Leadership Exam 4
A nurse is giving a presentation on malpractice. Which statement indicates the nurse understands malpractice?
A. "The elements of duty, breach of duty, and patient injury must be present for a malpractice claim." B. "Negligent nursing care and failure to follow standards must be present for a malpractice claim."
C. "Failure to report, defamation, and discrimination must be present for a malpractice claim."
D. "Error in judgment and invasion of privacy must be present for a malpractice claim." -
ANSWER-A
In transcribing orders for a patient, the nurse finds a new order for aspirin, 500 mg, QID.
The patient has a long history of gastrointestinal bleeding. What is the best nursing action?
A. Give the medication.
B. Withhold the medication and chart why it was not given.
C. Call the physician and question the order in light of the patient's history. D. Ask if the patient is allergic to aspirin. - ANSWER-C
The nurse enters a patient's room to complete the discharge paperwork and finds the patient in tears. The patient reports that someone from the business office stated they could not leave the hospital until the bill was paid. What is the best nursing action?
A. Comfort the patient and continue the preparations for discharge. B. Call the social worker for a financial evaluation.
C. Call the family to arrange for the payment.
D. Cancel the discharge plans and notify the physician of the situation. - ANSWER-A
What is a correct statement regarding a nurse who acts beyond the scope of practice?
A. Demonstrates what a good nurse he or she can be
B. Provides enriched services to patients who would not otherwise receive them
C. May make other nurses angry because of the increased expectations created
D. May be disciplined by the board of nursing - ANSWER-D
Which error in judgment would be the most serious for the nurse defendant in a legal case?
A. Discussing the case with the plaintiff
B. Tampering with the chart C. Hiding information from the plaintiff's attorney
D. Being discourteous on the witness stand - ANSWER-B
A graduate nurse is preparing to start a first nursing job. What action would be the best legal safeguard for the graduate nurse to take? A. Competent practice B. A legal contract
C. A valid license
D. Following management policies - ANSWER-A
A nurse is providing care to a 6-year-old child with a broken arm. The nurse notices multiple bruises. The child says, "my father got mad because I was bad, and he hit and broke my arm so that I would remember to be good." What is the best nursing action?
A. Chart that the child is a victim of abuse.
B. Do nothing because the nurse cannot prove the child was abused.
C. Report the situation to the appropriate authorities. D. Ignore what the child said because little children often lie. - ANSWER-C
What would be the most effective way for a nurse to validate "informed consent?"
A. Check the chart for a completed and signed consent form.
B. Determine from the physician what was discussed with the patient.
C. Ask the family whether the patient understands the procedure.
D. Ask the patient what he or she understand regarding the procedure. - ANSWER-D
What action might be taken on a nurse who commits an infraction of the Nurse Practice Act?
A. The nurse is subject to discipline by a court of law.
B. The nurse is subject to discipline by the state board of nursing. C. The nurse is subject to discipline by the local chapter of the state nurses association.
D. The nurse is subject to discipline by the National League for Nursing. - ANSWER-B
The nurse understands "scope of nursing practice" when making which of the following statements?
A. "The scope of nursing practice includes acts that permit some overlap between nursing and medicine."
B. "The scope of nursing practice includes activities that are legally permissible for a nurse to perform in a particular state." C. "The scope of nursing practice are the specific duties the nurse owes to a patient."
D. "The scope of nursing practice involves hose activities for which a nurse can be held liable for malpractice." - ANSWER-B
A student nurse is studying assault and battery. The student interprets assault and battery to include
A. the nurse, without consent, touched the patient in an offensive, insulting, or injurious way.
B. the nurse threatened to put the patient in restraints if they did not stay in bed.
C. the nurse said the bill has to be paid before the patient can leave.
D. the nurse failed to perform an act expected of a reasonable nurse. - ANSWER-A
A nurse understands informed consent when making which of the following statements?
