Lippincott CoursePoint Enhanced for Taylor's Fundamentals of Nursing Ch.1 - Ch.7 Questions

THIS IS FOR PRACTICING! Rationale will be exclusively in the textbook - this way you can put on the test setting and take it like a real sit down exam.

A nurse is planning education for a patient who is scheduled for a diagnostic procedure to rule out a cerebral aneurysm. Which aspect of nursing does the nurse use as the basis for education?

A. Art of nursing

B. Science of nursing

C. Caring aspect of nursing

D. Holistic approach to nursing

B

A group of students in a community health course is discussing disaster management. Which nursing leader will the students identify as the founder of the Red Cross?

A. Clara Barton

B. Florence Nightingale

C. Lillian Wald

D. Lavinia Dock

A

A nurse is engaged in community health promotion activities. What activity best reflects this type of health promotion?

A. Teaching about fall prevention and home safety at a senior center

B. Holding a blood glucose screening for diabetes at a local church

C. Educating hospice volunteers on therapeutic communication

D. Providing education on crutch walking to a child with a fractured tibia

A

A nurse historian is researching changes in professional nursing and nursing education in the mid-20th century. What trend promoted advancement of the profession and of nursing education?

A. Increased need for nurses and knowledge explosion led to emphasis on education.

B. Focus on the war effort slowed development of knowledge in medicine and technology.

C. Role of the nurse focused on acute technical skills used in hospital settings.

D. Nursing care was dependent on the medical profession to define its priorities.

A

According to Nursing: Scope and Standards of Practice (ANA, 2021), “Nursing is the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations in recognition of the connection of all humanity. Which actions are consistent with these nursing roles? Select all that apply.

A. Offering emotional support to a patient overwhelmed by a new diagnosis of ovarian cancer

B. Making a diagnosis of appendicitis when a patient reports right lower quadrant pain

C. Providing classes on nutrition and physical activity at a senior center

D. Administering an antibiotic to a patient with a documented infection

E. Working with the health department to provide free influenza vaccinations to children

F. Requesting the health care provider change prescription for the patient whose pain is still unrelieved

A, C, D, E, F

A nurse working in a rehabilitation facility focuses on the goal of restoring health for patients. Which nursing interventions could the nurse use to meet this goal? Select all that apply.

A. Counseling adolescents in a drug rehabilitation program

B. Performing range-of-motion exercises for a patient on bedrest

C. Demonstrating insulin injection to a patient with diabetes

D. Recommending a yoga class for a busy executive

E. Providing hospice care for a patient with end-stage cancer

F. Teaching a nutrition class at a local high school

A, B, C

Nursing students are learning about the criteria that establish nursing as a profession. Which statements by the students indicate they have correctly described characteristics of a profession? Select all that apply.

A. Nursing is composed of a well-defined body of general knowledge.

B. Nursing interventions are dependent upon medical practice.

C. Nursing is a recognized authority by a professional group.

D. Nursing practice is regulated by the medical profession.

E. Nursing has a code of ethics.

F. Nursing is influenced by ongoing research.

C, E, F

A nurse considers returning to school to obtain a master’s degree in nursing. Which practice discipline requiring graduate level education could the nurse consider?

A. Rehabilitation nurse

B. Critical care nurse

C. Oncology nurse

D. Nurse practitioner

D

Nurses in the United States follow regulations outlined by each state’s nurse practice act. A nurse moving to a different state anticipates finding which elements are common to all states’ nurse practice acts?

A. Definition of the legal scope of nursing practice for those registered

B. Provision of continuing education programs to meet state requirements

C. Determining the scope of content covered in the NCLEX examination

D. Creating institutional policies for health care practices

A

Nurses of a statewide nursing organization come together to plan for the challenges to health care for the 21st century. What current trend in health care should be a focus of the plan?

A. Decreasing numbers of hospitalized patients

B. Increasing numbers of older and more acutely ill patients

C. Decreasing health care costs owing to managed care

D. Decreasing advances in medical knowledge and technology

B

A nursing student questions the primary nurse about instilling air into a nasogastric tube to confirm placement, when they learned that x-ray validation of the tube’s tip in the stomach reflects best practice. The student is validating safe nursing practice with which type of knowledge?

