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A nurse forgets to administer a by a physician
client's diuretic and the
client experiences an episode
of pulmonary edema. The
charge nurse would consider
the medication error to
constitute negligence
because the situation
contains which element?
1. Purposeful failure to perform a
health care procedure
2. Unintentional failure to
perform a health care
procedure
3. Act of substituting a different
medication for the one
ordered
4. Failure to follow a direct order
,Answer: 2 Fundamentals
Rationale: Negligence is the Strategy: Two options are opposites, which is a
unintentional failure of an clue that one of them may be
individual to perform or not correct. Choose unintentional failure to carry
perform an act that a out a procedure over purposeful failure
reasonable person would or because it matches the definition of
would not do in the same or negligence.
similar circumstances. A
purposeful failure to
perform a procedure would
be the opposite of
negligence, which is
unintentional. Substituting a
different
medication does not fit the
description of the situation in
the question. Failure to follow
a direct order does not fit the
description in the situation in
the question. Cognitive
Level: Applying
Client Need: Management of
Care
Integrated
Process:
Nursing
Process:
Assessment
Content
Area:
,A client asks why a diagnostic Answer: 4
test has been ordered and the
Rationale: Fidelity means being faithful to
nurse replies, "I'm unsure but
agreements and promises. This nurse is
will find out for you."
acting on the client's behalf to obtain
When the nurse later returns
needed information and report it back to
and provides an
the client. Nonmaleficence is the duty to do
explanation, the nurse is acting no harm. Veracity refers to telling the truth
under which principle? for example, not lying to a client about a
serious prognosis. Beneficence means
1. Nonmaleficence doing good, such as by implementing actions
2. Veracity (e.g. keeping a salt shaker
out of sight) that benefit a client (heart
3. Beneficence
condition requiring sodium-restricted diet).
4. Fidelity
Cognitive Level: Understanding
Client Need: Management of Care
Integrated Process: Nursing
Process: Implementation Content
Area: Fundamentals
Strategy: Use the process of elimination. The
correct answer is the one that
matches the description in the stem; that is, the
nurse made a promise to a client and kept it,
which constitutes fidelity.
An individual has a seizure while noticed driving past without stopping to
walking down the street. assist. The
During the seizure, a nurse individual sues the nurse for negligence but fails
from a physician's office is to win a judgement for which reason?
, Answer: 1
1. The nurse had no duty to the
Rationale: To be guilty of negligence, the
individual.
nurse must have a relationship with the client
2. The nurse did what most that involves a duty to provide care. The
nurses would do in the same relationship is usually a component of
circumstance. employment. The nurse did not necessarily
3. The nurse did not cause the do what others would do in this
client's injuries. situation. Although the nurse did not cause the
4. The nurse was off-duty at the client's injuries, it does not prevent the nurse
time. from assisting in this situation. Although the
nurse was off-duty, the
nurse could have assisted if
motivated to do so. Cognitive
Level: Understanding
Client Need: Management of Care
Integrated Process: Nursing
Process: Implementation
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.