Chapter 8 Eliopoulos - Gerontological
Nursing 8th Ed - Legal Aspects of
Gerontological Nursing Exam
Origin: Chapter 8- Legal Aspects of Gerontological Nursing, 1
Chapter: 8
Client Needs: A1
Cognitive Level: Comprehension
Difficulty: Easy
Integrated Process: Nursing process
Objective: 1
Page and Header: 101, Laws Governing Gerontological Nursing Practice
1. Which of the following aspects of gerontological nursing would be most likely
classified under private law? - Answers -A) The regulation of who may call himself or
herself a "nurse"
B) The contract between an older adult resident and the owners of the facility
C) The legal criteria for declaring an individual mentally incompetent
D) The criminal consequences for instances of elder abuse
Ans: B
Feedback:
Private law involves relationships between individuals and organizations, such as the
contract between an individual and the care facility in question. The other cited
examples would fall under the umbrella of public law.
Origin: Chapter 8- Legal Aspects of Gerontological Nursing, 2
Chapter: 8
Client Needs: A2
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing process
Objective: 2
Page and Header: 104, Box 8-2
2. A nurse has been providing care for a 69-year-old female client who has recently had
her right foot amputated as a result of a chronic diabetic foot ulcer. The nurse undertook
to perform debridement of the wound despite lacking the relevant education and
experience. The client experienced permanent nerve damage as a result of the nurse's
misguided efforts. Which category of legal liability is most likely relevant in this case? -
Answers -A) Larceny
B) Assault
C) Invasion of privacy
D) Negligence
Ans: D
, Feedback:
Negligence involves the commission of an improper act, as exemplified by the nurse's
actions. Larceny is tantamount to theft, while assault involves a deliberate threat to
harm. The situation would not be categorized as an invasion of privacy.
Origin: Chapter 8- Legal Aspects of Gerontological Nursing, 3
Chapter: 8
Client Needs: A2
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Nursing process
Objective: 2
Page and Header: 102, Malpractice
3. An investigation into reports of substandard care on the subacute geriatric unit of a
hospital has been undertaken. Which of the following events are representative of
malpractice on the part of the nursing staff? Select all that apply. - Answers -A) A client
with a documented history of seizures was left with his bed raised and with bedrails not
in place, resulting in a fall and head injury.
B) A client was sent for a colonoscopy, after which it was learned that the client had
never given written consent for the procedure.
C) A client with a diagnosis of vascular dementia was found wandering in the hall
outside the unit.
D) An immobile client was not turned over the course of a night shift and developed a
pressure ulcer on her coccyx.
E) A client admitted with a diagnosis of pneumonia contracted an antibiotic-resistant
organism during her stay.
Ans: A, D
Feedback:
Answers A and D include all of the components of malpractice: duty, negligence, and
injury. Answer B involves an abdication of duty on the part of the physician, not the
nurse, while answer C lacks a resultant injury. Answer E does not necessarily suggest
negligence on the part of care providers.
Origin: Chapter 8- Legal Aspects of Gerontological Nursing, 4
Chapter: 8
Client Needs: A1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Communication
Objective: 2
Page and Header: 103, Confidentiality
4. A nurse is providing care for an older adult client who has been admitted to the
hospital with liver cirrhosis. The client has expressed to the nurse his concerns that the
details of his condition and treatment remain confidential, and that written
documentation not "get out there." How can the nurse best respond to the client's
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