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Nurse Practitioner’s Business Practice and Legal Guide 6th 7th Edition Test Bank
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Nurse Practitioner’s Business Practice and Legal Guide 6th 7th Edition Test Bank
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COMPLETE TEST BANK: NURSE PRACTITIONER'S BUSINESS PRACTICE AND LEGAL GUIDE 7TH EDITION BY CAROLYN BUPPERT (AUTHOR)LATEST UPDATE
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Nurse Practitioner’s Business Practice and Legal Guide 6th 7thEdition Test Bank
Family friend call about patient concerned about patient and you tell them. Is this a violation of
HIPAA? - ANSWER: YES.
Nurse allows a staff member to draw blood for lab. Is this a violation of HIPAA? - ANSWER: NO.
Patient doing cocaine & using cocaine during her pregnancy. She asks you not to tell anyone b/c her
husband is unaware of it. (select all that applies)
A) yes. she has the right for confidentiality
B) share the info w/ the doctor only
C) yes. record on patient's record.
D) mother would be separated from the mom - ANSWER: A) yes. she has the right for confidentiality
B) share the info w/ the doctor only
Failure to raise a side rail up is considered which malpractice? - ANSWER: breach of duty
A attorney charged a nurse with manslaughter because she poisoned her patient with a lethal
medication. What type of law is this? - ANSWER: criminal law
Who's responsible of wrong medication by physician order? - ANSWER: both the nurse and doctor
The RN employed in a medical center in a large metropolitan area was asked to resign after
consistently failing to report changes in client status to the health care provider. The RN subsequently
applied for a staff nurse position in another hospital. Which action is best for the nurse manager to
take when the new employer asks for a reference?
A) consult an attorney
B) inform the potential employer that the nurse resigned
C) inform the new employer about occurrences
D) ignore the request for reference - ANSWER: C) inform the new employer about occurrences
The nurse reviews informed consent with a group of nursing students. Which conditions must the
informed consent meet to be valid?
(select all that applies)
A) there is adequate disclosure
B) the nurse explains the procedure to the client
C) the informed consent is given voluntarily
D) the client has the opportunity to rescind.
E) the client has sufficient comprehensions.
F) the client is under the influence of morphine - ANSWER: A) there is adequate disclosure
C) the informed consent is given voluntarily
E) the client has sufficient comprehensions.
The nurse notices a patient dx w/ major depression crying in the day room. The nurse puts her hand
over the patient's shoulder and states, "Let's talk about it." Which of the following ethical principles
describes the nurse's action?
A) Autonomy
B) Veracity
C) Nonmaleficence
,D) Beneficence - ANSWER: D) Beneficence
On the morning before surgery, the client signs an operative consent form. Soon afterward, the client
tells the nurse that the client does not want the surgery. Which action does the nurse take first?
A) notifies the health care provider of the client's decision.
B) informs the client the decision has delayed the operating room schedule.
C) encourages the client to discuss reasons for canceling the surgery
D) asks the client's family to encourage the client to have the surgery - ANSWER: C) encourages the
client to discuss reasons for canceling the surgery
A nurse approaches the nurse manager to ask for a raise. After some discussion about why the nurse
feels a raise is warranted, the nurse manager suggests they discuss the raise further over dinner. The
nurse refuses, and the nurse manager replies, "No dinner, no raise." Which action does the nurse take
first?
A) immediately document the incident
B) immediately report the incident to the supervisor
C) immediately inform the nurse manager that the nurse does not want to go out to dinner.
D) immediately contact the nurse's family - ANSWER: C) immediately inform the nurse manager that
the nurse does not want to go out to dinner.
The student nurse discusses causes of malpractice suits with the instructor. The instructor intervenes
if the student include which occurrence as an example of malpractice?
A) failure to warn a potential employer of an RN's incompetence.
B) failure to staff a unit adequately
C) failure to ensure that nurses are practicing in a competent manner
D) failure to document within 30 minutes after a change in the client condition - ANSWER: D) failure
to document within 30 minutes after a change in the client condition
The nurse understands that risk management, within the context of managed care, focuses on which
principle?
A) educate clients about managing risk factors that would predispose to certain health conditions.
B) teach employees how to take risks safely in their personal and professional lives.
C) propose risk taking activities for the institution that will enhance its public image
D) prevent and minimize institutional and treatment factors that could lead to legal liability. -
ANSWER: D) prevent and minimize institutional and treatment factors that could lead to legal liability.
The nursing instructor discusses perioperative care. Which statement best describes informed
consent?
A) informed consent is required for every invasive procedure done in the hospital.
B) informed consent is obtained before major invasive (surgical) procedures.
C) informed consent is implied when the client signs the admission papers.
D) informed consent is not necessary for surgical or invasive hospital procedures. - ANSWER: B)
informed consent is obtained before major invasive (surgical) procedures.
