Chapter 03: Legal and Ethical Issues
Yoder-Wise: Leading and Managing in
Nursing, 7th Edition
1. One of your team of workers nurses asks for your recommendation due to the fact a patient
refuses to sign a consent for surgery. The patient says that he may not sign because he doesn't
recognize the nature of the surgical procedure. You suggest that: (Select all that apply.)
a. Consent ought to no longer be coerced.
B. The affected person has a right to select now not to consent.
C. The patient have to signal the consent due to the fact the physician wants him to sign.
D. Witnessing a consent is associated most effective to the voluntary nature of the signature. -
ANS-ANS: A, B, D
Consent must be voluntary and now not coerced; the patient must understand what he's
signing, need to have criminal potential, and should apprehend the results of refusal. Witnessing
a consent manner testifying to the voluntary nature of the patient's signature.
1. The manager inside the coronary care unit believes an essential moral consideration in
overall performance opinions is to include the employee's appropriate qualities and supply
effective direction for expert growth. What ethical principle does this represent?
A. Justice
b. Fidelity
c. Beneficence
d. Nonmaleficence - ANS-ANS: D
Nonmaleficence refers to "doing no harm." For a nurse manager following this principle, overall
performance evaluation need to emphasize an worker's suitable traits and supply positive route
for growth. Destroying the worker's self-esteem and self confidence would be taken into
consideration doing harm below this precept.
10. On your nursing unit, you hire LPNs, RNs, and superior practice nurses. You will want to be
acquainted with as a minimum:
a. Nursing practice acts.
B. Two nursing exercise acts in maximum states.
C. One nursing practice act.
D. One nursing exercise act and a clinical act. - ANS-ANS: C
In all states, you will need to be familiar with at least one nursing practice act. In some states,
there may be nursing practice acts if RNs and LPNs/LVNs come under specific licensing
boards.
, 11. A nurse to your inpatient psychiatric unit is determined to have made sexually specific
remarks towards a affected person with a previous records of sexual abuse. The patient sues,
claiming malpractice. What situations do not observe in this situation and do not guide
malpractice?
A. Injury
b. Causation
c. Breach of duty
d. Breach of responsibility of care owed - ANS-ANS: A
By distinctive feature of employment, the nurse owes a duty of care to the patient; this care has
been breached via a nurse, who could be expected to realize that this conduct violates regular
requirements of care. The resultant harm, the 5th malpractice detail, must be physical, no longer
merely psychological or brief. In different words, some bodily damage need to be incurred with
the aid of the patient before malpractice can be observed towards the healthcare provider,
which isn't always evident in this case where the action did not involve bodily damage.
12. As a fee nurse, you counsel your RN workforce member that they have has their obligation
of care by notifying a baby's doctor concerning worries approximately deterioration in the child's
repute at 0330 hours. The health practitioner does no longer are available to assess the kid and
does no longer provide additional orders. The infant dies at 0630 hours. As the price nurse, you
can be held liable for what?
A. Professional negligence
b. Assault
c. Avoidance
d. Murder - ANS-ANS: A
Professional negligence may be asserted while there may be failure to do what a reasonable
and prudent nurse might do within the equal state of affairs. In this case, the price nurse would
possibly have recommended in addition for the affected person in light of the evident
seriousness of the kid's situation.
13. The dad and mom of a infant who dies after being brought to the ER launch a lawsuit,
claiming that the failure of nurses to pursue worries associated with their son's deteriorating
situation contributed to his death. How is senior nurse govt named within the in shape?
A. As a international respondent
b. Under the doctrine of respondent advanced
c. As a frivolous motion
d. Under the element of causation - ANS-ANS: B
Known as vicarious liability, the doctrine of respondeat superior makes employers
responsible for the negligence in their personnel, the usage of the intent that the worker could
not have been in a role to have brought about the wrongdoing unless employed by way of the
organization.
