Chapter 18 Legal And Ethical Issues in Nursing 6th Edition by Ginny Wacker Guido

Chapter 18 Legal And Ethical Issues in Nursing 6th Edition by Ginny Wacker Guido

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

A nurse who has a history of difficulty meeting the professional responsibilities of acute care nursing is considering a move to ambulatory nursing. What should this nurse consider about the professional responsibilities of ambulatory nursing prior to making this decision?

1. Ambulatory nursing is totally different from acute care nursing.
2. The responsibilities are equally as technical and demanding as those of acute care nursing.
3. The duty to communicate is lessened in ambulatory care nursing.
4. Ambulatory nursing is less physically demanding on the nurse.

Correct Answer: 2

Rationale 1: Many aspects of acute care nursing are also important in ambulatory care nursing.

Rationale 2: Neither specialty setting is “easier” or “less demanding” than the other. Ambulatory care nurses use advanced technology to provide care, just as do acute care nurses.

Rationale 3: The nurse working in ambulatory care must be very careful to communicate well because the patient is generally in the environment for a lessor amount of time.

Rationale 4: The physical demands of ambulatory care nursing can be just as stringent as those of acute care nursing. Depending upon practice site, ambulatory care nursing may be very physically demanding.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 18.1 Describe the area of ambulatory nursing, including its emergence, the role of risk management, and the focus on patient education in ambulatory nursing.

Question 2

Type: MCMA

Which situations reflect legal issues associated with telenursing?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Standards of care in one state’s hospitals are different from those in hospitals in another state.
2. A telehealth nurse in one state holds an associate degree while a nurse in a similar position in a neighboring state holds a baccalaureate degree in nursing.
3. The use of telenursing equipment is new in the hospital and requires the presence of a non-medical technician.
4. The nurse using telemedicine is paid by the patient “visit,” while the hospital staff nurse is paid by the shift.
5. The nurse who is licensed in one state is caring for a patient who is in a different state.

Correct Answer: 1,3,5

Rationale 1: Differences in practice standards addressing quality, scope of practice, patient safety, and documentation exist between and among states. The telehealth nurse may be providing care for patients in a variety of practice areas encompassing multiple states.

Rationale 2: Educational requirements are addressed by licensure requirements for the professional or by the individual employer placing a nurse in the position to perform telenursing.

Rationale 3: When a non-medical technician is present, issues of confidentiality of medical information arise.

Rationale 4: Salary rates are not a legal issue in this case, but depend upon the nurse’s contract with the facility.

Rationale 5: Licensure issues are a major legal hurdle in provision of telehealth nursing. Discussions of multistate licensure have arisen from this situation.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 18.2 Discuss the field of telehealth and telenursing, including potential for growth as well as legal issues involved in delivery of health via telehealth.

Question 3

Type: MCSA

Which option is an example of a question and statement regarding violence a nurse should use in the assessment of all patients?

1. “Do you feel safe in your home?”
2. “Most violence involves physical abuse.”
3. “Violence is rare in upper middle class families.”
4. “Don’t take your safe home environment for granted.”

Correct Answer: 1

Rationale 1: This question is a good way to begin discussion of violence. All patients should be assessed for the presence of domestic violence or abuse.

Rationale 2: The nurse should educate patients that violence includes much more than physical behaviors.

Rationale 3: Violence occurs across all socioeconomic levels.

Rationale 4: The nurse should not assume that a patient’s environment is safe.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 18.3 Analyze the nurse’s role in caring for victims of violence.