A. "Informed consent is a binding agreement." B. "Informed consent involves filling out an incident report."
C. "Informed consent occurs when the patient receives information about a procedure before giving consent." D. "Informed consent is a name for a written legal policy." - ANSWER-C
Which definition, given by the nurse indicates understanding of malpractice?
A. "Malpractice is a criminal act committed against society."
B. "Malpractice means doing something a reasonable person or nurse would not do."
C. "Malpractice is an intentional professional act of negligence."
D. "Malpractice is a professional act or failure to act that leads to injury of a patient." - ANSWER-D
A nurse tells a patient, "If you don't stop getting out of that chair, I'm going to put some restraints on you." What may this nurse be accused of?
A. False imprisonment B. Defamation
C. Invasion of privacy
D. Malpractice - ANSWER-A
During a malpractice suit, how can the standard of "what the wise and prudent nurse would do" best be established?
A. From the testimony of an expert nurse B. By consulting with nursing faculty regarding standards of care
C. Conferring with a lawyer regarding malpractice parameters
D. By consulting the standards of The Joint Commissions - ANSWER-A
During a life-threatening emergency, a nurse hurriedly gives the patient a medication by
IV push. There is extravasation of medication. Later, necrosis and tissue sloughing take place. The nurse's behavior may be the basis for what action?
A. Felony charge
B. Misdemeanor charge
C. Tort suit D. Defamation suit - ANSWER-C
At the time of admission, a patient gave a history of allergy to penicillin that was duly noted in all critical areas of the patient's record. While giving medications, a nurse accidentally administered penicillin to this patient. The patient had a severe reaction but recovered. What is the implication of the nurse's action?
A. The nurse cannot be sued for malpractice because the patient did not directly the nurse of the allergy.
B. The nurse failed to act in a reasonable and prudent fashion and thus is liable for malpractice. \
C. The nurse who gave the medication can bring a countersuit against the nurse who took the history.
D. There is no cause for concern because the action did not result in the patient's death.
- ANSWER-B
A nurse is giving a presentation on malpractice. Which statement indicates the nurse understands malpractice?
A. "The elements of duty, breach of duty, and patient injury must be present for a malpractice claim." B. "Negligent nursing care and failure to follow standards must be present for a malpractice claim."
C. "Failure to report, defamation, and discrimination must be present for a malpractice claim."
D. "Error in judgment and invasion of privacy must be present for a malpractice claim." -
ANSWER-A
In transcribing orders for a patient, the nurse finds a new order for aspirin, 500 mg, QID.
The patient has a long history of gastrointestinal bleeding. What is the best nursing action?
A. Give the medication.
B. Withhold the medication and chart why it was not given.
C. Call the physician and question the order in light of the patient's history. D. Ask if the patient is allergic to aspirin. - ANSWER-C
The nurse enters a patient's room to complete the discharge paperwork and finds the patient in tears. The patient reports that someone from the business office stated they could not leave the hospital until the bill was paid. What is the best nursing action?
A. Comfort the patient and continue the preparations for discharge. B. Call the social worker for a financial evaluation.
C. Call the family to arrange for the payment.
D. Cancel the discharge plans and notify the physician of the situation. - ANSWER-A
What is a correct statement regarding a nurse who acts beyond the scope of practice?
A. Demonstrates what a good nurse he or she can be
B. Provides enriched services to patients who would not otherwise receive them
C. May make other nurses angry because of the increased expectations created
D. May be disciplined by the board of nursing - ANSWER-D
Which error in judgment would be the most serious for the nurse defendant in a legal case?
A. Discussing the case with the plaintiff
B. Tampering with the chart C. Hiding information from the plaintiff's attorney
D. Being discourteous on the witness stand - ANSWER-B
A graduate nurse is preparing to start a first nursing job. What action would be the best legal safeguard for the graduate nurse to take? A. Competent practice B. A legal contract
C. A valid license
D. Following management policies - ANSWER-A
A nurse is providing care to a 6-year-old child with a broken arm. The nurse notices multiple bruises. The child says, "my father got mad because I was bad, and he hit and broke my arm so that I would remember to be good." What is the best nursing action?
