L&E Final Exam - Questions With Verified Solutions
A nurse named in a malpractice case may wish to avoid the expense of a trail
by going to arbitration. What is another rationale for using this process?
A) arbitration is not binding, so if the parties do not like the outcome, nothing
is lost.
B) Witnesses do not testify under oath and are easier to obtain
C) There is no formal record made of the arbitration process
D) There is no need to have attorney representation Correct Answer -
There is no formal record made of the arbitration process
The hospital acts to revoke the clinical privileges of an independent physician
(not employed by the hospital) who has repeatedly refused to respond to
emergency calls from nursing staff. Under which doctrine is this action
advisable?
A) Respondeat superior
B) Corporate Liability
C) Borrowed Servant
D) Dual Servant Correct Answer - Corporate liability
*All doctrines only apply to employees (i.e. are vicarious liability), except
corporate liability. Under the doctrine of corporate liability, corporations have
a direct duty to the public they serve, ensuring that competent and qualified
practitioners (i.e. employees, independent contractors & others) deliver
quality health care to consumers
In caring for a 6-year-old who entered the emergency center for treatment of
a broken arm, the nurse noted that the child had multiple bruises on his trunk
and legs. When questioned, the child said his father hit him and broke his arm
so that the child would remember to be good. What should the nurse do?
A) Chart that the child is a victim of child abuse, so that there is a record of the
abuse should such behavior reoccur
,B) Do nothing, because the nurse cannot prove the child was really abused,
and saying anything could open the institution to a possible defamation
lawsuit
C) Downplay the child's comments, because children often exaggerate
D) Report the incident immediately to the nursing supervisor or physician so
that the incident will be reported to the proper authorities Correct Answer
- Report the incident immediately to the nursing supervisor or physician so
that the incident will be reported to the proper authorities
*The RN must take all statements seriously regardless of the age of the patient
The parents of a 17-year-old who is receiving state-funded substance abuse
treatment have asked the provider for information about their child. What is
the correct action by the health care provider?
A) Refuse the request because of the provision of the common-law duty to
disclose
B) Refuse the request as it is likely to interfere with the treatment plan.
C) Release the information immediately as parents always can receive
information on minor children
D) Release information only if the patient has signed consent to do so
Correct Answer - Release information only if the patient has signed consent
to do so
*A minor must always sign consent for information about substance abuse to
be released, even to a parent
An example of an abuse of power from a mentor entails:
A) Asking a student to pick up coffee
B) Asking a student to do a literature search for an article in which the student
will not be listed as an author
,C) Asking students to work in the lab on saturdays
D) Asking a student to copyedit page proofs of a journal article Correct
Answer - Asking a student to pick up coffee
A nurse has missed 10 days of work while involved as a defendant in a
malpractice lawsuit. Must the hospital where this nurse is employed and that
was also named in the suit pay the nurse for those days?
A) No, since the nurse caused the lawsuit to be filed, the hospital has no
responsiblilty for pay
B) No necessarily, it depends upon the hospital's insurance policy and what it
covers
C) In most cases, the hospital is only required to pay the nurse for one-half of
time missed.
D) Yes, the hospital is always responsible for expense associated with work
whether or not the expenses are r/t a lawsuit. Correct Answer - No
necessarily, it depends upon the hospital's insurance policy and what it covers
*Most hospital insurance policies do not have supplementary payments for
the nurse-defendant. This means that if the RN incurs additional expenses in
investigating the claim or loses days of work defending the claim, the RN must
cover those expenses out of pocket. However, some policies do have this
coverage, so this is the most accurate answer.
In which case might a default judgment be entered?
A) The defendant did not respond to the complaint and would otherwise have
been shown to have liability
B) The defendent did not respond to the complaint
C) The plaintiff did not respond to the complaint
, D) The plaintiff did not respond to the complaint and would otherwise have
been shown to have liability Correct Answer - The defendent did not
respond to the complaint
*default judgments are entered when a defendant does not respond to the
complaint by the plaintiff
Which statement most accurately reflects the ANA Code of Ethics position on
nursing interventions for dying patients?
A) Provision 2.3, Collaboration indicates it is ethical to provide nursing
interventions to relieve pain and other symptoms that risk hastening death, as
long as the nurse collaborates with others prior to implementation.
B) Provision 4.2, Accountability for nursing judgment and action indicates it is
unethical to provide nursing interventions to relieve pain and other
symptoms, if the interventions entail risks of hastening death.
C) Provision 2.1, Primacy of patient interests indicates it is ethical to provide
nursing interventions with the sole intent of ending a patient's life, if the
patient requests the intervention(s) and the nurse is motivated by
compassion, respect for patient autonomy and quality of life considerations.
D) Provision 1.3, The nature of health problems indicates it is eth Correct
Answer - Provision 1.3, The nature of health problems indicates it is ethical
to provide nursing interventions to relieve pain and other symptoms, even
when the interventions entail risks of hastening death.
**However, nurses may not act with the sole intent of ending a patient's life
even though such action may be motivated by compassion, respect for patient
autonomy and quality of life considerations.
Which option reflects one of the more convincing arguments for the nurse
having individual malpractice insurance?
