An individual has a seizure while walking down the street. Answer: 1
During the seizure, a nurse from a physician's office is Rationale: To be guilty of negligence, the nurse must have a relationship with the
noticed driving past without stopping to assist. The client that involves a duty to provide care. The relationship is usually a component
individual sues the nurse for negligence but fails to win a of employment. The nurse did not necessarily do what others would do in this
judgement for which reason? situation. Although the nurse did not cause the client's injuries, it does not prevent
the nurse from assisting in this situation. Although the nurse was off-duty, the
1. The nurse had no duty to the individual. nurse could have assisted if motivated to do so.
2. The nurse did what most nurses would do in the same Cognitive Level: Understanding
circumstance. Client Need: Management of Care
3. The nurse did not cause the client's injuries. Integrated Process: Nursing Process: Implementation
4. The nurse was off-duty at the time. Content Area: Fundamentals
Strategy: Use the process of elimination and nursing knowledge. The correct
answer is the one that recognizes that the nurse was not in the role of employee
at the time of the incident, removing the requirement of acting on the client's
behalf.
An adult female ambulatory care client receiving an oral Answer: 2, 5
anticoagulant is given aspirin for a headache while Rationale: There was no nurse-client relationship because the nurse was acting as
visiting a neighbor, who is a nurse. The client a neighbor and not in an employment capacity. Thus, there can be no duty owed.
subsequently has a bleeding episode because of a drug Intent is not a necessary element of malpractice, because malpractice can occur
interaction. The legal nurse consultant interprets that because of unintended actions as well. There was no breach of duty because
which necessary elements of malpractice are missing there was no official nurse-client relationship, which accompanies an employment
from this case? Select all that apply. situation. There was injury experiences because of this event. The bleeding was
caused by the interaction of the aspirin with the anticoagulant.
1. Breech of duty Cognitive Level: Analyzing
2. Duty owed Client Need: Management of Care
3. Injury experienced Integrated Process: Nursing Process: Evaluation
4. Causation between nurse's action and injury Content Area: Fundamentals
5. Intent to cause harm or injury Strategy: Use the process of elimination. The wording of the question indicates
more than one option is correct, and the focus is on necessary elements that must
be present. First eliminate the intent to cause harm or injury, since this is not
necessary to a charge of malpractice. Next note that there is no duty owed, and
because of this, there can be no breach of duty, to choose these two options as
the necessary missing elements.
To get the full Test Bank Email
. Remember our Test Bank
are updated every year to accommodate changes done
by National Council of State Board of Nursing (NCSBN)
and prepare student for their examination.
A client with cancer has decided to discontinue further Answer: 3
treatment. Although the nurse would like the client to Rationale: Autonomy refers to the right make one's own decisions, which is the
continue treatment, the nurse recognizes the client is principle supported in this situation. Justice refers to fairness. Fidelity refers to
competent and supports the client's decision using which trust and loyalty. Confidentiality refers to the right to privacy of personal health
ethical principle? information.
Cognitive Level: Understanding
1. Justice Client Need: Management of Care
2. Fidelity Integrated Process: Nursing Process: Implementation
3. Autonomy Content Area: Fundamentals
4. Confidentiality Strategy: Use the process of elimination. The wording of the question indicates
that only one option is correct and that you need to select the principle that is
consistent with the circumstances in the question.
, The health care provider orders a medication in a dose Answer: 1, 5
that is considered toxic. The nurse administers the Rationale: Health care providers who prescribe incorrect dosages of medications
medication to the client, who later suffers a cardiac arrest are liable for their errors. The nurse is open to a charge of negligence for failing to
and dies. What consequence can the nurse expect from verify and question the incorrect dose. The hospital can be sued as the
this situation? Select all that apply. responsible employing agency, but the health care provider and the nurse can
also be charged with negligence. Terminating the health care provider and nurse
1. The health care provider can be charged with from employment would not stop a lawsuit charging negligence for employee
negligence, being the person who ordered the dose. actions that have already taken place. Prescribing and administering incorrect
2. As the employing agency, only the hospital can be doses are not considered events that routinely happen to "reasonable person."
charged with negligence. Cognitive Level: Applying
3. The nurse and physician may be terminated from Client Need: Management of Care
employment to prevent a charge of negligence to the Integrated Process: Nursing Process: Implementation
hospital. Content Area: Fundamentals
4. Negligence will not be charged, as this event could Strategy: The wording of the question indicates that more than one option is
happen to any reasonable person. correct. Choose the response that holds both individuals accountable, since the
5. The nurse can be charged with negligence for nurse failed to question an incorrect dose and the health care provider ordered
administering the toxic dose. the incorrect dose.
