Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
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Chapter 3- Laws and Ethics
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A client who has undergone resection of the intestine is on a liquid diet with a nasogastric tube in place. He refuses the food tray with regular food that comes to his room and insists that a physician be called. The nurse insists that it is the right food and makes the client to take it. The client develops complications and has to be reoperated upon. How is negligence determined in this situation? | |
| A) | The nurse did not call the physician when the client asked. | |
| B) | The nurse did not realize the importance of the tube. | |
| C) | The dietary department sent the wrong diet for the client. | |
| D) | The nurse did not communicate clearly with the client. | |
| Ans: | B | |
| Feedback: | ||
| Negligence is defined as harm that occurs because the person did not act reasonably. In this case, the nurse did not realize that the client was on a nasogastric tube, and should consequently have been on liquid feeds after intestinal surgery; as a result, the patient developed complications. The acts of not calling the physician and communicating poorly do not amount to negligence. The dietary department sending the wrong food is unrelated to the nurse. | ||
| 2. | A client who is scheduled for hernioplasty needs clarification regarding the procedure. The nurse calls the physician at the client’s insistence. The physician, who is in a bad mood, is overheard telling the client that the nurse is incompetent and does not know anything. Which of the following legal torts has the physician committed? | |
| A) | Libel | |
| B) | Battery | |
| C) | Assault | |
| D) | Slander | |
| Ans: | D | |
| Feedback: | ||
| The physician has committed slander by defaming the nurse orally. Slander is a character attack uttered orally in the presence of others. Libel refers to damaging statements written and read by others. Assault is an act in which bodily harm is threatened or attempted. Battery is unauthorized physical contact, not applicable in this situation. | ||
| 3. | A nurse enters a client’s room and finds that the client is lying on the floor. The nurse makes the client comfortable on the bed and completes an assessment. The nurse then informs the physician and the nursing supervisor about this incident and also completes an incident report. Which of the following actions by the nurse indicates correct knowledge of handling an incident report? | |
| A) | Documents a complete description of the happenings in the client’s records | |
| B) | Makes a copy of the incident report and places it in the client’s records | |
| C) | Makes a copy of the incident report to give to the physician | |
| D) | Mentions in the client’s report that an incident report was completed | |
| Ans: | A | |
| Feedback: | ||
| An incident report is a written account of an unusual, potentially injurious event involving a client, employee, or visitor. It is kept separate from the medical record. The incident report is a legal document and making a copy of it is not advisable. It should not be placed in the client’s records; however, the nurse can mention the incident in the client’s records without mentioning the incident report. | ||
| 4. | A nurse is caring for a client with multiple sclerosis. The client informs the nurse that a lawyer is coming to prepare a living will and requests the nurse to sign as witness. Which of the following actions should the nurse take? | |
| A) | State that the physician will be a witness | |
| B) | Arrange for other colleagues to sign as a witness | |
| C) | Note that the nurse caring for the client cannot be a witness | |
| D) | Inform the physician about the living will | |
| Ans: | C | |
| Feedback: | ||
| A living will is an instructive form of an advance directive. It is a written document that identifies a person’s preferences regarding medical interventions to use in a terminal condition, irreversible coma, or persistent vegetative state with no hope of recovery. Employees of the health care facility should not sign as witnesses; therefore, the nurse cannot sign as witness. Refusing a client may not be a good communication method; instead, the nurse could politely indicate the reason for declining. Calling for a physician or asking another colleague to sign is an inappropriate action. | ||
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