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Foundations Exam 3 questions and answers
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Foundations Exam 3 questions and answers
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Foundations Exam 3 questionsand answers
A nurse is caring for a patient who recently had coronary bypass
surgery. Which are legal sources of standards of care the nurse uses
to deliver safe health care? (Select all that apply.)
A. Information provided by the head nurse
B. Policies and procedures of the employing hospital
C. State Nurse Practice Act
D. Regulations identified in The Joint Commission's manual
E. The American Nurses Association standards of nursing practice -
answer B. Policies and procedures of the employing hospital
C. State Nurse Practice Act
D. Regulations identified in The Joint Commission's manual
E. The American Nurses Association standards of nursing practice
A nurse is sued for failure to monitor a patient appropriately after a
procedure. Which of the following statements are correct about this
lawsuit? (Select all that apply.)
A. The nurse represents the plaintiff.
B. The defendant must prove injury, damage, or loss.
C. The person filing the lawsuit has the burden of proof.
D. The plaintiff must prove that a breach in the prevailing standard
of care caused an injury. - answer C. The person filing the lawsuit
has the burden of proof.
D. The plaintiff must prove that a breach in the prevailing standard
of care caused an injury.
A nurse stops to help in an emergency at the scene of an accident.
The injured party files a suit, and the nurse's employing institution
,insurance does not cover the nurse. What would probably cover the
nurse in this situation?
A. The nurse's automobile insurance
B. The nurse's homeowner's insurance
C. The Good Samaritan laws, which grant immunity from suit if
there is no gross negligence
D. The Patient Care Partnership, which may grant immunity from
suit if the injured party consents - answer C. The Good Samaritan
laws, which grant immunity from suit if there is no gross negligence
A nurse is planning care for a patient going to surgery. Who is
responsible for informing the patient about the surgery along with
possible risks, complications, and benefits?
A. Family member
B. Surgeon
C. Nurse
D. Nurse Manager - answer B. Surgeon
A woman who is a Jehovah's Witness has severe life-threatening
injuries and is hemorrhaging following a car accident. The health
care provider ordered 2 units of packed red blood cells to treat the
woman's anemia. The woman's husband refuses to allow the nurse
to give his wife the blood. What is the nurse's responsibility?
A. Obtain a court order to give the blood
B. Coerce the husband into giving the blood
C. Call security and have the husband removed from the hospital
D. Abide by the husband's wishes and inform the health care
provider - answer D. Abide by the husband's wishes and inform the
health care provider
The nurse notes that an advance directive is on a patient's medical
record. Which statement represents the best description of an
advance directive guideline the nurse will follow?
,A. A living will allows an appointed person to make health care
decisions when the patient is in an incapacitated state.
B. A living will is invoked only when the patient has a terminal
condition or is in a persistent vegetative state.
C. The patient cannot make changes in the advance directive once
admitted to the hospital.
D. A durable power of attorney for health care is invoked only when
the patient has a terminal condition or is in a persistent vegetative
state - answer B. A living will is invoked only when the patient has
a terminal condition or is in a persistent vegetative state.
A nurse notes that the health care unit keeps a listing of the patient
names at the front desk in easy view for health care providers to
more efficiently locate the patient. The nurse talks with the nursing
manager because this action is a violation of which act?
A. Mental Health Parity Act
B. Patient Self-Determination Act (PSDA)
C. Health Insurance Portability and Accountability Act
(HIPAA)
D. Emergency Medical Treatment and Active Labor Act - answer C.
Health Insurance Portability and Accountability Act
(HIPAA)
Which of the following actions, if performed by a registered nurse,
would result in both criminal and administrative law sanctions
against the nurse? (Select all that apply.)
A. Taking or selling controlled substances
B. Refusing to provide health care information to a patient's child
C. Reporting suspected abuse and neglect of children
D. Applying physical restraints without a written physician's order -
answer A. Taking or selling controlled substances
D. Applying physical restraints without a written physician's order
, The nurse received a hand-off report at the change of shift in the
conference room from the night shift nurse. The nursing student
assigned to the nurse asks to review the medical records of the
patients assigned to them. The nurse begins assessing the assigned
patients and lists the nursing care information for each patient on
each individual patient's message board in the patient rooms. The
nurse also lists the patients' medical diagnoses on the message
board. Later in the day the nurse discusses the plan of care for a
patient who is dying with the patient's family. Which of these
actions describes a violation of the Health Insurance Portability and
Accountability Act (HIPAA)?
A. Discussing patient conditions in the nursing report room at the
change of shift
B. Allowing nursing students to review patient charts before caring
for patients to whom they are assigned
C. Posting medical information about the patient on - answer C.
Posting medical information about the patient on a message board
in the patient's room
The patient has a fractured femur that is placed in skeletal traction
with a fresh plaster cast applied. The patient experiences decreased
sensation and a cold feeling in the toes of the affected leg. The
nurse observes that the patient's toes have become pale and cold
but forgets to document this because one of the nurse's other
patients experienced cardiac arrest at the same time. Two days later
the patient in skeletal traction has an elevated temperature, and he
is prepared for surgery to amputate the leg below the knee. Which
of the following statements regarding a breach of duty apply to this
situation? (Select all that apply.)
A. Failure to document a change in assessment data
B. Failure to provide discharge instructions
C. Failure to follow the six rights of medication administration
D. Failure to use proper medical equipment ordered for patient
monitoring
E. Failure to notify a health care provider about a ch - answer A.
Failure to document a change in assessment data
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