Approach 1st edition by Jensen -Test Bank- Legal
Concepts In Nursing NCLEX
The client has an order for intramuscular (IM) morphine sulfate as needed for pain. A nurse accidentally
administers an incorrect dosage of the morphine sulfate to the client. Which source of law best
addresses this situation?
a. Civil law
b. Criminal law
c. Common law
d. Administrative law - ✔✔ANSWER✔✔a. ~ Civil laws protect the rights of individual persons within our
society and encourage fair and equitable treatment among people. Generally, violations of civil laws
cause harm to an individual or property, and damages involve payment of money. Administering an
incorrect dosage of morphine sulfate would fall under civil law because it could cause harm to an
individual.
On admission to the hospital, a terminal cancer patient says he has a living will. This document functions
to state the clients desire to:
a. Receive all means of technical assistance and equipment used to prolong his life
b. Have his wife make decisions regarding his care
c. Be allowed to die without life-prolonging techniques
d. Have a lethal injection administered to relieve his suffering - ✔✔ANSWER✔✔c. ~ A living will is an
advance directive, prepared when the individual is competent and able to make decisions, regarding that
persons specific instruction about end-of-life care. Living wills allow people to specify whether they
would want to be intubated, treated with pressor drugs, shocked with electricity, and fed or hydrated
intravenously.
A junior nursing student prepares to give her client an injection. What standard of care applies to the
student nurses conduct when providing care normally performed by a registered nurse (RN)? The
student is held to:
a. A standard of care of an unlicensed person
, b. The same standard of care as an RN
c. A standard similar to but not the same as the staff nurse with whom she is assigned to work
d. No special standard of care because her faculty member is responsible for her conduct -
✔✔ANSWER✔✔b. ~ Student nurses are expected to perform as professional nurses (i.e., as an RN would
in providing safe client care).
The nurse has just obtained a license to practice and is determining whether individual malpractice
insurance is necessary. Which of the following is the most important factor in a nurses deciding whether
to carry malpractice insurance?
a. The amount of the malpractice insurance provided by the employer
b. The evaluation of whether the nurse works in a critical area of nursing where clients have higher
morbidity and mortality rates
c. The time frames and individual liability of the employers malpractice coverage
d. The nurses knowledge level of Good Samaritan laws - ✔✔ANSWER✔✔c. ~ It would be important to
know the time frames of the employers malpractice coverage. In other words, is the nurse covered only
during the times he or she is working within the institution? It would be important to know the
individual liability, meaning if sued, what financial responsibility would the nurse have?
An unconscious client with a head injury needs surgery to live. His wife speaks only French, and the
health care providers are having a difficult time explaining his condition. Which of the following is the
most correct answer regarding this situation?
a. Two licensed health care personnel should witness and sign the preoperative consent indicating their
hearing an explanation of the procedure given in English.
b. An institutional review board must be contacted to give their emergency advice on the situation.
c. A friend of the family could act as an interpreter, but the explanation could not provide details of the
clients accident, because of confidentiality laws.
d. The health care team should continue with the surgery after providing information in the best manner
possible. - ✔✔ANSWER✔✔d. ~ In emergency situations, if it is impossible to obtain consent from the
client or an authorized person, the procedure required to benefit the client or save a life may be
undertaken without liability for failure to obtain consent. In such cases, the law assumes that the client
would wish to be treated.
A physician asks a family nurse practitioner to prescribe a medication that the nurse practitioner knows
is incompatible with the current medication regimen. If the nurse practitioner follows the physicians
desire, which of the following is the most correct answer?