A. Instinctive knowledge

B. Scientific knowledge

C. Authoritative knowledge

D. Traditional knowledge

B

A nurse is using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model PET as a clinical decision-making tool when delivering care to patients. Which steps reflect the intended use of this tool? Select all that apply.

A. Recruiting an interprofessional team to develop and refine an EBP question

B. Drawing from personal experiences of being a patient to establish a therapeutic relationship with a patient

C. Conducting a search of electronic data bases for current treatments for type 2 diabetes

D. Drawing on their spiritual training when counseling a patient in hospice care at end of life

E. Questioning the protocol for assessing postoperative patients returning to the ICU

F. Studying pathophysiology to understand the disease states of assigned patients

A, C, E

A nurse is using general systems theory to assist a family of four develop healthier food choices. What statement best reflects a key point of this theory?

A. Food choices made by the parents will influence choices made by the children.

B. The children should avoid giving feedback on the family food choices.

C. Boundaries are closed between family members and their environments.

D. A change in one family member’s behavior rarely affects other members.

A

A charge nurse meets with staff to outline a plan to provide transcultural nursing care for patients in their health care facility. The charge nurse explains that transcultural care as the central theme of nursing care, knowledge, and practice was promoted by which theorist?

A. Madeline Leininger

B. Jean Watson

C. Dorothy E. Johnson

D. Betty Newman

A

After their clinical experience, nursing students are given a reflective assignment to discuss the concepts in nursing theory that influence and determine nursing practice. What part of this theory is most important when delivering thoughtful care?

A. Environment

B. Health

C. Nursing

D. Person

D

Nursing students have been assigned to discuss a section of a research article examining 24-hour visitation for patients in the intensive care unit (ICU). What topic will the student assigned to the applicability section plan to discuss?

A. Description of the tool that was used to gather the data

B. How the results could be used in the student’s practice

C. Statistical methods used to determine the results

D. Whether informed consent was obtained from the participants

B

A nurse conducting quantitative research hypothesizes that adolescents with anorexia nervosa who participate in outpatient therapy report less depression than those receiving inpatient treatment. What information does the nurse collect to support the hypothesis?

A. Subjects’ demographics

B. Variables

C. Data

D. nstruments

C

A nurse is conducting quantitative research to examine which of two types of silicone foam sacral dressings best prevent pressure injuries in bedridden patients. What type of research is the nurse conducting?

A. Descriptive

B. Correlational

C. Quasi-experimental

D. Experimental

C

A nurse is conducting qualitative research to study the culture of Native Alaskans and how their diet affects their overall state of health. Which method of research is the nurse using?

A. Historical

B. Ethnography

C. Grounded theory

D. Phenomenology

B

A nurse is formulating a clinical question using the PICOT format. The nurse begins with determining the “P,” which focuses on which element?

A. Comparison to another similar protocol

B. Clearly defined, focused literature review of procedures

C. Specific identification of the purpose of the study

D. Explicit descriptions of the population of interest

D

A group of nurses in the postanesthesia care unit propose a study to determine which of two antiemetic medications from the same classification best relieve postoperative nausea. Before implementing the study, whose approval will the nurses need?

A. Organization’s surgical director

B. Pharmacy director and staff

C. Institutional review board

D. Director of nursing

C

A nurse working in an ambulatory care center provides care for patients experiencing varying levels of health and illness. The nurse bases care on which concepts of health and illness? Select all that apply.

A. Health and illness are the same for all people.

B. Health and illness are individually defined by each person.

C. People with acute illnesses may consider themselves healthy.

D. People with chronic illnesses have poor health beliefs.

E. Health is more than the absence of illness.

F. Illness is the response of a person to a disease.

B, C, E, F

A community health nurse is developing a support group for patients coping with chronic health problems. What chronic health conditions does the nurse anticipate group members might want to discuss? Select all that apply.