A. Chart that the child is a victim of abuse.
B. Do nothing because the nurse cannot prove the child was abused.
C. Report the situation to the appropriate authorities. D. Ignore what the child said because little children often lie. - ANSWER-C
What would be the most effective way for a nurse to validate "informed consent?"
A. Check the chart for a completed and signed consent form.
B. Determine from the physician what was discussed with the patient.
C. Ask the family whether the patient understands the procedure.
D. Ask the patient what he or she understand regarding the procedure. - ANSWER-D
What action might be taken on a nurse who commits an infraction of the Nurse Practice Act?
A. The nurse is subject to discipline by a court of law.
B. The nurse is subject to discipline by the state board of nursing. C. The nurse is subject to discipline by the local chapter of the state nurses association.
D. The nurse is subject to discipline by the National League for Nursing. - ANSWER-B
The nurse understands "scope of nursing practice" when making which of the following statements?
A. "The scope of nursing practice includes acts that permit some overlap between nursing and medicine."
B. "The scope of nursing practice includes activities that are legally permissible for a nurse to perform in a particular state." C. "The scope of nursing practice are the specific duties the nurse owes to a patient."
D. "The scope of nursing practice involves hose activities for which a nurse can be held liable for malpractice." - ANSWER-B
A student nurse is studying assault and battery. The student interprets assault and battery to include
A. the nurse, without consent, touched the patient in an offensive, insulting, or injurious way.
B. the nurse threatened to put the patient in restraints if they did not stay in bed.
C. the nurse said the bill has to be paid before the patient can leave.
D. the nurse failed to perform an act expected of a reasonable nurse. - ANSWER-A
A nurse understands informed consent when making which of the following statements?
A. "Informed consent is a binding agreement." B. "Informed consent involves filling out an incident report."
C. "Informed consent occurs when the patient receives information about a procedure before giving consent." D. "Informed consent is a name for a written legal policy." - ANSWER-C
Which definition, given by the nurse indicates understanding of malpractice?
A. "Malpractice is a criminal act committed against society."
B. "Malpractice means doing something a reasonable person or nurse would not do."
C. "Malpractice is an intentional professional act of negligence."
D. "Malpractice is a professional act or failure to act that leads to injury of a patient." - ANSWER-D
A nurse tells a patient, "If you don't stop getting out of that chair, I'm going to put some restraints on you." What may this nurse be accused of?
A. False imprisonment B. Defamation
C. Invasion of privacy
D. Malpractice - ANSWER-A
During a malpractice suit, how can the standard of "what the wise and prudent nurse would do" best be established?
A. From the testimony of an expert nurse B. By consulting with nursing faculty regarding standards of care
C. Conferring with a lawyer regarding malpractice parameters
D. By consulting the standards of The Joint Commissions - ANSWER-A
During a life-threatening emergency, a nurse hurriedly gives the patient a medication by
IV push. There is extravasation of medication. Later, necrosis and tissue sloughing take place. The nurse's behavior may be the basis for what action?
A. Felony charge
B. Misdemeanor charge
C. Tort suit D. Defamation suit - ANSWER-C
At the time of admission, a patient gave a history of allergy to penicillin that was duly noted in all critical areas of the patient's record. While giving medications, a nurse accidentally administered penicillin to this patient. The patient had a severe reaction but recovered. What is the implication of the nurse's action?
A. The nurse cannot be sued for malpractice because the patient did not directly the nurse of the allergy.
B. The nurse failed to act in a reasonable and prudent fashion and thus is liable for malpractice. \
C. The nurse who gave the medication can bring a countersuit against the nurse who took the history.
D. There is no cause for concern because the action did not result in the patient's death.
- ANSWER-B