When witnessing the client's signature during informed consent, it is most important for the nurse to
make which assessment?
A) does the client understand the procedure?
B) does the client have any questions?
C) does the client give consent voluntarily?
D) is the client about to write the name? - ANSWER: C) does the client give consent voluntarily?
,The nurse reporting suspected child abuse is legally operating under which cope?
A) good samaritan
B) duty to disclose
C) discretionary powers
D) expert witness - ANSWER: B) duty to disclose
The parents of an adult child have just been informed that the client will die shortly. The parents do
not wont the nurse to discuss the situation with the client. The nurse states, "I will be truthful." The
nurse's action is based on which ethical concept?
A) beneficence
B) autonomy
C) veracity
D) nonmaleficence - ANSWER: C) veracity
The healthcare provider asks the nurse to assist in obtaining informed consent for a procedure from
the client. Which action does the nurse take to obtain informed consent form the client who is
declared mentally incompetent?
A) contact the client's next of kin to obtain consent.
B) consult with the client's psychiatrist to determine if the client is able to sign the form.
C) contact the client's legal guardian or health care surrogate.
D) have the client's health care provider obtain informed consent from the client. - ANSWER: C)
contact the client's legal guardian or health care surrogate.
When an older nurse complains to a younger nurse that nurses just aren't ethical anymore, which
reply reflects the best understanding of moral development?
A) "behaving ethically develops gradually from childhood; maybe my generation doesn't value this
enough to develop"
B) "I don't agree that nurses were more ethical in the past It's a new age and the ethics are new!"
C) "Ethics is genetically determined... it's like having blue or brown eyes. Maybe were evolving out of
the ethical sense your generation had."
D) "I agree! It's impossible to be ethical when working in a practice setting like this!" - ANSWER: A)
"behaving ethically develops gradually from childhood; maybe my generation doesn't value this
enough to develop"
A home health nurse who performs a careful assessment of the home of a frail elderly patient to
prevent harm to the patient is acting in accordance with which of the principles of bioethics?
A) autonomy
B) beneficence
C) justice
D) fidelity
E) nonmaleficence - ANSWER: E) nonmaleficence
A professional nurse committed to the principle of autonomy would be careful to?
A) provide the info. and support a patient needed to make decisions to advance one's own interest.
B) treat each patient fairly, trying to give everyone his or her due.
C) keep any promises made to a patient or another professional caregiver
D) keep any promises made to a patient or another professional caregiver
D) avoid causing harm to a patient. - ANSWER: A) provide the info. and support a patient needed to
make decisions to advance one's own interest.
, Janie wants to call an ethics consult to clarify treatment goals for a patient no longer able to speak for
himself. She believes his dying is being prolonged painfully. She is troubled when the patient's doctor
tells her that she'll be fired if she raises questions about his care or calls the consult. This is a good
example of:
A) ethical uncertainty
B) ethical distress
C) ethical dilemma
D) ethical residue - ANSWER: B) ethical distress
A student nurse begins a clinical rotation in a long term care facility and quickly realizes that certain
residents have unmet needs. The student wants to advocate for these residents. Which statements
reflect a correct understanding of advocacy? Select all that applies.
A) advocacy is the protection and support of another's rights.
B) patient advocacy is primarily done by nurse.
C) patients with special advocacy needs include the very young and the elderly, those who are
seriously ill, and those with disabilities.
D) Nurse advocates make good health care decisions for patients and residents.
E) nurse advocates do whatever patients and residents want.
F) effective advocacy may entail becoming politically active. - ANSWER: A) advocacy is the protection
and support of another's rights.
C) patients with special advocacy needs include the very young and the elderly, those who are
seriously ill, and those with disabilities.
F) effective advocacy may entail becoming politically active.
A state attorney decides to charge a nurse with manslaughter for allegedly administering lethal
medication. This is an example of what type of law?
A) public law
B) private law
C) civil law
D) criminal law - ANSWER: D) criminal law
Newly hired nurses in a busy suburban hospital are required to read the state Nurse Practice Act as
part of their training. Which topics are covered by this act? Select all that applies.
A) violations that may result in disciplinary action.
B) clinical procedures.
C) medication administraiton
D) scope of practice
E) delegation policies
F) medicare reimbursement - ANSWER: A) violations that may result in disciplinary action.
D) scope of practice
If review of this patient's record revealed that she had never consented to the eye surgery, of which
intentional tort might the surgeon have been guilty?
A) assault
B) battery
C) invasion of privacy
D) false imprisonment - ANSWER: B) battery
What must be est. to prove that malpractice or negligence has occurred in this case?
A) the surgeon who performed the procedure called the nurse's action pure negligence, saying that
the patient could have been saved.
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