A. Diabetes mellitus

B. Bronchial pneumonia

C. Rheumatoid arthritis

D. Ulcerative colitis

E. Fractured hip

F. Otitis media

A, C, D

Nurses from hospital in a low-income area of the city are developing educational materials and programs focused on health care for vulnerable populations. When planning community outreach, which members of the community will the nurses include? Select all that apply.

A. White male diagnosed with HIV

B. Black teenager who is 6 months pregnant

C. Hispanic male who has type 2 diabetes

D. Low-income family living in rural America

E. Middle-class teacher living in a large city

F. White infant born with cerebral palsy

B, C, D, F

A nurse has volunteered to give influenza immunizations at a local health clinic. In which level of health promotion and illness prevention is the nurse participating?

A. Tertiary

B. Secondary

C. Primary

D. Promotive

C

A community health nurse cares for vulnerable populations. What problem will the nurse prioritize for a patient who is homeless?

A. Love and belonging

B. Safety

C. Self-esteem

D. Self-actualization

B

A clinic nurse works with a population experiencing health disparities. Which patient does the nurse identify as having the highest risk for postponing annual breast examinations and mammograms?

A. Patient whose best friend had a benign breast lump removed

B. Patient who lives in a low-income neighborhood

C. Patient who has a family history of breast cancer

D. Patient whose family encourages regular physical examinations

B

A nursing student is writing a paper about nurses performing health promotion activities at the tertiary level. Which nursing actions will the student include? Select all that apply.

A. Running an immunization clinic in a lower-income area of a city

B. Teaching a patient with an amputation how to care for the residual limb

C. Providing range-of-motion exercises for a patient who is paralyzed

D. Teaching parents of toddlers how to childproof their homes

E. Providing screening for scoliosis for school students

F. Teaching new parents how to choose and use an infant car seat

B, C

A nurse is caring for a patient who has been managing their chronic spasticity well for 10 years. The patient states having had increasing spasticity and few falls due to unremitting muscle spasms. The nurse, patient, and health care provider discuss the possibility the patient may be experiencing which phase of illness?

A. Acute onset of illness

B. Permanent complication

C. Need for hospice care

D. Exacerbation of disease

D

A nurse incorporates concepts from current models of health when providing health promotion classes for patients. What is a key concept of both the health–illness continuum and the high-level wellness models?

A. Illness as a fixed point in time

B. The importance of family

C. Wellness as a passive state

D. Health as a dynamic state

D

A public health nurse is planning interventions for a community and plans to determine the frequency of diseases in the area. What information will best guide the nurse?

A. Morbidity table

B. Disease eradication statistics

C. Mortality rates

D. Annual hospital admissions

A

Nurses in a long-term care facility use Maslow’s hierarchy of basic human needs to plan care for their patients. What is the expected outcome when using this hierarchy?

A. Accurate nursing diagnoses

B. Clear priorities of care

C. Concerns communicated concisely

D. Integration of science into nursing care

B

A nurse is prioritizing nursing care for patients on a medical-surgical unit. Which nursing interventions address patients’ physiologic needs? Select all that apply.

A. Preventing falls during admission

B. Administering oxygen to a patient with shortness of breath

C. Providing a magazine for a patient without visitors

D. Assisting a patient who had a stroke eat their dinner

E. Facilitating a visit from the patient’s significant other

F. Referring a patient to a cancer support group

B, D

A nurse provides care for postoperative patients using meticulous hand hygiene and aseptic technique. Which of Maslow’s basic human needs is the nurse addressing?

A. Physiologic

B. Safety and security

C. Self-esteem

D. Love and belonging

B

A nurse caring for patients in a long-term care facility develops strategies to help patients achieve Maslow’s highest level of needs: self-actualization. Which concepts will the nurse incorporate when planning care? Select all that apply.

A. Humans are born with a fully developed sense of self-actualization.

B. Self-actualization needs are met by depending on family, friends, and others for help.

C. No matter the patient’s age, the self-actualization process continues throughout life.

D. Loneliness and isolation occur when self-actualization needs are unmet.

E. A person achieves self-actualization by focusing on problems outside self.

F. Self-actualization needs may be met by creatively solving problems.

C, E, F

A nurse in a family-centered health clinic is assessing a new family composed of two parents and three preschool children. Which value does the nurse include in a family-centered approach to health care?