A nurse and teacher are discussing legal issues related to Answer: 3, 4
the practice of their professions. The teacher asks what Rationale: A state's NPA serves to protect the public by setting minimum
the functions are of the Nurse Practice Act (NPA) in that qualifications for nursing in relation to skills and competencies. One way it fulfills
state. The nurse would include which thoughts in a responsibility to protect the public is by defining the scope of nursing practice in
response? Select all that apply. that state. The state board of nursing approves schools to operate but does not
enforce ethical standards. A state NPA has no role in setting liability insurance
1. Accredit schools of nursing rates for nurses.
2. Enforce ethical standards of behavior Cognitive Level: Applying
3. Protect the public Client Need: Management of Care
4. Define the scope of nursing practice Integrated Process: Nursing Process: Implementation
5. Determine liability insurance rates Content Area: Fundamentals
Strategy: Use the process of elimination and basic nursing knowledge to answer
the question. The wording of the question indicates that more than one option is
correct and that the correct responses are worded as true statements.
A staff nurse concerned about maintaining client Answer: 4
confidentiality would take which action while carrying out Rationale: Client confidentiality is maintained when the nurse shares client
assigned duties? information only with those currently involved in the plan of care. Staff should
only access information about clients currently assigned to their care and should
1. Read the records of clients not assigned to the nurse to not access information about other clients on the unit not assigned to them. Client
become familiar with disease processes. information should not be shared with nurses who are not currently working with
2. Share information about a client with nurses from the the client. Family members would need approval from the client and the health
unit to which the client may eventually be transferred. care provider prior to reviewing a medical record.
3. Allow the client's family to review the medical record to Cognitive Level: Applying
obtain answers to their questions. Client Need: Management of Care
4. Share information about the client with those involved Integrated Process: Communication and Documentation
in planning nursing care. Content Area: Fundamentals
Strategy: Select the response that protects the client's information, but allows
communication necessary for the delivery of quality care.
During the seizure, a nurse from a physician's office is Rationale: To be guilty of negligence, the nurse must have a relationship with the
noticed driving past without stopping to assist. The client that involves a duty to provide care. The relationship is usually a component
individual sues the nurse for negligence but fails to win a of employment. The nurse did not necessarily do what others would do in this
judgement for which reason? situation. Although the nurse did not cause the client's injuries, it does not prevent
the nurse from assisting in this situation. Although the nurse was off-duty, the
1. The nurse had no duty to the individual. nurse could have assisted if motivated to do so.
2. The nurse did what most nurses would do in the same Cognitive Level: Understanding
circumstance. Client Need: Management of Care
3. The nurse did not cause the client's injuries. Integrated Process: Nursing Process: Implementation
4. The nurse was off-duty at the time. Content Area: Fundamentals
Strategy: Use the process of elimination and nursing knowledge. The correct
answer is the one that recognizes that the nurse was not in the role of employee
at the time of the incident, removing the requirement of acting on the client's
behalf.
An adult female ambulatory care client receiving an oral Answer: 2, 5
anticoagulant is given aspirin for a headache while Rationale: There was no nurse-client relationship because the nurse was acting as
visiting a neighbor, who is a nurse. The client a neighbor and not in an employment capacity. Thus, there can be no duty owed.
subsequently has a bleeding episode because of a drug Intent is not a necessary element of malpractice, because malpractice can occur
interaction. The legal nurse consultant interprets that because of unintended actions as well. There was no breach of duty because
which necessary elements of malpractice are missing there was no official nurse-client relationship, which accompanies an employment
from this case? Select all that apply. situation. There was injury experiences because of this event. The bleeding was
caused by the interaction of the aspirin with the anticoagulant.
1. Breech of duty Cognitive Level: Analyzing
2. Duty owed Client Need: Management of Care
3. Injury experienced Integrated Process: Nursing Process: Evaluation
4. Causation between nurse's action and injury Content Area: Fundamentals
5. Intent to cause harm or injury Strategy: Use the process of elimination. The wording of the question indicates
more than one option is correct, and the focus is on necessary elements that must
be present. First eliminate the intent to cause harm or injury, since this is not
necessary to a charge of malpractice. Next note that there is no duty owed, and
because of this, there can be no breach of duty, to choose these two options as
the necessary missing elements.
