NUR 2101 Module 4 (Info For Final) Questions and Answers

NUR 2101 Module 4 (Info For Final) Questions and Answers Which description of the state Nurse Practice Act is correct? a. It is a judicial decision. b. It is a federal senate bill. c. It is a statute enacted by state legislature. d. It is a law enacted by the federal government. - Answer-c. It is a statute enacted by state legislature. Nurse Practice Acts are examples of statutes enacted by state legislatures to regulate the practice of nursing. Common laws are based on judicial decisions or case law precedent. An example of a judicial decision that guides health care practice is Roe v. Wade, but not the Nurse Practice Act. An example of a federal statute that affects health care practice is the Americans With Disabilities Act, but not the Nurse Practice Act. The Nurse Practice Act is a state law, not a federal senate bill. The nurse is frustrated with an agitated patient and tells him "Now stay in that bed or I will make you stay there!" Which tort has the nurse just committed? a. Assault b. Battery c. Incursion d. Onslaught - Answer-a. Assault The nurse has committed assault by threatening the patient. No actual contact is required for an assault to occur. Battery occurs when the patient is touched without consent. Onslaught and incursion are not legal terms. Which organization will discipline the nurse for abandoning patients during an assigned shift? a. The Joint Commission b. The State Board of Nursing c. The State Department of Health d. The National League for Nursing - Answer-b. The State Board of Nursing The State Board of Nursing sets rules, regulations, and guidelines that specifically define the standard of care in nursing practice. An example is the guideline that defines patient abandonment. The State Board of Nursing also investigates allegations of nursing misconduct and disciplines nurses who have failed to comply with the state Nurse Practice Act. The State Department of Health, The Joint Commission, and the National League for Nursing do not set the legal rules and regulations for patient abandonment. The nurse is accused of stealing narcotic pain medications from patients. Which type of crime may the nurse be charged with? a. Tort b. Felony c. Malpractice d. Misdemeanor - Answer-b. Felony A felony is a serious offense that results in significant harm to another person or society in general. Felony crimes may carry penalties of monetary restitution, imprisonment for greater than 1 year, or death. Examples of Nurse Practice Act violations that may carry criminal penalties include practicing nursing without a license and misuse of controlled substances. A misdemeanor is a crime that, although injurious, does not inflict serious harm. Torts are civil wrongful acts or omissions against a person or a person's property that are compensated by awarding monetary damages to the individual whose rights were violated. Malpractice is an example of negligence, sometimes referred to as professional negligence. The law defines nursing malpractice as the failure to use the degree of care that a reasonable nurse would use under the same or similar circumstances. The nurse cuts an unconscious patient's long hair in order to wash and brush it. The patient wakes up and is very upset after seeing the short hair. Which tort did the nurse commit? a. Battery b. Assault c. Slander d. Negligence - Answer-a. Battery Battery is intentional offensive touching without consent or lawful justification. Assault is an intentional threat toward another person that gives that person a reasonable fear of harmful contact. No actual contact is required for an assault to occur. Negligence is an unintentional tort. Slander is making malicious statements that can damage an individual's reputation. The patient suffers a large hematoma at the site after arterial blood gases (ABGs) are drawn by the respiratory therapist. Which statement is appropriate to enter in the patient's chart? a. Patient has a painful, raised 2-inch × 2-inch hematoma inside his right wrist after ABGs were drawn there. b. The patient must have moved during the ABG draw because there is a huge bruise inside his wrist. c. The respiratory therapist had a hard time getting the patient's ABGs drawn and caused bruising. d. The respiratory therapist obviously didn't know what he was doing and traumatized the patient's wrist. - Answer-a. Patient has a painful, raised 2-inch × 2-inch hematoma inside his right wrist after ABGs were drawn there. Narrative notes must be objective without opinions, speculation, or blame. The nurse should chart the location and size of the hematoma along with the reason. The nurse should not speculate that patient moved or that the respiratory therapist did not know how to perform the skill. Which situation gives the patient cause to sue for malpractice due to injury or harm? a. The patient developed an itchy rash after receiving a prescribed antibiotic. b. The patient died after being struck in the head by an oxygen tank during an MRI. c. The patient developed a sore throat after being intubated for emergency surgery. d. The patient developed permanent joint deformity due to severe rheumatoid arthritis. - Answer-b. The patient died after being struck in the head by an oxygen tank during an MRI. To establish the elements of malpractice, the patient or plaintiff must prove the following: (1) the nurse defendant owed a duty to the patient, (2) the nurse breached that duty, (3) the patient was injured because of the nurse's breach of duty, and (4) the patient has accrued damages as a result of the injury. Patient death due to injury from an oxygen tank in the MRI room is an example of malpractice as the professionals should have taken the proper precautions. Itchy rash after antibiotic use is a side effect. Sore throat after intubation is an expected complication. Permanent joint deformity due to severe rheumatoid arthritis is an unfortunate outcome of chronic illness. What is the primary difference between negligence and malpractice? a. Malpractice is intentional while negligence is unintended. b. Malpractice is a felony while negligence is a misdemeanor. c. Malpractice leads to more serious patient injury than negligence. d. Malpractice is committed by a licensed professional while negligence is not. - Answer-d. Malpractice is committed by a licensed professional while negligence is not. Malpractice may sometimes be referred to as professional negligence. Negligence occurs when the level of care provided to the patient falls below the generally accepted standard. When negligence is committed by a licensed professional, it is terme