A. Each person in the family will be evaluated and treated independently of the others.

B. Time will be saved as there is only one clinic to contact for health problems.

C. All members of the family can be part of health-related decisions.

D. Interdependence of family members affects them in illness and health.

D

A nurse performs an assessment of a family consisting of a single parent, a grandparent, and two children. What interview questions will the nurse direct toward the mother to best determine the family’s affective and coping functions? Select all that apply.

A. Who is the person you depend on for emotional support?

B. Who is the person you depend on for financial support in your family?

C. Do you plan on having any more children?

D. Who keeps your family together in times of stress?

E. What family traditions do you pass on to your children?

A, D

A nurse caring for families in a free health care clinic assesses for psychosocial risk factors for altered family health. Which example best describes one of these risk factors?

A. The family does not have dental care insurance or resources to pay for it.

B. Both parents work and leave a 12-year-old child to care for his younger brother.

C. Both parents and their children are considerably overweight.

D. The youngest member of the family has cerebral palsy and needs assistance from community services.

B

A nurse working in an “Aging in Place” facility interviews a married couple in their late 70s. Based on Duvall’s Developmental Tasks of Families, what developmental task is most appropriate for the nurse to assess?

A. Maintenance of a supportive home base

B. Strength of the marital relationship

C. Ability to cope with loss of energy and privacy

D. Adjustment to retirement years

D

A nurse working in a new community performs an assessment to determine the health of the community. What finding indicates a healthy community?

A. Meets all the needs of its inhabitants

B. Mixes residential and industrial areas

C. Offers access to health care services

D. Consists of modern housing and condominiums

C

A nurse is practicing community-based nursing in a mobile health clinic. Which example best demonstrates community-based nursing?

A. Caring for a mother and her child who have diabetes

B. Providing shelter for vulnerable populations within the community

C. Providing local same-day surgery facilities

D. Assisting families in crisis and overseeing the crisis hotline

A

After receiving a change-of-shift report, the nurse on a medical-surgical unit sets initial priorities for care. According to Maslow’s hierarchy of needs, which patient requires immediate assessment?

A. Patient requesting help to phone family to ask them to visit

B. Patient who needs education on changing their wound dressing prior to discharge

C. Patient who calls for assistance because they are breathing fast and feel faint

D. Patient who needs assistance to walk to the bathroom to void

C

A nurse is caring for patients of diverse cultures in a community health clinic. Which concepts will the nurse incorporate to guide the plan of care? Select all that apply.

The United States has become less inclusive of same-sex couples.

A. Cultural diversity is limited to people of varying cultures and races.

B. Cultural diversity is separate and distinct from health and illness.

C. People may be members of multiple cultural groups at one time.

D. Culture guides what is acceptable behavior for people in a specific group.

E. Cultural practices may evolve over time but mainly remain constant.

D, E, F

At the last staff meeting, the nurse manager discussed the organizational initiative to improve provision of culturally competent care. During rounds, which behaviors inconsistent with this goal require the manager to intervene? Select all that apply.

A. A staff nurse tells the AP that patients should not be given a choice, but should shower or bathe daily.

B. A nurse asks the family of a patient who has died if they would like to wash their loved one’s body.

C. A nurse tells another nurse that Jewish dietary restrictions are just a way for them to get special foods.

D. A Catholic nurse insists that a patient diagnosed with terminal bladder cancer see the chaplain in residence.

E.A nurse obtains a translator to speak to the patient in their native language.

F. A nurse refuses to care for a married gay patient who is HIV positive because the nurse is against same-sex marriage.

A, D

An ambulatory care nurse serving a large, culturally diverse population is planning a free blood pressure screening clinic. Based on the nurse’s understanding of racial differences in health and illness, which groups will the nurse target for screening? Select all that apply.

A. Native American people

B. African American people

C. Alaska Native people

D. Asian people

E. White people

F. Hispanic people

B, C, E

A nurse is using the Explanatory Model of Health and Illness (ESFT) model to assess how a patient from another culture views their diagnosis of chronic obstructive pulmonary disease (COPD). What interview question is most appropriate to assess the E aspect of this model?