A) Filing a lawsuit is costly in today's society
A nurse named in a malpractice case may wish to avoid the expense of a trail
by going to arbitration. What is another rationale for using this process?
A) arbitration is not binding, so if the parties do not like the outcome, nothing
is lost.
B) Witnesses do not testify under oath and are easier to obtain
C) There is no formal record made of the arbitration process
D) There is no need to have attorney representation Correct Answer -
There is no formal record made of the arbitration process
The hospital acts to revoke the clinical privileges of an independent physician
(not employed by the hospital) who has repeatedly refused to respond to
emergency calls from nursing staff. Under which doctrine is this action
advisable?
A) Respondeat superior
B) Corporate Liability
C) Borrowed Servant
D) Dual Servant Correct Answer - Corporate liability
*All doctrines only apply to employees (i.e. are vicarious liability), except
corporate liability. Under the doctrine of corporate liability, corporations have
a direct duty to the public they serve, ensuring that competent and qualified
practitioners (i.e. employees, independent contractors & others) deliver
quality health care to consumers
In caring for a 6-year-old who entered the emergency center for treatment of
a broken arm, the nurse noted that the child had multiple bruises on his trunk
and legs. When questioned, the child said his father hit him and broke his arm
so that the child would remember to be good. What should the nurse do?
A) Chart that the child is a victim of child abuse, so that there is a record of the
abuse should such behavior reoccur
,B) Do nothing, because the nurse cannot prove the child was really abused,
and saying anything could open the institution to a possible defamation
lawsuit
C) Downplay the child's comments, because children often exaggerate
D) Report the incident immediately to the nursing supervisor or physician so
that the incident will be reported to the proper authorities Correct Answer
- Report the incident immediately to the nursing supervisor or physician so
that the incident will be reported to the proper authorities
*The RN must take all statements seriously regardless of the age of the patient
The parents of a 17-year-old who is receiving state-funded substance abuse
treatment have asked the provider for information about their child. What is
the correct action by the health care provider?
A) Refuse the request because of the provision of the common-law duty to
disclose
B) Refuse the request as it is likely to interfere with the treatment plan.
C) Release the information immediately as parents always can receive
information on minor children
D) Release information only if the patient has signed consent to do so
Correct Answer - Release information only if the patient has signed consent
to do so
*A minor must always sign consent for information about substance abuse to
be released, even to a parent
An example of an abuse of power from a mentor entails:
A) Asking a student to pick up coffee
B) Asking a student to do a literature search for an article in which the student
will not be listed as an author
,C) Asking students to work in the lab on saturdays
D) Asking a student to copyedit page proofs of a journal article Correct
Answer - Asking a student to pick up coffee
A nurse has missed 10 days of work while involved as a defendant in a
malpractice lawsuit. Must the hospital where this nurse is employed and that
was also named in the suit pay the nurse for those days?
A) No, since the nurse caused the lawsuit to be filed, the hospital has no
responsiblilty for pay
B) No necessarily, it depends upon the hospital's insurance policy and what it
covers
C) In most cases, the hospital is only required to pay the nurse for one-half of
time missed.
D) Yes, the hospital is always responsible for expense associated with work
whether or not the expenses are r/t a lawsuit. Correct Answer - No
necessarily, it depends upon the hospital's insurance policy and what it covers
*Most hospital insurance policies do not have supplementary payments for
the nurse-defendant. This means that if the RN incurs additional expenses in
investigating the claim or loses days of work defending the claim, the RN must
cover those expenses out of pocket. However, some policies do have this
coverage, so this is the most accurate answer.
In which case might a default judgment be entered?
A) The defendant did not respond to the complaint and would otherwise have
been shown to have liability
B) The defendent did not respond to the complaint
C) The plaintiff did not respond to the complaint
, D) The plaintiff did not respond to the complaint and would otherwise have
been shown to have liability Correct Answer - The defendent did not
respond to the complaint
*default judgments are entered when a defendant does not respond to the
complaint by the plaintiff
Which statement most accurately reflects the ANA Code of Ethics position on
nursing interventions for dying patients?
A) Provision 2.3, Collaboration indicates it is ethical to provide nursing
interventions to relieve pain and other symptoms that risk hastening death, as
long as the nurse collaborates with others prior to implementation.
B) Provision 4.2, Accountability for nursing judgment and action indicates it is
unethical to provide nursing interventions to relieve pain and other
symptoms, if the interventions entail risks of hastening death.
C) Provision 2.1, Primacy of patient interests indicates it is ethical to provide
nursing interventions with the sole intent of ending a patient's life, if the
patient requests the intervention(s) and the nurse is motivated by
compassion, respect for patient autonomy and quality of life considerations.
D) Provision 1.3, The nature of health problems indicates it is eth Correct
Answer - Provision 1.3, The nature of health problems indicates it is ethical
to provide nursing interventions to relieve pain and other symptoms, even
when the interventions entail risks of hastening death.
**However, nurses may not act with the sole intent of ending a patient's life
even though such action may be motivated by compassion, respect for patient
autonomy and quality of life considerations.
Which option reflects one of the more convincing arguments for the nurse
having individual malpractice insurance?
A) Filing a lawsuit is costly in today's society
