rif rthe rparties rdo rnot rlike rthe routcome, rnothing ris rlost.

B) rWitnesses rdo rnot rtestify runder roath rand rare reasier rto robtain

C) rThere ris rno rformal rrecord rmade rof rthe rarbitration rprocess

D) rThere ris rno rneed rto rhave rattorney rrepresentation r- rCORRECT✅✅There ris rno
rformal rrecord rmade rof rthe rarbitration rprocess


The rhospital racts rto rrevoke rthe rclinical rprivileges rof ran rindependent rphysician r(not
remployed rby rthe rhospital) rwho rhas rrepeatedly rrefused rto rrespond rto remergency
rcalls rfrom rnursing rstaff. rUnder rwhich rdoctrine ris rthis raction radvisable?




A) rRespondeat rsuperior
B) rCorporate rLiability
C) rBorrowed rServant
D) rDual rServant r- rCORRECT✅✅Corporate rliability

*All rdoctrines ronly rapply rto remployees r(i.e. rare rvicarious rliability), rexcept rcorporate
rliability. rUnder rthe rdoctrine rof rcorporate rliability, rcorporations rhave ra rdirect rduty rto
rthe rpublic rthey rserve, rensuring rthat rcompetent rand rqualified rpractitioners r(i.e.
remployees, rindependent rcontractors r& rothers) rdeliver rquality rhealth rcare rto
rconsumers


In rcaring rfor ra r6-year-old rwho rentered rthe remergency rcenter rfor rtreatment rof ra
rbroken rarm, rthe rnurse rnoted rthat rthe rchild rhad rmultiple rbruises ron rhis rtrunk rand
rlegs. rWhen rquestioned, rthe rchild rsaid rhis rfather rhit rhim rand rbroke rhis rarm rso rthat
rthe rchild rwould rremember rto rbe rgood. rWhat rshould rthe rnurse rdo?


A) rChart rthat rthe rchild ris ra rvictim rof rchild rabuse, rso rthat rthere ris ra rrecord rof rthe
rabuse rshould rsuch rbehavior rreoccur


B) rDo rnothing, rbecause rthe rnurse rcannot rprove rthe rchild rwas rreally rabused, rand
rsaying ranything rcould ropen rthe rinstitution rto ra rpossible rdefamation rlawsuit


C) rDownplay rthe rchild's rcomments, rbecause rchildren roften rexaggerate

,D) rReport rthe rincident rimmediately rto rthe rnursing rsupervisor ror rphysician rso rthat rthe
rincident rwill rbe rreported rto rthe rproper rauthorities r- rCORRECT✅✅Report rthe
rincident rimmediately rto rthe rnursing rsupervisor ror rphysician rso rthat rthe rincident rwill
rbe rreported rto rthe rproper rauthorities


*The rRN rmust rtake rall rstatements rseriously rregardless rof rthe rage rof rthe rpatient

The rparents rof ra r17-year-old rwho ris rreceiving rstate-funded rsubstance rabuse
rtreatment rhave rasked rthe rprovider rfor rinformation rabout rtheir rchild. rWhat ris rthe
rcorrect raction rby rthe rhealth rcare rprovider?


A) rRefuse rthe rrequest rbecause rof rthe rprovision rof rthe rcommon-law rduty rto rdisclose

B) rRefuse rthe rrequest ras rit ris rlikely rto rinterfere rwith rthe rtreatment rplan.

C) rRelease rthe rinformation rimmediately ras rparents ralways rcan rreceive rinformation
ron rminor rchildren


D) rRelease rinformation ronly rif rthe rpatient rhas rsigned rconsent rto rdo rso r-
rCORRECT✅✅Release rinformation ronly rif rthe rpatient rhas rsigned rconsent rto rdo rso


*A rminor rmust ralways rsign rconsent rfor rinformation rabout rsubstance rabuse rto rbe
rreleased, reven rto ra rparent


An rexample rof ran rabuse rof rpower rfrom ra rmentor rentails:

A) rAsking ra rstudent rto rpick rup rcoffee

B) rAsking ra rstudent rto rdo ra rliterature rsearch rfor ran rarticle rin rwhich rthe rstudent rwill
rnot rbe rlisted ras ran rauthor


C) rAsking rstudents rto rwork rin rthe rlab ron rsaturdays

D) rAsking ra rstudent rto rcopyedit rpage rproofs rof ra rjournal rarticle r-
rCORRECT✅✅Asking ra rstudent rto rpick rup rcoffee


A rnurse rhas rmissed r10 rdays rof rwork rwhile rinvolved ras ra rdefendant rin ra rmalpractice
rlawsuit. rMust rthe rhospital rwhere rthis rnurse ris remployed rand rthat rwas ralso rnamed rin
rthe rsuit rpay rthe rnurse rfor rthose rdays?


A) rNo, rsince rthe rnurse rcaused rthe rlawsuit rto rbe rfiled, rthe rhospital rhas rno
rresponsiblilty rfor rpay


B) rNo rnecessarily, rit rdepends rupon rthe rhospital's rinsurance rpolicy rand rwhat rit
rcovers

,C) rIn rmost rcases, rthe rhospital ris ronly rrequired rto rpay rthe rnurse rfor rone-half rof rtime
rmissed.


