Nokea
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.
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Which of the following is a true statement about a living will?
- A. It states the client's wishes regarding healthcare if terminally ill.
- B. It specifies information regarding nontreatment only.
- C. It is legal consent.
- D. It is a type of financial agreement.
Correct Answer: A
Rationale: A living will states the client's wishes regarding healthcare if terminally ill. It does not specify information regarding nontreatment only, it is not a legal consent, and it is not a type of financial agreement.
The nurse is administering a medication to a client for the treatment of constipation. The client expresses preferring not to take the medication today. The nurse respects the client's right and says if the client needs it later, just let the nurse know. What professional value is the nurse displaying?
- A. Beneficence
- B. Nonmaleficence
- C. Autonomy
- D. Fidelity
Correct Answer: C
Rationale: Autonomy refers to a client's right to self-determination or the freedom to make choices without opposition. Nonmaleficence is the duty to do no harm to the client. If a nurse fails to check a prescription for an unusually high dose of insulin and administers it, the nurse has violated the principle of nonmaleficence. Beneficence is the duty to do good for the clients assigned to the nurse's care. The nurse has a duty to remove wrist restraints whenever possible (removing a harm) and to help the client regain independence (promoting and doing good). Fidelity is the duty to maintain commitments of professional obligations and responsibilities.
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.
Which of the following is a component of the nurse practice acts of various states?
- A. Breaches of duty owed by one person to another
- B. Determining the grounds for disciplinary action
- C. Expected action based on moral or legal obligations
- D. Injury due to the failure to act
Correct Answer: B
Rationale: Nurse practice acts define nursing practice and set standards for nurses in each state. Each state has its own nurse practice act, but one of the common components is the grounds for disciplinary action. Tort law is the body of law that governs breaches of duty owed by one person to another. A duty is an expected action that is based on moral or legal obligations. A tort is an injury that occurred because of another person's intentional or unintentional actions or failure to act.
The nurse is preparing a client for a colonoscopy at the hospital. Who does the nurse understand is responsible for obtaining the informed consent from this client?
- A. The nurse
- B. The primary provider
- C. The nurse manager
- D. The health care provider's office nurse
Correct Answer: B
Rationale: The primary provider obtains the informed consent and must inform the client of the description of the procedure, potential benefits, material risk involved, acceptable alternatives available, expected outcome, and consequences if the procedure is not done.