Nokea
Which of the following is an example of statutory law?
- A. Permission for care
- B. Consent for minor client
- C. Nurse practice act
- D. Inferring consent
Correct Answer: C
Rationale: Statutory law is a law that any local, state, or federal legislative body enacts. An example of statutory law is the nurse practice act in each state. Clients sign a general permission for care and treatment on hospitalization. The parent or guardian should provide consent if the client is a minor to protect healthcare workers from being charged with battery. In an emergency, healthcare providers can infer consent.
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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.
A client who has end-stage chronic obstructive pulmonary disease (COPD) asks the nurse, 'Am I going to be getting better? Is there a cure?' What is the best response by the nurse that demonstrates the professional value, veracity?
- A. Everything will be fine.'
- B. Did someone tell you that there is a cure for this?'
- C. You don't need to worry about that; just get better.'
- D. Although there is no cure for this disease, we will keep you as comfortable as possible.'
Correct Answer: D
Rationale: The professional value of veracity is the duty to tell the truth. The nurse must provide factual information so the client may exercise autonomy. 'Everything will be fine,' 'Did someone tell you that there is a cure for this?', and 'You don't need to worry about that; just get better' are nontherapeutic responses that do not answer the client's question.
Which of the following is stated in a living will?
- A. Legal consent regarding healthcare
- B. Designation of another person as healthcare proxy
- C. Wishes regarding healthcare if terminally ill
- D. Medical prescriptions for end-of-life instructions
Correct Answer: C
Rationale: A living will is a document that states a client's wishes regarding healthcare if the client is terminally ill. It is not necessarily a legal consent. A client may designate another person to be the medical durable power of attorney or healthcare proxy. Do-not-resuscitate orders contain written medical prescriptions for end-of-life instructions.
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.
The LPN was assisting a client with a bath, and some of the bathwater spilled on the floor. The nurse assisted the client back to the bed and left the room, forgetting to clean the spill. The client got out of the bed to use the bedside commode and slipped on the water, leading to a hip fracture. What type of unintentional tort may the client sue the nurse for?
- A. Battery
- B. Negligence
- C. Assault
- D. False imprisonment
Correct Answer: B
Rationale: Negligence describes the failure to act as a reasonable person would have acted in a similar situation. If harm results from the action, a person may sue that individual for negligence. The nurse was negligent in not cleaning up the spill and caused the client harm. Battery, assault, and false imprisonments are all intentional torts.