A. How do you get your medications?

B. How does having COPD affect your lifestyle?

C. Are you concerned about the side effects of your medications?

D. Can you describe how you will take your medications?

B

A nurse tells a patient, “tonight’s menu selection is pork. I understand many people in your culture do not eat pork; may I order something else for you?” When the patient states they no longer observe this dietary practice, the nurse understands that the patient has experienced what transition?

A. Cultural assimilation

B. Cultural imposition

C. Culture shock

D. Ethnocentrism

A

The charge nurse overhears a nurse state, “That patient is 78 years old—too old to learn how to change a dressing.” How should the charge nurse respond?

A. “Please don’t impose your view of the patient’s culture on them.”

B. “I wish you would try to demonstrate more cultural sensitivity.”

C. “Try to be open to your patient’s culture, to make the biggest impact.”

D. “Grouping all older adults as having trouble learning is a form of stereotyping.”

D

A young Hispanic mother comes to the local clinic because her baby is sick. She speaks only Spanish, and the nurse speaks only English. Which action should the nurse take next?

A. Use short words and speak loudly

B. Obtain a medical interpreter

C. Explain why care cannot be provided

D. Provide instructions in writing

B

A nurse is interviewing a newly admitted patient from another culture. What question best displays cultural sensitivity?

A. “Do you think you’ll be able to eat the food we have here?”

B. “You do understand that we can’t prepare special meals?”

C. “What types of food do you typically prepare for meals?”

D. “Could you make an exception on what food you eat while you are here?”

C

A nurse tells a new mother from Africa that she should not carry her infant in a sling because bassinets are safer. The charge nurse suggests the nurse is displaying which behavior?

A. Cultural imposition

B. Clustering

C. Cultural competency

D. Stereotyping

A

A community organization includes provision of culturally competent care in their mission. Which action has the organization set as a priority?

A. Learning the predominant language of the community

B. Obtaining significant information about the community

C. Treating each patient at the clinic as an individual

D. Recognizing the importance of the patient’s family

C

A surgeon will not attempt a life-saving repair of a ruptured aneurysm unless the patient agrees to receive blood transfusions. Although receiving blood products is against the patient’s religious beliefs, the surgeon ordered four units of packed red blood cells. What action will the nurse take first?

A. Administer the blood transfusion

B. Call the patient’s family and ask them to reason with the patient

C. Discuss obtaining a court order to save the patient’s life

D. Maintain the patient’s comfort and support their decision

D

A nurse caring for patients in the intensive care unit develops values from their experiences when forming a personal code of ethics. Which statements correctly guide this process? Select all that apply.

A. People are born with values.

B. Values act as standards to guide behavior.

C. Values are ranked on a continuum of importance.

D. Values influence beliefs about health and illness.

E. Value systems are not related to personal codes of conduct.

F. Nurses should not let their values influence patient care.

B, C, D

The parent of a young school-age child wants them to learn about healthy dietary choices related to diabetes. Which method of value transmission would be most helpful?

A. Depriving the child of their favorite toy when they consume foods not on their diet

B. Lecturing the child on the merits of healthy and unhealthy food choices

C. Allowing the child to experiment and discuss the outcomes on their blood glucose

D. Offering healthy meals and snacks and acting as a role model for healthful eating

D

A nurse who is working in a hospital setting uses value clarification to help patients understand the values that motivate patient behavior. What patient actions help the nurse determine if they demonstrate “prizing” during this process? Select all that apply.

A. They stop smoking after a diagnosis of lung cancer.

B. They show off a new outfit that after losing 20 lb.

C. They choose to work fewer hours following a myocardial infarction.

D. They adopt a low-cholesterol diet.

E. They join a gym and schedule classes throughout the year.

F. They proudly display a certificate for completing a marathon.

B, F

A nurse incorporates the “five values that epitomize the caring professional nurse” (identified by the American Association of Colleges of Nursing) into their home health care practice. Which attribute best reflects agreement with the code of ethics and accepted standards of practice?