D) rYes, rthe rhospital ris ralways rresponsible rfor rexpense rassociated rwith rwork rwhether
ror rnot rthe rexpenses rare rr/t ra rlawsuit. r- rCORRECT✅✅No rnecessarily, rit rdepends
rupon rthe rhospital's rinsurance rpolicy rand rwhat rit rcovers


*Most rhospital rinsurance rpolicies rdo rnot rhave rsupplementary rpayments rfor rthe
rnurse-defendant. rThis rmeans rthat rif rthe rRN rincurs radditional rexpenses rin
rinvestigating rthe rclaim ror rloses rdays rof rwork rdefending rthe rclaim, rthe rRN rmust
rcover rthose rexpenses rout rof rpocket. rHowever, rsome rpolicies rdo rhave rthis rcoverage,
rso rthis ris rthe rmost raccurate ranswer.


In rwhich rcase rmight ra rdefault rjudgment rbe rentered?

A) rThe rdefendant rdid rnot rrespond rto rthe rcomplaint rand rwould rotherwise rhave rbeen
rshown rto rhave rliability


B) rThe rdefendent rdid rnot rrespond rto rthe rcomplaint

C) rThe rplaintiff rdid rnot rrespond rto rthe rcomplaint

D) rThe rplaintiff rdid rnot rrespond rto rthe rcomplaint rand rwould rotherwise rhave rbeen
rshown rto rhave rliability r- rCORRECT✅✅The rdefendent rdid rnot rrespond rto rthe
rcomplaint


*default rjudgments rare rentered rwhen ra rdefendant rdoes rnot rrespond rto rthe rcomplaint
rby rthe rplaintiff


Which rstatement rmost raccurately rreflects rthe rANA rCode rof rEthics rposition ron
rnursing rinterventions rfor rdying rpatients?




A) rProvision r2.3, rCollaboration rindicates rit ris rethical rto rprovide rnursing rinterventions
rto rrelieve rpain rand rother rsymptoms rthat rrisk rhastening rdeath, ras rlong ras rthe rnurse
rcollaborates rwith rothers rprior rto rimplementation.


B) rProvision r4.2, rAccountability rfor rnursing rjudgment rand raction rindicates rit ris
runethical rto rprovide rnursing rinterventions rto rrelieve rpain rand rother rsymptoms, rif rthe
rinterventions rentail rrisks rof rhastening rdeath.


C) rProvision r2.1, rPrimacy rof rpatient rinterests rindicates rit ris rethical rto rprovide rnursing
rinterventions rwith rthe rsole rintent rof rending ra rpatient's rlife, rif rthe rpatient rrequests rthe
rintervention(s) rand rthe rnurse ris rmotivated rby rcompassion, rrespect rfor rpatient
rautonomy rand rquality rof rlife rconsiderations.

, D) rProvision r1.3, rThe rnature rof rhealth rproblems rindicates rit ris reth r-
rCORRECT✅✅Provision r1.3, rThe rnature rof rhealth rproblems rindicates rit ris rethical
rto rprovide rnursing rinterventions rto rrelieve rpain rand rother rsymptoms, reven rwhen rthe
rinterventions rentail rrisks rof rhastening rdeath. r


**However, rnurses rmay rnot ract rwith rthe rsole rintent rof rending ra rpatient's rlife reven
rthough rsuch raction rmay rbe rmotivated rby rcompassion, rrespect rfor rpatient rautonomy
rand rquality rof rlife rconsiderations.


Which roption rreflects rone rof rthe rmore rconvincing rarguments rfor rthe rnurse rhaving
rindividual rmalpractice rinsurance?


A) rFiling ra rlawsuit ris rcostly rin rtoday's rsociety

B) rHaving rinsurance rmakes rit rmore rcostly rfor rthe rplaintiff rto rfile rsuit ragainst rthe
rnurse


C) rHaving rinsurance rensures rthat rthe rRN rwill rnot rbe rnamed rin rlawsuits

D) rDefending ragainst ra rlawsuit ris rcostly rin rtoday's rsociety r-
rCORRECT✅✅Defending ragainst ra rlawsuit ris rcostly rin rtoday's rsociety


**Despite rnot rhaving rinsurance, rnurses rare rliable rfor rtheir ractions rand rcan rbe rheld
rpersonally rliable rfor rdamages. rNurses rare rnever rconsidered rjudgment-proof. rRNs
rare rnot rreleased rfrom ra rsuit rbecause rthere ris rno rinsurance. rThe rhospital's
rinsurance rpolicy rdoes rnot ralways rprovide rall rthe rfinancial rprotection rthat rmay rbe
rneeded. rIn rsome rcases, rRNs rhave rnot rbeen radequately rrepresented rby rlegal
rcounsel rin rthe rlawsuit.


The rBoard rof rNursing rreceived ra rcomplaint rthat ra rnurse rblogged rinappropriately ron
ran ronline rchat rroom. rWhich rguidelines rshould rthe rBoard rinvestigator ruse rin
revaluating rthe rappropriateness rof rthe rnurse's rblogs? r(Select rALL rthat rapply.)




A) rEvaluate rany rpatient rphotos ror rvideos rincluded rin rthe rnurse's rblogs rfor rBoard rof
rNursing rconfidentiality rand rprivacy rrule rviolations.


B) rIgnore rblogs rthat rdo rnot rdiscuss ror rrefer rto rpatients rby rname rbecause rpatient
rrights rto rconfidentiality rand rprivacy rhave rnot rbeen rviolated.


C) rEvaluate rblogs rabout rthe rnurse's remployer rand rco-workers rfor runprofessional
rconduct, rsuch ras rthreatening, rharassing, rbullying, rprofane, robscene ror rsexually
rexplicit rcomments.

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