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Patients have expectations regarding the health care services they receive. To protect these expectations which of the following has become law?
- A. American Hospital Association's Patient's Bill of Rights
- B. Self-Determination Act
- C. American Hospital Association's Standards of Care
- D. The Joint Commission's rights and responsibilities of patients
Correct Answer: A
Rationale: Patients have expectations regarding the health care services they receive. In 1972, the American Hospital Association (AHA) developed the Patient's Bill of Rights. The Self-Determination Act, American Hospital Association's Standards of Care, and The Joint Commission's rights and responsibilities do not address patients' expectations regarding health care.
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When a nurse becomes involved in a legal action the first step to occur is that a document is filed in an appropriate court. What is this document called?
- A. Deposition
- B. Appeal
- C. Complaint
- D. Summons
Correct Answer: C
Rationale: A document called a complaint is filed in an appropriate court as the first step in litigation. A deposition is when witnesses are required to undergo questioning by the attorneys. An appeal is a request for a review of a decision by a higher court. A summons is a court order that notifies the defendant of the legal action.
A nurse is considering purchasing malpractice insurance. What should the nurse be aware of regarding malpractice insurance provided by the hospital?
- A. Only offers protection while on duty.
- B. Is limited in the amount of coverage.
- C. Is difficult to renew.
- D. Can be terminated at any time.
Correct Answer: A
Rationale: Most institutional insurance only provides liability coverage if the nurse is on duty at that facility.
During a lunch break an emergency department (ED) nurse truthfully tells another nurse about the condition of a patient who came to the ED last night. What is the ED nurse guilty of?
- A. HIPAA violation
- B. Slander
- C. Libel
- D. Invasion of privacy
- E. Defamation
Correct Answer: A,D
Rationale: The disclosure is an invasion of privacy and a violation of HIPAA. Because the information is true and verbal, it cannot be considered slander or libel.
An older adult is admitted to the hospital with numerous bodily bruises and the nurse suspects elder abuse. What is the best nursing action?
- A. Cover the bruises with bandages.
- B. Take photographs of the bruises.
- C. Ask the patient if anyone has hit her.
- D. Report the bruises to the charge nurse.
Correct Answer: D
Rationale: The law stipulates that the health care professional is required to report certain information to the appropriate authorities. The report should be given to a supervisor or directly to the police, according to agency policy. When acting in good faith to report mandated information (e.g., certain communicable diseases or gunshot wounds), the health care professional is protected from liability.
Which of the following could cause a nurse to be cited for malpractice?
- A. Refusing to give 60 mg of morphine as ordered
- B. Giving prochlorperazine (Compazine) to a patient allergic to phenothiazines
- C. Dragging an injured motorist off the highway and causing further injury
- D. Informing a visitor about a patient's condition
Correct Answer: B
Rationale: Standards of care dictate that a nurse must be aware of all the properties of drugs administered. Prochlorperazine (Compazine) is a phenothiazine. Providing confidential information or refusing to give an excessively large narcotic dose is not considered malpractice. Good Samaritan laws generally protect a person giving aid to an injured motorist.