PrepU | Chapter 3: Laws and Ethics
An older adult client has expressed to the nurse a desire to specify and document the care they want
to receive and do not want to receive if they become incapacitated. The nurse should encourage the
client to explore what option?
A do-not-resuscitate (DNR) order
Assignment of a surrogate decision-maker
A will
A living will
A living will
What would be an example of the nurse practicing fidelity? The nurse:
regulates visitors.
withholds information as requested.
provides continuity of care.
stays with a client during death as promised.
stays with a client during death as promised.
While riding in the elevator, a nurse discusses the HIV-positive status of a client with other
colleagues. The nurse's action reflects:
defamation of character.
invasion of privacy.
professional negligence.
false imprisonment.
invasion of privacy.
What governing body has the authority to revoke or suspend a nurse's license?
The State Board of Nurse Examiners
The employing health care institution
The National League for Nursing
The Supreme Court
The State Board of Nurse Examiners
A nurse is caring for a client following endotracheal intubation. Before applying soft wrist restraints to
prevent the client from pulling out the endotracheal tube, what is the most appropriate action of the
nurse?
Notify the family.
Obtain a medical order.
Get written consent.
,Sedate the client.
Obtain a medical order.
A client who is cognitively impaired is scheduled to undergo surgery. The nurse demonstrates
understanding of the principle of autonomy and checks the client's health record to ensure that
consent has been obtained from which person?
surrogate decision-maker
attending nurse
client
operating surgeon
surrogate decision-maker
A nurse is driving on a back country road when a man flags the nurse down and yells that his wife is
having an infant. The registered nurse is eager to help. The nurse recalls being covered under the
Good Samaritan law. This law states:
that the nurse is required to assist this couple because of knowledge and abilities.
that the nurse is not allowed to help this couple and should instead call 911.
that the nurse's license is protected if the nurse acts in a reasonable manner given the
circumstances.
that the nurse's license is at risk and the nurse would face criminal prosecution if an error was made.
that the nurse's license is protected if the nurse acts in a reasonable manner given the
circumstances.
The nurse is leading a discussion with a group of adolescents about what to do "if a friend shows you
a gun at school in a backpack." The nurse is encouraging the adolescents to explore consequences
of their actions for decisions made. What value transmission is the nurse demonstrating?
Responsible choice
Rewarding and punishing
Laissez-faire approach
Modeling behavior
Responsible choice
In the delivery of care, the nurse acts in accordance with nursing standards and the code of ethics
and reports a medication error that the nurse has made. The nurse is most clearly demonstrating
which professional value?
Integrity
Social justice
Altruism
, Human dignity
Integrity
A client rings the call bell to request pain medication. On performing the pain assessment, the nurse
informs the client that the nurse will return with the pain medication. After a few moments, the nurse
returns with the pain medication. The nurse's returning with the pain medication is an example of
which principle of bioethics?
Autonomy
Nonmaleficence
Justice
Fidelity
Fidelity
A client is unhappy with the health care provided and informs the nurse that the client is leaving the
facility. The client has not been discharged by the health care provider. The nurse finds that the client
has dressed and is ready to go. What should the nurse's action be in this situation?
The nurse should warn the client that the client cannot come to the hospital again.
The nurse should call and inform the nursing supervisor of the situation.
The nurse should have the client restrained and call the health care provider.
The nurse should let the client go because the nurse cannot do anything
The nurse should call and inform the nursing supervisor of the situation.
What is the legal source of rules of conduct for nurses?
Constitution of the United States
nurse practice acts
agency policies and protocols
American Nurses Association
nurse practice acts
Which clinical events constitute areas of potential liability for the nurses involved? Select all that
apply.
An older adult client develops skin breakdown on his coccyx because he was turned infrequently.
A client experiences a seizure after a missed dose of his scheduled anticonvulsant medication.
An anemic client experiences a febrile reaction to a transfusion of packed red blood cells.
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