Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 8- Legal Aspects of Gerontological Nursing
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Which of the following aspects of gerontological nursing would be most likely classified under private law? | |
| A) | The regulation of who may call himself or herself a “nurse” | |
| B) | The contract between an older adult resident and the owners of the facility | |
| C) | The legal criteria for declaring an individual mentally incompetent | |
| D) | The criminal consequences for instances of elder abuse | |
| Ans: | B | |
| Feedback: | ||
| Private law involves relationships between individuals and organizations, such as the contract between an individual and the care facility in question. The other cited examples would fall under the umbrella of public law. | ||
| Origin: Chapter 8- Legal Aspects of Gerontological Nursing, 2
Chapter: 8 Client Needs: A2 Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Nursing process Objective: 2 Page and Header: 104, Box 8-2 |
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| 2. | A nurse has been providing care for a 69-year-old female client who has recently had her right foot amputated as a result of a chronic diabetic foot ulcer. The nurse undertook to perform debridement of the wound despite lacking the relevant education and experience. The client experienced permanent nerve damage as a result of the nurse’s misguided efforts. Which category of legal liability is most likely relevant in this case? | |
| A) | Larceny | |
| B) | Assault | |
| C) | Invasion of privacy | |
| D) | Negligence | |
| Ans: | D | |
| Feedback: | ||
| Negligence involves the commission of an improper act, as exemplified by the nurse’s actions. Larceny is tantamount to theft, while assault involves a deliberate threat to harm. The situation would not be categorized as an invasion of privacy. | ||
| Origin: Chapter 8- Legal Aspects of Gerontological Nursing, 3
Chapter: 8 Client Needs: A2 Cognitive Level: Analysis Difficulty: Difficult Integrated Process: Nursing process Objective: 2 Page and Header: 102, Malpractice |
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| 3. | An investigation into reports of substandard care on the subacute geriatric unit of a hospital has been undertaken. Which of the following events are representative of malpractice on the part of the nursing staff? Select all that apply. | |
| A) | A client with a documented history of seizures was left with his bed raised and with bedrails not in place, resulting in a fall and head injury. | |
| B) | A client was sent for a colonoscopy, after which it was learned that the client had never given written consent for the procedure. | |
| C) | A client with a diagnosis of vascular dementia was found wandering in the hall outside the unit. | |
| D) | An immobile client was not turned over the course of a night shift and developed a pressure ulcer on her coccyx. | |
| E) | A client admitted with a diagnosis of pneumonia contracted an antibiotic-resistant organism during her stay. | |
| Ans: | A, D | |
| Feedback: | ||
| Answers A and D include all of the components of malpractice: duty, negligence, and injury. Answer B involves an abdication of duty on the part of the physician, not the nurse, while answer C lacks a resultant injury. Answer E does not necessarily suggest negligence on the part of care providers. | ||
| Origin: Chapter 8- Legal Aspects of Gerontological Nursing, 4
Chapter: 8 Client Needs: A1 Cognitive Level: Application Difficulty: Moderate Integrated Process: Communication Objective: 2 Page and Header: 103, Confidentiality |
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| 4. | A nurse is providing care for an older adult client who has been admitted to the hospital with liver cirrhosis. The client has expressed to the nurse his concerns that the details of his condition and treatment remain confidential, and that written documentation not “get out there.” How can the nurse best respond to the client’s concerns? | |
| A) | “Anything that is discussed between us is confidential and will not be shared with anyone else.” | |
| B) | “The Health Insurance Portability and Accountability Act ensures that your medical records will not leave this hospital.” | |
| C) | “Provided you signed a directive on admission, your records will not be made public.” | |
| D) | “The law protects your right to confidentiality and health information from being released into unintended hands.” | |
| Ans: | D | |
| Feedback: | ||
| The HIPAA aims to protect individuals’ right to confidentiality and prevent records from being accessed by individuals for whom it was not intended. It would be inaccurate to assure a client that all assessment findings and interactions will remain between the client and the nurse, and the HIPAA does not necessarily guarantee that records will never leave the institution in question. Preventing health records from public access does not require a signed directive. | ||
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