Nokea
Which of the following is a measure taken to protect healthcare workers from being charged with battery?
- A. The client's signed release is obtained for presentations.
- B. The nurse uses initials instead of names in written reports.
- C. Clients sign a written consent before undergoing any kind of procedure.
- D. The nurse draws bedside curtains while giving personal care.
Correct Answer: C
Rationale: To protect healthcare workers from being charged with battery, clients sign a general permission for care and treatment at the time of hospitalization. They also sign a written consent before undergoing special tests, procedures, or surgery. Obtaining a signed release for recognizable photographs for publications, using initials or code numbers instead of names in written reports or research papers, and drawing bedside curtains when giving personal care are essential for protecting a client's privacy.
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Which of the following statements is applicable when a competent client wants to leave a hospital or long-term care facility before being discharged by the physician?
- A. Physical or chemical restraints are used to detain the client.
- B. The nurse applies restraints based on a current medical prescription.
- C. The nurse determines whether the client's safety or the safety of others is at risk.
- D. The client signs a form releasing the healthcare facility from its responsibility.
Correct Answer: D
Rationale: A nurse should not detain a competent client who wants to leave a hospital or long-term care facility before being discharged by the physician. If a client wants to leave the facility against medical advice, the client should sign a form that releases the healthcare facility from its responsibility. Mentally impaired, confused, or disoriented clients may be restrained if their safety or the safety of others is at risk; this does not apply to a competent client.
A client jumped out of a window on the second floor of the hospital and sustained a spinal cord injury that resulted in the inability to have upper and lower extremity sensation. What type of documentation by the nurse would be appropriate in this situation?
- A. The client must have been depressed and wanted to commit suicide.'
- B. I saw the client get ready to jump and was unable to get to them fast enough.'
- C. Client observed standing on the window ledge; asked client to come down and proceeded to enter the room, and client jumped through the glass.'
- D. The previous shift should have notified the physician that the client was suicidal.'
Correct Answer: C
Rationale: The documentation in which the nurse describes observing the client on the window ledge, asking the client to come down and entering the room, and the client jumping through the class is objective, accurate, and concise. The other choices were judgmental, subjective, and vague.
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.
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.
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.