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Question 1 of 10
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Which act would cause a nurse to be charged with a misdemeanor?
Using a patient’s identity to open a credit account
Stealing a patient’s identity to open a credit account is a felony because it constitutes identity theft and financial fraud, which are serious crimes punishable under criminal law.
Signing out narcotics and selling them to a friend outside of work
Signing out narcotics and selling them to someone else is considered drug trafficking. This is categorized as a felony.
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Documenting medication was given to a client who refused the dose
Documenting that a client received a medication that the client refused to take is falsifying a client’s medical record. This is categorized as a misdemeanor.
Billing Medicare for an office procedure that an older client refused to have done
Billing Medicare for a service that was not performed is Medicare fraud. This is categorized as a felony.
Question 2 of 10
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Which action would indicate that a nurse is falsely imprisoning a client?
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Preventing the client from changing into street clothes
False imprisonment is restraining or detaining a person against their wishes. Actual force does not need to be done; however, preventing the client from changing into personal clothes to leave the facility would be false imprisonment.
Suggesting the client call for transportation before leaving the room
Suggesting that the client call for transportation before leaving the room is a safety measure and would not be false imprisonment.
Asking the client to wait until the health care provider writes the client’s prescriptions
Asking the client to wait until the health care provider writes the client’s prescriptions is ensuring that the client has access to medications and would not be false imprisonment.
Applying pressure to the skin after removing an intermittent intravenous device from the client’s forearm
Applying pressure to the skin after removing an intermittent intravenous device from the client’s forearm is a safety measure and would not be false imprisonment.
Question 3 of 10
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The nurse providing care discloses that a celebrity is HIV-positive to the media. Which intentional tort is the nurse guilty of based on this clinical scenario?
False imprisonment
This clinical scenario does not indicate false imprisonment.
Correct
Invasion of privacy
An invasion of privacy occurs when a person’s private affairs (including health history and status) are made public without consent. The nurse has a legal and ethical duty to maintain client confidentiality. There may be serious repercussions when the nurse breaches this duty and violates this fundamental client right; therefore, this clinical scenario indicates the intentional tort of invasion of privacy.
Assault and battery
The nurse is not guilty of assault or battery in this scenario.
Defamation of character
The nurse is not defaming the celebrity in this scenario but invading privacy.
Question 4 of 10
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Which action would the nurse take when a news reporter asks for information about a client who is a local celebrity?
Print sections of the medical record for the reporter
An invasion of privacy is when a person’s private affairs, including health history and status, are made public without consent. Under no circumstances should information or copies of client records be provided to another person or agency.
Text the reporter with responses to specific questions
An invasion of privacy is when a person’s private affairs, including health history and status, are made public without consent. Texting information to the reporter is an invasion of the client’s privacy and should not be done.
Talk with the reporter privately in the conference room
An invasion of privacy is when a person’s private affairs, including health history and status, are made public without consent. Talking with the reporter should not be done as this is an invasion of the client’s privacy.
Correct
Refer the reporter to the administrator to answer questions
An invasion of privacy is when a person’s private affairs, including health history and status, are made public without consent. Any requests for information should be referred to the facility administrator or risk manager.
Question 5 of 10
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For which client would the nurse anticipate the stipulations in a living will be overturned?
Living will written 5 years ago requesting organs to be donated upon death and has osteoarthritis
A living will is a legal document made by a competent adult stating their wishes regarding end-of-life care in the final stages of a terminal illness. The client is not terminal and the stipulations would not be overturned.
Living will written 6 months ago by a client with COPD who did not want to be put on a ventilator.
A living will is a legal document made by a competent adult stating their wishes regarding end-of-life care in the final stages of a terminal illness. The client has a chronic illness and does not want the life-sustaining procedure of mechanical ventilation. The stipulations would not be overturned.
Living will written 2 years ago assigning the oldest adult child as health care proxy and is being treated for sleep apnea
A living will is a legal document made by a competent adult stating their wishes regarding end-of-life care in the final stages of a terminal illness. An adult child can be a health care proxy, and the client has sleep apnea, which can be treated.
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Living will written 10 years ago stating all measures to be done but now has terminal cancer and the client is unconscious
A living will is a legal document made by a competent adult stating their wishes regarding end-of-life care in the final stages of a terminal illness. The living will is stating the client is to receive all care but is now unconscious. The stipulations in the living will can be overturned since the client is no longer able to make decisions. Also the client’s condition has changed considerably since the writing of the living will and the stipulations no longer apply.
Safety and Quality NSG 633- Chapter 8, Legal Issues in Nursing and Health Care Intentional Torts in Nursing Practice and the Law and Client Rights
Question 6 of 10
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Which action would the nurse take when a client asks for information about a health care proxy?
Direct the client to contact their personal attorney
Nurses might be asked questions about durable power of attorney for health care by clients. The client does not need to contact their personal attorney for this information.
