Nokea
Which of the following nursing actions would be considered proactive prevention of lawsuits?
- A. Meeting your patient's needs
- B. Treating your patient with dignity
- C. Developing good nurse-patient rapport
- D. Keeping conversation with your patient to a minimum to reduce chances of offending the patient
- E. Explaining procedures and ensuring the patient's understanding before performing the procedure
Correct Answer: A,B,C,E
Rationale: These actions foster trust, respect, and clear communication, reducing the likelihood of misunderstandings or complaints that could lead to lawsuits.
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A nurse failed to lock the brakes on a wheelchair before transferring the patient from the bed to the wheelchair. The wheelchair rolled backward and the patient fell, causing several fractures. This nurse could be found guilty of
- A. False imprisonment.
- B. Malpractice and negligence.
- C. Assault.
- D. Battery.
Correct Answer: B
Rationale: Failure to follow safety protocols is negligence, and resulting harm constitutes malpractice.
In a court of law, there is a standard regarding documentation in patients' records. What is this standard and what does it mean?
- A. If it wasn't documented, it wasn't done
- B. Document only what you observe
- C. Document only what the patient reports
- D. Document only physician orders
Correct Answer: A
Rationale: This standard means that undocumented actions are assumed not to have occurred in legal proceedings.
Which health-care provider is identified as the patient's advocate?
- A. Nurse
- B. Physician
- C. Social worker
- D. Unit clerk
Correct Answer: A
Rationale: Nurses are often designated as patient advocates, ensuring patient needs and preferences are communicated.
A(n) is a form to be completed in the event of an unusual occurrence or an accident.
- A. Incident report
- B. Progress note
- C. Discharge summary
- D. Consent form
Correct Answer: A
Rationale: An incident report is used to document unusual occurrences or accidents in a healthcare setting.
Your patient has been newly diagnosed with AIDS. You are good friends with the patient's wife and feel that you should tell her so that she can be tested. Which of the following statement(s) is(are) true?
- A. Because the wife is considered an immediate family member, it is permissible for you to discuss the patient's test results with her.
- B. Failure to disclose the serious diagnosis to the wife could be considered negligence.
- C. The patient must give permission for the AIDS test results to be disclosed to the wife.
- D. Discussing the test results without the patient's permission is a breach of HIPAA.
Correct Answer: C,D
Rationale: HIPAA requires patient consent to disclose protected health information, including to family members. Unauthorized disclosure is a HIPAA violation.