A. Altruism

B. Autonomy

C. Human dignity

D. Integrity

D

A nurse caring for patients in the city-run health clinic expresses a commitment to social justice. Working toward which action best exemplifies this attribute?

A. Providing honest information to patients and the public

B. Promoting universal access to health care

C. Planning care in partnership with patients

D. Documenting care accurately and honestly

B

Nursing students are discussing the care-based approach to ethical practice. What actions will the students ensure are included in the discussion? Select all that apply.

A. Understanding that the needs of the many prevail versus the needs of the few

B. Promoting the dignity and respect of patients as people

C. Attending to the individual attributes of each patient

D. Cultivating responsiveness to others and professional responsibility

E. Understanding that moral skills include kindness, attentiveness, compassion, and reliability

B, C, D, E

A patient with brain cancer questions whether they should agree to palliative radiation treatments despite possible memory loss, or enjoy their remaining time with friends and family. What is the most appropriate response by the nurse?

A. “I can’t advise you. This is such an individual decision.”

B. “If you receive the radiation, might you live a bit longer?”

C. “What does your family think you should do?”

D. “What is most important to you with the time you have left?”

D

A hospice nurse is caring for a patient with end-stage cancer. Which action demonstrates the nurse’s commitment to promoting the patient’s autonomy?

A. Competently administering pain medication

B. Giving undivided attention when listening to patient concerns

C. Keeping a promise to obtain a counselor

D. Supporting the patient in obtaining a durable power of attorney

D

A patient with an advanced directive and do-not-resuscitate order is sobbing and reporting severe pain. The nurse contacts the provider, who refuses to increase the medication dose due to the patient’s hypotension. What actions would the nurse take next? Select all that apply.

A. Lodge a complaint with the state board of nursing

B. Consult with the ethics committee

C. Contact a different health care provider

D. Speak with the nurse manager

E. Request a palliative care consultation

B, D, E

A nursing student is on clinical rotation in a long-term care facility. Which action best reflects the student acting as advocate?

A. Telling the health care team that a patient clearly stated they do not want to be transported to the hospital

B. Avoiding input in care conferences, as patient advocacy is primarily performed by the health care provider

C. Assisting the primary nurse in making good health care decisions for patients and residents

D. Deferring to whatever decisions patients and residents want

A

At an interprofessional meeting, nurses discuss appropriate uses for an organizational ethics committee. Which referral do the nurses identify as appropriate?

A. Giving input into policies affecting work life balance

B. Providing interprofessional input on clinical care

C. Determining if the patient’s cultural beliefs are valid

D. Advising the board of nursing on policy for licensure

B

A patient with dysphagia has been admitted with a third episode of aspiration pneumonia in less than a year. The health care provider insists that for safety, the patient must have a feeding tube placed. The patient declines the tube and later asks the nurse if they should reconsider. What is the most appropriate nursing response?

A. “The feeding tube will prevent aspiration and is the safest option for you.”

B. “You could swallow thickened liquids and puréed foods more easily.”

C. “Tell me your understanding of what may happen without the feeding tube.”

D. “You said cooking and dining with your family is important, and I understand your decision.”

C

A patient with dysphagia has been admitted with a third episode of aspiration pneumonia in less than a year. The health care provider insists that for safety, the patient must have a feeding tube placed. The patient declines the tube and later asks the nurse if they should reconsider. What is the most appropriate nursing response?

A. “The feeding tube will prevent aspiration and is the safest option for you.”

B. “You could swallow thickened liquids and puréed foods more easily.”

C. “Tell me your understanding of what may happen without the feeding tube.”

D. “You said cooking and dining with your family is important, and I understand your decision.”

C

Nursing students approaching graduation and licensure are required to read the state nurse practice act. Which topics in the law will they identity as guides to professional practice? Select all that apply.

A. Actions resulting in discipline

B. Clinical procedures

C. Medication administration

D. Scope of practice

E. Delegation policies

F. Medicare reimbursement

A, D

A nurse on a surgical unit is concerned about a colleague’s possible substance use disorder. Which signs and symptoms could support the nurse’s suspicion? Select all that apply.