Ask a social worker to provide the client with the information
Nurses might be asked questions about durable power of attorney for health care by clients. The social worker does not need to provide the client with this information.
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Provide the client with written information about the Patient Self-Determination Act
Nurses might be asked questions about durable power of attorney for health care by clients. The nurse needs to provide the client with written material about advance directives that are required under the federal statue the Patient Self-Determination Act, passed in 1990.
Explain what it means to assign someone to have durable power of attorney
Nurses might be asked questions about durable power of attorney for health care by clients. The nurse needs to do more than explain what it means to assign someone to have durable power of attorney.
Question 7 of 10
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For which procedure would the nurse contact the manager to discuss the client’s informed consent?
Client having a bowel resection and the surgeon decides that an ostomy is not required
The informed consent was to include an ostomy, which was not required. This is not an issue with informed consent.
Client having surgery to realign a broken femur and uses internal plates instead of an external device
The informed consent was to have an external bone stabilizing device, which was not needed. This is not an issue with informed consent.
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Client having a dilation and curettage for endometriosis and the surgeon decides to perform a hysterectomy
The informed consent was to have a dilation and curettage for endometriosis, but the surgeon wants to perform a hysterectomy. This is an issue as the informed consent did not include the potential for major surgery to remove an organ. The manager needs to be contacted to discuss the client’s informed consent.
Client agrees to having a subclavian central line inserted but the health care provider discusses with the client that a peripherally inserted subclavian line through the brachial artery would be adequate
The informed consent was to have a central line inserted, but the health care provider discussed the change with the client. The client is receiving information from the health care provider about the change and another informed consent should be prepared for the client to sign. The manager does not need to be contacted.
Question 8 of 10
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Which person would the nurse ask to interpret information about a surgical procedure for a client who does not speak or understand English and the facility’s interpreter is unavailable until the next day?
The client’s adolescent son
Family members should not be used as an interpreter unless the client requests it. However, the son is an adolescent and may not understand everything that needs to be interpreted to the client.
Correct
Another nurse who speaks the same language
A nurse who speaks the same language as the client would be the best option to serve as an interpreter in this situation. The nurse would understand the terms and can help the client understand the procedure.
The next-door neighbor who is visiting the client
A next-door neighbor who is visiting the client should not be used as an interpreter. There is no way of knowing if this person would understand the terms used to describe the procedure.
A security guard who took classes in the client’s primary language
A person who took classes to learn the client’s primary language would not be appropriate to serve as an interpreter. This person might not understand the terms used to describe the procedure and could use incorrect terms when communicating with the client.
Question 10 of 10
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Which client situation would indicate to the nurse that restraints statutes are being violated?
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A client placed in a chair with a chair tray locked into place
A client has the right to not be unlawfully restrained. A chair with a chair tray locked into place is a form of physical restraint and would be a violation of a restraint statute.
A client who is confused ambulated in the hallway after dinner
Walking a confused client in the hallway is not a form of restraint. This is would be necessary for the client’s safety.
A client in a wheelchair propped with a pillow to prevent leaning to one side
Propping a client in a wheelchair with a pillow to prevent leaning to one side is not a form of restraint. This would be necessary for the client’s comfort and safety.
A client who wanders after sundown being attended by unlicensed assistive personnel in the client’s room
Having unlicensed assistive personnel attend to a client who wanders after sundown is not a form of restraint. This would be necessary for the client’s safety.
.Safety and Quality NSG 633- Chapter 8, Legal Issues in Nursing and Health Care Intentional Torts in Nursing Practice and the Law and Client Rights
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Question 9 of 10
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Which statement would the nurse document in the medical record when a client with heart failure is leaving the hospital against medical advice and the primary care provider is delayed in arriving? Select all that apply. One, some, or all responses may be correct.
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“Client instructed to follow a low-sodium diet.”
If the primary provider has not arrived before the client leaves, the nurses’ notes need to contain specific advice given to the client. The client with heart failure would need to follow a low sodium diet to prevent edema.
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“Client reminded to take diuretics at home as prescribed.”
If the primary provider has not arrived before the client leaves, the nurses’ notes need to contain specific advice given to the client. The client with heart failure would need to take diuretics to prevent the buildup of excess fluid that would stress the heart.
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“Client instructed to wear anti-embolism stockings at home.”
If the primary provider has not arrived before the client leaves, the nurses’ notes need to contain specific advice given to the client. The client with heart failure would need to wear anti-embolism stockings to facilitate venous return and prevent edema of the lower extremities.
“Client informed to follow up with the primary care provider in a week.”
If the primary provider has not arrived before the client leaves, the nurses’ notes need to contain specific advice given to the client. The client should be instructed to follow-up with the primary care provider the next day and not wait a week.
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“Client informed that leaving the facility could cause the condition to become worse.”
If the primary provider has not arrived before the client leaves, the nurses’ notes need to contain specific advice given to the client. The client should be informed that leaving the facility before treatment is concluded could cause the heart problem to become worse.
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