To get the full Test Bank Email
. Remember our Test Bank
are updated every year to accommodate changes done
by National Council of State Board of Nursing (NCSBN)
and prepare student for their examination.
A client with cancer has decided to discontinue further Answer: 3
treatment. Although the nurse would like the client to Rationale: Autonomy refers to the right make one's own decisions, which is the
continue treatment, the nurse recognizes the client is principle supported in this situation. Justice refers to fairness. Fidelity refers to
competent and supports the client's decision using which trust and loyalty. Confidentiality refers to the right to privacy of personal health
ethical principle? information.
Cognitive Level: Understanding
1. Justice Client Need: Management of Care
2. Fidelity Integrated Process: Nursing Process: Implementation
3. Autonomy Content Area: Fundamentals
4. Confidentiality Strategy: Use the process of elimination. The wording of the question indicates
that only one option is correct and that you need to select the principle that is
consistent with the circumstances in the question.
, The health care provider orders a medication in a dose Answer: 1, 5
that is considered toxic. The nurse administers the Rationale: Health care providers who prescribe incorrect dosages of medications
medication to the client, who later suffers a cardiac arrest are liable for their errors. The nurse is open to a charge of negligence for failing to
and dies. What consequence can the nurse expect from verify and question the incorrect dose. The hospital can be sued as the
this situation? Select all that apply. responsible employing agency, but the health care provider and the nurse can
also be charged with negligence. Terminating the health care provider and nurse
1. The health care provider can be charged with from employment would not stop a lawsuit charging negligence for employee
negligence, being the person who ordered the dose. actions that have already taken place. Prescribing and administering incorrect
2. As the employing agency, only the hospital can be doses are not considered events that routinely happen to "reasonable person."
charged with negligence. Cognitive Level: Applying
3. The nurse and physician may be terminated from Client Need: Management of Care
employment to prevent a charge of negligence to the Integrated Process: Nursing Process: Implementation
hospital. Content Area: Fundamentals
4. Negligence will not be charged, as this event could Strategy: The wording of the question indicates that more than one option is
happen to any reasonable person. correct. Choose the response that holds both individuals accountable, since the
5. The nurse can be charged with negligence for nurse failed to question an incorrect dose and the health care provider ordered
administering the toxic dose. the incorrect dose.
A nurse and teacher are discussing legal issues related to Answer: 3, 4
the practice of their professions. The teacher asks what Rationale: A state's NPA serves to protect the public by setting minimum
the functions are of the Nurse Practice Act (NPA) in that qualifications for nursing in relation to skills and competencies. One way it fulfills
state. The nurse would include which thoughts in a responsibility to protect the public is by defining the scope of nursing practice in
response? Select all that apply. that state. The state board of nursing approves schools to operate but does not
enforce ethical standards. A state NPA has no role in setting liability insurance
1. Accredit schools of nursing rates for nurses.
2. Enforce ethical standards of behavior Cognitive Level: Applying
3. Protect the public Client Need: Management of Care
4. Define the scope of nursing practice Integrated Process: Nursing Process: Implementation
5. Determine liability insurance rates Content Area: Fundamentals
Strategy: Use the process of elimination and basic nursing knowledge to answer
the question. The wording of the question indicates that more than one option is
correct and that the correct responses are worded as true statements.
A staff nurse concerned about maintaining client Answer: 4
confidentiality would take which action while carrying out Rationale: Client confidentiality is maintained when the nurse shares client
assigned duties? information only with those currently involved in the plan of care. Staff should
only access information about clients currently assigned to their care and should
1. Read the records of clients not assigned to the nurse to not access information about other clients on the unit not assigned to them. Client
become familiar with disease processes. information should not be shared with nurses who are not currently working with
2. Share information about a client with nurses from the the client. Family members would need approval from the client and the health
unit to which the client may eventually be transferred. care provider prior to reviewing a medical record.
3. Allow the client's family to review the medical record to Cognitive Level: Applying
obtain answers to their questions. Client Need: Management of Care
4. Share information about the client with those involved Integrated Process: Communication and Documentation
in planning nursing care. Content Area: Fundamentals
Strategy: Select the response that protects the client's information, but allows
communication necessary for the delivery of quality care.