A. Exhibiting diminished alertness and somnolence while working

B. Attending multiple continuing education conferences

C. Offering to medicate coworkers’ patients for pain

D. Making incorrect narcotics counts and creating wastage

E. Leaving the unit frequently

A, C, D, E

A new graduate nurse tells the preceptor they want to obtain recognition in wound care, a specialty area of nursing. What credential will this nurse need to seek?

A. Accreditation

B. Licensure

C. Certification

D. Board approval

C

The nurse reports to their manager that informed consent was not obtained from a patient for whom HIV testing was already performed. The nurse suggests which intentional tort may have been committed?

A. Assault

B. Battery

C. Invasion of privacy

D. False imprisonment

B

A patient died during routine outpatient surgery, and the nurse was accused of having failed to monitor and interpret vital signs. Which fact must be established to prove them guilty of malpractice or negligence?

A. The surgeon testifies the nurse’s action was pure negligence, saying that the patient could have been saved.

B. This patient should not have died since they were healthy, physically active, and involved in the community.

C. The nurse intended to harm the patient and was willfully negligent, as evidenced by the tragic outcome.

D. The nurse had a duty to monitor the patient, and due to the nurse’s failure to perform this duty, the patient died.

D

An attorney representing a patient’s family who is suing for wrongful death calls the nurse to obtain a better understanding of the nurse’s actions. How will the nurse respond?

A. “I can’t talk with you; you will have to contact my attorney.”

B. “I will answer your questions, so you’ll understand how the situation occurred.

C. “I hope I won’t be blamed for the death because it was so busy that day.”

D. “First tell me why you are doing this to me. This could ruin my career!”

A

A nurse follows a prescription written by the health care provider to administer a medication to which the patient is allergic. How does the nurse interpret their liability for administering this medication?

A. The nurse is not responsible because they were following the provider’s orders.

B. The nurse is responsible because they administered the medication.

C. The health care provider is responsible because they ordered the drug.

D. The nurse, health care provider, and pharmacist bear responsibility for their actions.

D

A nurse answers a call light and finds the patient on the floor. After the health care provider examines the patient and finds no injury, the nurse returns the patient to bed and fills out an incident report. What statements are true about incident reports? Select all that apply.

A. They can be used as disciplinary action against staff members.

B. They can be used as a means of identifying risks.

C. They can be used for quality control.

D. They must be completed by the facility manager.

E. They make facts available in litigation cases.

F. They should be documented in the patient record.

B, C, E

A nursing student is preparing to administer medications and asks the clinical instructor about legal liability in clinical practice. What is the most appropriate response?

A. “Students are not responsible for their acts of negligence resulting in patient injury.”

B. “Student nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse.”

C. “Hospitals are exempt from liability for student negligence if the student nurse is properly supervised by an instructor.”

D. “Most nursing programs carry group professional liability making student personal professional liability insurance unnecessary.”

B

The nurse manager reviews the medical record of a patient who has accused a nurse of negligence after requiring a “needless” admission to the intensive care unit postoperatively. Which entry in the electronic health record requires follow-up by the manager?

Exhibit: Electronic health record (EHR)

Nursing Notes: Postoperative follow-up

12:20 pm: patient still reporting incisional pain of 10/10, provider contacted, increased morphine from 1 mg to 2 mg every hour

2: 15 pm: dime-sized, dark red–brown blood stain on dressing; area circled

2:30 pm: patient reports incisional pain, 7/10, 2 mg morphine administered

2:45 pm: vital signs T 99.2°, P 120, RR 20, BP 84/48; will continue to monitor

A. Inappropriately recorded vital signs

B. Pain treated without appropriate assessment

C. Failure to follow up on tachycardia and hypotension

D. Lack of interpretation of vital signs and follow-up

D

A patient admitted through the emergency department for a severe infection is receiving intravenous (IV) antibiotics. The patient, who has been oriented, demands the nurse remove the IV because the patient is leaving now. What action will the nurse take?

A. Apply soft wrist restraints

B. Perform a neurologic assessment

C. Explain that after signing an “against medical order form,” the patient may leave

D. Call the patient’s family to encourage the patient to stay

C