NURS3826 Week 2 Quiz
Question 1
Apparent consent occurs when the
patient:
Agrees to participate in a
clinical trial.
Is unable due to their condition
to otherwise give consent.
Allows a family member to sign the
informed consent form for him or her.
Extends an arm to allow blood to
be taken.
Moving to another question will
save this response.
Question 2
Mr. Jones, hurt while working in a
clothing factory, saw the occupational health nurse for his injury. The nurse
bandaged his hand and instructed him to get a tetanus antitoxin injection at
the physician’s office where the factory referred patients. He failed to follow
the instructions and later developed tetanus. In the ensuing trial, the court
should find that:
The nurse is liable, because
he/she did not check to see that Mr. Jones followed his/her instructions.
The nurse is liable, because Mr.
Jones is an adult and able to make his own decisions about health care matters.
The nurse is not liable for
damages to Mr. Jones, because she has a right to expect that her instructions
would be followed.
The nurse is not liable, because
tetanus is preventable.
Moving to another question will
save this response.
Question 3
Consent, once validly given by a
competent adult patient:
May not be revoked.
May be revoked only in writing if
the original consent was written.
May be revoked at any time prior
to the procedure or treatment being implemented.
May be revoked only if a second
procedure supersedes the first procedure.
Question 4
A nurse is preparing a patient for
a procedure. The patient has signed a consent form, but states, “I don’t
really know anything about this procedure. I wonder if there is something else
I could do instead?” How should the nurse proceed?
Continue with the preparation as
consent may not be revoked.
Have the patient document the
question in writing since the original consent was written.
Stop the preparation as the patient
can revoke consent at any time.
Try to convince the patient to go
through with the procedure.
Question 5
After shift change, a nurse calls
back to the unit and speaks with the current attending nurse. The nurse reports
that she forgot to document that the patient’s physician saw the patient an
hour before shift change and asks the nurse to chart it for her in the medical
record. What would be the best action of the attending nurse?
Refuse to document the information
in the medical record.
Call the physician to verify the
visit prior to documenting it.
Notify the supervisor of the
unusual conduct of the nurse.
Go ahead and chart the telephone
conversation.
Question 6
A hospital’s policy states that a
nurse must cosign all charts that licensed practical nurses complete. What is
the effect of this policy on a nurse working on a busy medical floor?
It places the nurse in the
position of endorsing and authenticating the entries made in the charts that he
or she cosigns.
It gives legal proof that the
nurse was in the hospital.
It is unclear whether there is any
liability for the nurse.
It has no legal effect on the
nurse in this type of unit.
Question 7
A nurse is leaving the parking lot
at the hospital and carelessly runs over a patient who was just discharged.
Ironically, the nurse had been assigned to care for that patient that day. If
the patient sues this nurse, which statement is true?
The nurse can be held liable for
both negligence and malpractice.
The nurse can be held liable for
negligence but not malpractice.
The nurse can be held liable for
malpractice but not negligence.
The nurse cannot be held liable
for either malpractice or negligence based upon this set of facts.
Question 8
Circumstances that may be
exceptions to obtaining informed consent include:
Emergency situation, therapeutic
privilege, patient waiver, and prior patient knowledge.
Emergency situation, qualified
privilege, patient waiver, and prior patient knowledge.
Emergency situation, therapeutic
privilege, waiver by the patient or the staff, and prior patient knowledge.
Emergency situation, prior patient
knowledge, therapeutic privilege, and patient inability to sign the form.
Question 9
An angry patient had a pocket
knife that he was using to keep others away from him and the nurse confiscated
the pocket knife. The nurse’s best defense for the confiscation of the pocket
knife would be:
Consent.
Self-defense.
Necessity.
Privilege.
Question 10
Nursing students are frequently
required to show proof of malpractice insurance before beginning their clinical
experience. The reason for requiring malpractice insurance coverage for
students in clinical settings is:
The law requires all students to
have individual policies.
Nursing students are just as
liable as registered nurses for acts of malpractice.
The cost of coverage is minimal
and is fully tax deductible.
Students are more likely to give
substandard care than registered nurses are.
Question 11
The main purpose of documentation
is to:
Communicate the patient’s
condition to all members of the health care team.
Record patient information for
future research studies.
Verify dates of patients’
admissions to health care institutions.
Ensure that all charges are
validly documented and assessed to the patient for collection from third-party
payers.
Question 12
A patient on the medical-surgical
unit became confused and dangerous to himself and others in the setting,
restraints were applied, and the patient was confined to bed. The nurse’s best
defense for applying the restraints would be:
Consent
Self-defense
Necessity
Privilege
Question 13
If an adult patient is given
treatment for which he or she has not previously consented, the health care
provider administering the treatment may be held liable for:
Battery
Assault.
Malpractice.
False imprisonment.
Question 14
Under a claims-made insurance
policy, for which claim is the nurse protected?
Claims that were filed before the
insurance coverage became active
Claims that are filed for
incidents during the active period of the policy
Claims filed within a 30-day grace
period before or after policy times
Claims for all future events,
whether the policy is active at that time or not
Question 15
If a nurse is named in a lawsuit
and he or she has no professional malpractice insurance coverage, the nurse:
Is considered judgment-proof and
will not be required to pay damages.
Can be held personally responsible
for all damages assessed.
Can rely upon the hospital’s
insurance policy as protection from personal financial responsibility.
Will be nonsuited from the filed
lawsuit once this fact is known.
Question 16
One of the more convincing
arguments for having malpractice insurance is:
Having insurance assures that the
nurse will not be named in lawsuits.
Having insurance makes it more
costly for the plaintiff to file suit against the nurse.
Defending against a lawsuit is
costly in today’s society.
Filing a lawsuit is costly in today’s
society.
Question 17
Which of the following situations
would support a charge of malpractice against a professional nurse?
A failure on the part of the nurse
to allay a patient’s fears.
A failure on the part of the nurse
to exercise reasonable and prudent care in treating a patient.
A failure on the part of the nurse
to establish a therapeutic relationship with the patient.
A failure on the part of the nurse
to ensure that patients only received care for which they could pay.
Question 18
An elderly patient is taken to CT
scan and has a seizure violently hitting his head requiring sutures above the
eyebrow. The next day, while the
patient’s wife is visiting she is informed about the mishap and asks to see the
incident report. Your first action
should be to:
Show her the incident report
immediately since she has power of attorney for the patient.
Tell her the incident report is
only discoverable in some states and Florida is not one of them.
Notify the nurse manager and risk
management immediately of the request.
Call the physician to go over the
report with the patient and his family.
Question 19
A nurse has decided to purchase
individual professional liability insurance. The purchased policy states that
coverage is only valid for suits filed while the policy is in effect. Which
type of policy is reflected by this statement?
Claims-made
Certificate -based
Occurrence-based
Employer-sponsored
Question 20
In caring for the suit-prone
patient, one of the interventions that nurses should remember and use is:
Give the same compassionate,
competent care that all patients receive.
Treat the patient in the same rude
and hostile manner as the patient.
Avoid the patient if possible so
that there will be less chance of saying the wrong thing or performing in an
incompetent manner.
Assign the patient to a different
nurse each shift, so that no one nurse will become the target of a lawsuit.