14. During a personnel scarcity, you rent an RN from a transient employer. The RN administers
a incorrect IV medication that outcomes in cardiac arrest and a tough recuperation for the
patient. Liability in this situation:
Yoder-Wise: Leading and Managing in
Nursing, 7th Edition
1. One of your team of workers nurses asks for your recommendation due to the fact a patient
refuses to sign a consent for surgery. The patient says that he may not sign because he doesn't
recognize the nature of the surgical procedure. You suggest that: (Select all that apply.)
a. Consent ought to no longer be coerced.
B. The affected person has a right to select now not to consent.
C. The patient have to signal the consent due to the fact the physician wants him to sign.
D. Witnessing a consent is associated most effective to the voluntary nature of the signature. -
ANS-ANS: A, B, D
Consent must be voluntary and now not coerced; the patient must understand what he's
signing, need to have criminal potential, and should apprehend the results of refusal. Witnessing
a consent manner testifying to the voluntary nature of the patient's signature.
1. The manager inside the coronary care unit believes an essential moral consideration in
overall performance opinions is to include the employee's appropriate qualities and supply
effective direction for expert growth. What ethical principle does this represent?
A. Justice
b. Fidelity
c. Beneficence
d. Nonmaleficence - ANS-ANS: D
Nonmaleficence refers to "doing no harm." For a nurse manager following this principle, overall
performance evaluation need to emphasize an worker's suitable traits and supply positive route
for growth. Destroying the worker's self-esteem and self confidence would be taken into
consideration doing harm below this precept.
10. On your nursing unit, you hire LPNs, RNs, and superior practice nurses. You will want to be
acquainted with as a minimum:
a. Nursing practice acts.
B. Two nursing exercise acts in maximum states.
C. One nursing practice act.
D. One nursing exercise act and a clinical act. - ANS-ANS: C
In all states, you will need to be familiar with at least one nursing practice act. In some states,
there may be nursing practice acts if RNs and LPNs/LVNs come under specific licensing
boards.
, 11. A nurse to your inpatient psychiatric unit is determined to have made sexually specific
remarks towards a affected person with a previous records of sexual abuse. The patient sues,
claiming malpractice. What situations do not observe in this situation and do not guide
malpractice?
A. Injury
b. Causation
c. Breach of duty
d. Breach of responsibility of care owed - ANS-ANS: A
By distinctive feature of employment, the nurse owes a duty of care to the patient; this care has
been breached via a nurse, who could be expected to realize that this conduct violates regular
requirements of care. The resultant harm, the 5th malpractice detail, must be physical, no longer
merely psychological or brief. In different words, some bodily damage need to be incurred with
the aid of the patient before malpractice can be observed towards the healthcare provider,
which isn't always evident in this case where the action did not involve bodily damage.
12. As a fee nurse, you counsel your RN workforce member that they have has their obligation
of care by notifying a baby's doctor concerning worries approximately deterioration in the child's
repute at 0330 hours. The health practitioner does no longer are available to assess the kid and
does no longer provide additional orders. The infant dies at 0630 hours. As the price nurse, you
can be held liable for what?
A. Professional negligence
b. Assault
c. Avoidance
d. Murder - ANS-ANS: A
Professional negligence may be asserted while there may be failure to do what a reasonable
and prudent nurse might do within the equal state of affairs. In this case, the price nurse would
possibly have recommended in addition for the affected person in light of the evident
seriousness of the kid's situation.
13. The dad and mom of a infant who dies after being brought to the ER launch a lawsuit,
claiming that the failure of nurses to pursue worries associated with their son's deteriorating
situation contributed to his death. How is senior nurse govt named within the in shape?
A. As a international respondent
b. Under the doctrine of respondent advanced
c. As a frivolous motion
d. Under the element of causation - ANS-ANS: B
Known as vicarious liability, the doctrine of respondeat superior makes employers
responsible for the negligence in their personnel, the usage of the intent that the worker could
not have been in a role to have brought about the wrongdoing unless employed by way of the
organization.
14. During a personnel scarcity, you rent an RN from a transient employer. The RN administers
a incorrect IV medication that outcomes in cardiac arrest and a tough recuperation for the
patient. Liability in this situation:
