Chapter 4 Practice (Leadership) Ethical and Legal Aspects

Chapter 4 Practice (Leadership) Ethical and Legal Aspects
Study online at https://quizlet.com/_9agmti

The nurse is caring for a patient who has a health-care practi-
tioner's order to ambulate three times a day.The last two times
the nurse has requested the patient ambulate,the patient has
refused.After explaining both the benefits of ambulating and the
consequences of not ambulating,the patient still refuses to get
out of bed.The nurse documents that patient's refusal and notifies
the health-care provider.What core professional value is the nurse 3
upholding with this patient?
1)Integrity
2)Human dignity
3)Autonomy
4)Altruism
The nurse is caring for four patients.In which patient situation is
the nurse utilizing the core professional value of social justice?
1)The nurse notifies a social worker after talking to a patient

who is unable to keep his blood glucose within a normal range
and discovers that the patient is unable to shop for himself and
depends on family members to bring him food, much of which is
fast food.
2)The nurse is caring for a patient who is hearing impaired and
ensures that a sign language interpreter is present when the
health-care provider explains the patient's lung cancer treatment
plan. 2
3)The nurse is caring for a patient who is waiting for the results of a
lung biopsy.When the patient asks the nurse if the biopsy is back
and what does it show, the nurse responds,"Yes, the biopsy is
back and your health-care provider will be here within 30 minutes
to discuss the results with you."
4)The nurse is caring for a patient who refuses to receive any
blood products even though the patient's hemoglobin is 5.7
mg/dL.The nurse discusses the benefits of receiving the trans-
fusion,
but the patient still refuses so the nurse notifies the health-care
practitioner of the patient's decision.
The nurse is caring for a patient who has limited vision.Which eth-
ical principle is the nurse upholding by ensuring that there are no
obstacles present between the patient's bed and the bathroom?
4
1)Veracity
2)Confidentiality
3)Fidelity
4)Beneficence
The nurse is caring for a teenage girl who just gave birth to
a baby girl.The patient tells the nurse that she is planning to
breastfeed,but the nurse responds,"I'm just going to bring you
formula for your baby.You are very young and breastfeeding re-
quires a lot of patience and is difficult for women who are much
more mature than you are." What nonethical principle is the nurse
1
demonstrating in this statement and action to the patient?
1)Paternalism
2)Malpractice
3)Negligence
4)Deception
The nurse is sharing information received during a patient inter-
view with different health-care providers.In which of these inter-
actions does the nurse breach the patient's confidentiality?
1)The nurse shares with the patient's health-care provider that the
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patient has been drinking four to six beers per day.
2)The nurse documents in the patient's health-care record that the
patient is unable to adequately see an insulin syringe.
3)The nurse discusses the patient's marital difficulties with nurses 3
from another unit.
4)The nurse calls the social worker because the patient states he
is unable to afford the prescribed medication.
The nurse is aware that in which situation is there a potential for
a violation of a patient's right to confidentiality?
1)The patient's medical record was read by an unauthorized per-

son.
2)The patient's conversation with a family member was overheard 3
by someone in the hall.
3)The patient's interview with the nurse was shared with the
patient's sister.
4)The patient's social security number is copied by an unautho-
rized person.
The nurse leader of an acute care facility has set up a policy for
the nursing staff concerning using vacation time.This policy states
that nursing staff may use only 40 hours of vacation at any one
time to prevent staffing deficiencies.A nurse requests to use 80
hours of vacation to be able to take a cruise.The decision is that
40 hours of vacation time is the maximum allowed.What ethical
1
theory is the nurse leader using in this situation?
1)Utilitarianism
2)Deontology
3)Principlism
4)International Council of Nurses Code of Ethics
Upon admission,a patient is given a copy of the rights of all
patients and that health-care facility's policy and procedures to
protect these rights.When asked by the patient the reason for this
paperwork,the nurse replies that it is required by what govern-
mental legislation?
4
1)Health Insurance Portability and Accountability Act (HIPAA)
2)Good Samaritan Law
3)Safe Medical Devices Act
4)Patient Self-Determination Act
A nurse in the emergency department treated a 6-week-old in-
fant who had sustained fractures of the right femur and right
humerus,and the nurse files a report with the state agency that
oversees possible child abuse cases.After 6 months it was de-
termined the infant had a congenital condition that caused the
fractures.Today the nurse received word that a lawsuit had been
filed against the nurse.This nurse recognizes that protection from 2
this lawsuit is available because of what legislation?
1)Good Samaritan Law

2)State disclosure statute
3)State employment laws
4)State Nurse Practice Act
The nurse is responsible for administering medications to a
patient with hypertension.The health-care provider decreased
the patient's dose of antihypertension medication at 7 p.m.The
next morning,the nurse administered the original dose of anti-
4
hypertension medication to the patient.The nurse notes the er-
ror immediately upon documentation and notifies the health-care
provider.The nurse checks the patient's blood pressure frequent-
ly,and no significant drop in blood pressure is noted.What essen-
2/3
tial element of malpractice is lacking in this medication error?
1)Breach of duty owed the patient

2)Foreseeability of harm
3)Duty owed the patient
4)Injury or harm
A nurse leader is responsible for discipline and at times must notify
the state board of nursing if the situation that involves the nurse is
serious enough.For which situation would the nurse leader most
likely notify the state board of nursing? Select all that apply.
1)The nurse made a medication error and notified the health-care

provider and stayed with the patient until the medication had
passed through the patient's system.
2, 4, 5
2)The nurse took money from the drawer next to the patient's bed
while the patient slept.
3)The nurse was convicted of driving 20 miles over the speed limit
and not wearing a seat belt.
4)The nurse was convicted of driving while under the influence on
the way home from work.
5)The nurse wrote vital signs in a patient's chart without taking
vital signs.
A nurse makes an entry on social media concerning a patient
situation that occurred during a recent shift at an acute care fa-
cility.The patient was notified by an acquaintance who recognized
the patient from the description in the entry.Did the nurse who
posted the entry commit malpractice?
3
1)No,because the nurse did not foresee that this would bring harm
to the patient.
2)Yes,because the nurse had a duty to the patient and breached
that duty through the posted entry.
3)No,because not all five elements of malpractice were present.
4)Yes,because all five elements of malpractice are present.
The nurse is caring for a patient who suffered a broken hip after
attempting to go to the bathroom.The nurse had assigned a nurs-
ing assistant to assist this patient to the bathroom.It is determined
that the nurse is not guilty of malpractice.Which element was not
present for malpractice to be charged?
2
1)The injury was not very severe.
2)The nursing assistant had assisted many patients to the bath-
room.
3)The nurse was not aware that a fall could cause an injury.
4)The nurse did not have a duty to the patient because the nursing
assistant was responsible.
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Chapter 4 Practice (Leadership) Ethical and Legal Aspects

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Chapter 4 Practice (Leadership) Ethical and Legal Aspects

Uploaded by

Chapter 4 Practice (Leadership) Ethical and Legal Aspects

Study online at https://quizlet.com/_9agmti

1)The nurse notifies a social worker after talking to a patient

1)The patient's medical record was read by an unauthorized per-

1)Good Samaritan Law

1)Breach of duty owed the patient

1)The nurse made a medication error and notified the health-care

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