Nokea
Allowing unauthorized people to observe a client during treatment is an example of which of the following?
- A. False imprisonment
- B. Invasion of privacy
- C. Battery
- D. Assault
Correct Answer: B
Rationale: The right to privacy means that people have the right to expect that they and their property will be left alone. False imprisonment occurs when healthcare workers physically or chemically restrain a person from leaving a healthcare institution. Battery is actual physical contact with another person without that person's consent. Assault is an act that involves a threat or attempt to do bodily harm.
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The nurse is caring for an alert and oriented client in the hospital. The client is unhappy with the care the hospital is giving and states they are leaving the hospital. The nurse brings the client a sedative and tells the client that it is for blood pressure to prevent the client from leaving the facility. What type of intentional tort is this nurse guilty of?
- A. Assault
- B. Battery
- C. False imprisonment
- D. Invasion of privacy
Correct Answer: C
Rationale: False imprisonment occurs when healthcare workers physically or chemically restrain an individual from leaving a healthcare institution. A nurse cannot detain a competent client who wishes to leave a hospital or long-term care facility before being discharged by the physician. The client may sign an against medical advice form that releases the hospital from liability. Assault is an act that involves a threat or attempt to do bodily harm. Battery is actual physical contact with another person without that person's consent. Invasion of privacy means the failure of the right to expect that the clients and their property will be left alone.
The nurse must choose between two undesirable alternatives involving a client the nurse is caring for. The client wants to be told about the prognosis, and the family member does not want the client to know. What type of situation is the nurse in?
- A. Ethical dilemma
- B. Bioethical dilemma
- C. Value dilemma
- D. Personal dilemma
Correct Answer: A
Rationale: An ethical dilemma is a situation in which an individual must choose between two undesirable alternatives, and it often involves examining rights and obligations of particular individuals. A bioethical dilemma is an ethical question surrounding life and death questions and concerns regarding quality of life as it relates to advanced technology. Values are ideals and beliefs that are held by an individual or group. This does not relate to a personal dilemma because it does not affect the nurse.
The LPN has the responsibility to take the vital signs for a client who had a surgical procedure earlier that day. The blood pressure results were 78/42 mm Hg from a previous 132/74 mm Hg. The LPN documented the results without reporting them to the RN in charge. The client developed shock and died 3 hours later. What type of unintentional tort may the nurse be sued for?
- A. Defamation
- B. Battery
- C. Assault
- D. Malpractice
Correct Answer: D
Rationale: The law defines malpractice as professional negligence. It refers to harm that result from a licensed person's actions or lack of action. A jury must determine if the responsible person's conduct deviated from the standard expected of others with similar education and experience. All other answers are intentional torts.
The nurse is assigned to a group of clients on the medical floor. A client at the hospital has a neighbor visit who asks the nurse what is wrong with the client. The nurse checks the client's electronic medical record (EMR) and proceeds to inform the visitor about the client's diagnosis. What federal guideline has the nurse violated?
- A. HIPAA
- B. Nurse Practice Act
- C. Hospital policy
- D. Agency standards of practice
Correct Answer: A
Rationale: The client has the right to request restrictions and confidential communications concerning protected health information, which is an overview of the major client protections provided by HIPAA. The nurse may also have violated the hospital's policy and/or an agency's standards of practice, depending on their verbiage, and the Nurse Practice Act, but the federal guideline violated is HIPAA.
The nurse understands that laws and ethics are made in order to maintain order and harmony within society. What is the difference between laws and ethics?
- A. Laws are written rules for conduct and actions, and ethics are moral principles and values that guide our behavior.
- B. Laws are written to protect society from unsavory people, and ethics are rules for appropriate behavior.
- C. Laws are written to ensure appropriate behavior and ethics are to conduct actions.
- D. Ethics determine how a client is to be treated, and laws are forms of punishment.
Correct Answer: A
Rationale: Laws are written rules for conduct and actions and ensure the protection of rights, and ethics are moral principles and values that guide the behavior of honorable people. Ethical standards dictate the rightness or wrongness of human behavior. The other answers do not address this as clearly.