CEPN ch. 6 Actual Exam Questions And Answers Solution Guaranteed.

For a malpractice law suite, essential characteristics of negligence must be present. Which of the following constitute these essential characteristics? (Select all that apply.) A. The nurse assumed the responsibility for the patient's care. B. The nurse is found to have failed to meet the standard of care. C. The harm to the patient must be shown to have been caused by the failure to meet the standard of care. D. Harm to an individual has occurred. E. The nurse's action involves acts of commission - Correct Answers A,B,C,D The Patient Self-Determination Act of 1991, as implemented today, is known as providing A. informed consent. B. advance directives. C. patient bill of rights. D. HIPAA protections. - Correct AnswersB. advance directives. In which of the following situations should the legality of an informed consent be questioned? A. Patient with dementia; consent given by spouse B. Patient who received a preoperative dose of Demerol before giving consent C. Patient who is anxious and asks many questions of the physician D. Patient who expresses concern about the cost of the procedure - Correct AnswersB. Patient who received a preoperative dose of Demerol before giving consent Which of the following is a nursing responsibility regarding informed consent? A. Canceling the procedure if the patient has questions B. Explaining the procedure, risks, and treatment alternatives C. Serving as a witness, ensuring that the patient does not feel coerced into a decision D. Ensuring that the physician has completely explained the costs of the procedure - Correct AnswersC. Serving as a witness, ensuring that the patient does not feel coerced into a decision A competent resident in a long-term care facility refuses an ordered antidepressant medication. The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient. This illustrates negligence by failure to A. follow the standard of care. B. assess and monitor a patient. C. communicate with a patient (hiding the med). D. document. - Correct AnswersC. communicate with a patient (hiding the med). Which of the following is an important step in preventing legal action against the nurse? A. Never make a mistake. B. Deflect blame from yourself as much as possible. C. Develop caring, therapeutic relationships with patients. D. Avoid explaining care procedures to patients. - Correct AnswersC. Develop caring, therapeutic relationships with patients. Which of the following actions is acceptable as an exception to a nurse's obligation regarding confidentiality? A. Reporting certain diseases to public health authority B. Discussing a patient's care with someone who does not know the patient C. Leaving printouts of lab reports on the desk in the physicians' lounge as a convenience D. Discussing a patient's condition in a public place as long as the patient's name is not mentioned - Correct AnswersA. Reporting certain diseases, suspected abuse & neglect to public health authorities The Patient Self-Determination Act of 1991 provides for? - Correct AnswersAdvance directives (durable power of attorney for healthcare & living wills) Which of the following is a nursing responsibility regarding informed consent? - Correct AnswersServing as a witness, ensuring that the patient does not feel coerced into a decision Which patient rights are guaranteed by HIPPA? A. Patients are asked to sign a release of responsibility if their health care records inadvertently become a matter of public record. B. Patients sign a release protecting the health care provider and insurance compamny against computer file theft. C. Patients are protected against medical records being indiscriminantly shared. D. Patients may receive a complete copy of their medical records at considerable cost to the patient. - Correct AnswersC. Patients are protected against medical records being indiscriminantly shared. The nurse caring for a patient states, "Your blood pressure is dangerously high. Are you taking antihypertensive medicine?" The patient states, "I can't afford my medicine. I have no insurance." The nurse tells her colleague: "I feel really sorry for that patient. I wish it wasn't against policy to give her money." The nurse wants to help and posts a message on Facebook that any donations would be appreciated to help a waitress who works at the cafeteria next door to the hospital buy her medications. The nurse posts that "She was so sick last evening when she came to the ED. Pleases help and donate if you can." This nurse: A. is showing empathy and as long as she lets the patient know the money is not from her, she is not violating any social media guidelines. B. is at risk for HIPAA violations. C. has properly followed policy and protected the patient by not using her name. D. is demonstrating the logical fallacy o - Correct AnswersB. is at risk for HIPAA violations. A nursing student got a thank-you card from a patient's family and had another student take a photo of the student with the family. The student asks the nursing instructor if it would be alright to post the photo on Facebook. Which response by the instructor is best? A. "Yes, as long as you ask the family if that would be OK." B. "I think that would be OK, but you should check hospital policy." C. "No, posting pictures of patients and families on social media sites is not acceptable." D. "No, that could lead to a malpractice suit by the patient or family." - Correct AnswersC. "No, posting pictures of patients and families on social media sites is not acceptable." Who determines eligibility for licensure? - Correct AnswersState Boards of Nursing (SBN) sets criteria for nursing Who has power to discipline a licensee? - Correct AnswersSBN has power to fine, and suspend or revoke a license Why would a license be disciplined? - Correct AnswersUnsafe practice, uniformed practice, impaired practice A child is tested for genetic abnormalities. After the test results are delivered from the laboratory, a representative of the parents' medical insurance company calls the nurse's station and asks for the results of the tests. The nurse's best response to this request is to - Correct AnswersRefuse to give the information. Remind the caller about HIPPA protections What is the primary function of the National Council of State Boards of Nursing (NCSBN)? A. Overseeing decisions made by state boards of nursing B. Developing the NCLEX-RN" and NCLEX-PN" licensing examinations C. Administering the NCLEX examination at testing centers D. Overseeing granting licensure by endorsement - Correct AnswersB. Developing the NCLEX-RN" and NCLEX-PN" licensing examinations The nurse practice act of a state defines the scope and responsibilities of nursing practice in that state. Which of the following is true regarding nurse practice acts? A. They determine the educational requirements for licensure. B. They describe the process for gaining membership to a professional organization. C. They regulate how many professional nursing organizations may be formed. D. They define the practice of medicine in relation to nursing. - Correct AnswersA. They determine the educational requirements for licensure. The nurse giving medications to a pediatric patient notes that an order for a medication is considerably larger than the usual dose. The nurse looks up the medication in a pharmacology book and finds the prescribed dose is too large. Which action should the nurse take? A. Documenting the findings in the chart after giving the medication B. Calling the nursing supervisor and ask what to do next C. Calling the pharmacist to obtain the usual dosage D. Notifying the physician of these findings before giving the medication - Correct AnswersD. Notifying the physician of these findings before giving the medication Which of the following falls under the jurisdiction of the state board of nursing? A. Approving or reject applications for new nursing education programs B. Expanding the provisions of the nurse practice act C. Reducing the provisions of the nurse practice act D. Right to suspend the need for licensure of registered nurses (RNs) in times of extreme shortage - Correct AnswersA. Approving or reject applications for new nursing education programs The most common reason that nurses are disciplined by the state board of nursing is A. making medication errors. B. following unsafe nursing practice. C. practicing while impaired. D. abandoning patients. - Correct AnswersC. prac