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For a nursing malpractice action,essential characteristics of negligence must be present.Which of the following constitute these essential characteristics?


A) The nurse assumed the responsibility for the patient's care.
B) The nurse is found to have failed to meet the standard of care.
C) The harm to the patient must be shown to have been caused by the failure to meet the standard of care.
D) Harm to an individual has occurred.
E) The nurse's action involves acts of commission.

F) A) and D)
G) B) and E)

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A,B,C,D

Which of the following is a legitimate defense to a charge of assault and battery?


A) Presence of a medical order
B) Knowledge of what is best for the patient
C) Informed consent
D) Living will

E) B) and C)
F) A) and D)

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In which of the following situations should the legality of an informed consent be questioned?


A) Patient with dementia; consent given by spouse
B) Patient who received a preoperative dose of Demerol before giving consent
C) Patient who is anxious and asks many questions of the physician
D) Patient who expresses concern about the cost of the procedure

E) All of the above
F) B) and C)

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Which of the following falls under the jurisdiction of the state board of nursing?


A) Approving or reject applications for new nursing education programs
B) Expanding the provisions of the nurse practice act
C) Reducing the provisions of the nurse practice act
D) Right to suspend the need for licensure of registered nurses (RNs) in times of extreme shortage

E) C) and D)
F) All of the above

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A child is tested for genetic abnormalities.After the test results are delivered from the laboratory,a representative of the parents' medical insurance company calls the nurse's station and asks for the results of the tests.The nurse's best response to this request is to


A) refuse to give the information.
B) tell the representative the status of the tests is unknown.
C) give the results as reported because the insurance company is paying for the tests.
D) tell the representative that the test results will need to be obtained from the physician who ordered them.

E) A) and B)
F) A) and C)

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A

Which of the following actions is acceptable as an exception to a nurse's obligation regarding confidentiality?


A) Reporting certain diseases to public health authority
B) Discussing a patient's care with someone who does not know the patient
C) Leaving printouts of lab reports on the desk in the physicians' lounge as a convenience
D) Discussing a patient's condition in a public place as long as the patient's name is not mentioned

E) B) and C)
F) A) and D)

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A

The RN delegates changing a sterile dressing over a central line to a licensed practical/vocational nurse (LPN/LVN) .The LPN/LVN contaminated the site during the dressing change,and an infection developed in the patient.Which of the following statements is true?


A) The LPN/LVN is guilty of malpractice.
B) The RN is ultimately responsible for acts he or she delegates.
C) The hospital cannot be held responsible for the acts of its employees.
D) A malpractice suit cannot be brought as no harm came to the patient.

E) C) and D)
F) A) and D)

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The central question in any charge of malpractice is whether the prevailing standard of care was met.Which of the following are considered part of the standard of nursing care?


A) Basic prudent nursing care is a standard.
B) Health care providers determine standards of care in health care settings.
C) Standards of care are never changing.
D) Standards are based on the ethical principle of nonmaleficence.
E) National standards of nursing practice are standards for all nurses.

F) D) and E)
G) None of the above

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What is the primary function of the National Council of State Boards of Nursing (NCSBN) ?


A) Overseeing decisions made by state boards of nursing
B) Developing the NCLEX-RN® and NCLEX-PN® licensing examinations
C) Administering the NCLEX examination at testing centers
D) Overseeing granting licensure by endorsement

E) All of the above
F) None of the above

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Which of the following nursing responsibilities can never be delegated?


A) Complex tasks
B) Evaluation
C) Medication administration
D) Accountability

E) A) and D)
F) A) and C)

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Analysis of cases of reported negligence from 1995 to 2001 demonstrated that the majority of cases occurred in which patient care setting?


A) Acute care
B) Psychiatric
C) Nursing homes and long-term care facilities
D) Home health

E) A) and D)
F) B) and D)

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A competent resident in a long-term care facility refuses an ordered antidepressant medication.The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient.This illustrates negligence by failure to


A) follow the standard of care.
B) assess and monitor a patient.
C) communicate with a patient.
D) document.

E) C) and D)
F) B) and D)

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The most common reason that nurses are disciplined by the state board of nursing is


A) making medication errors.
B) following unsafe nursing practice.
C) practicing while impaired.
D) abandoning patients.

E) B) and D)
F) None of the above

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The nurse giving medications to a pediatric patient notes that an order for a medication is considerably larger than the usual dose.The nurse looks up the medication in a pharmacology book and finds the prescribed dose is too large.Which action should the nurse take?


A) Documenting the findings in the chart after giving the medication
B) Calling the nursing supervisor and ask what to do next
C) Calling the pharmacist to obtain the usual dosage
D) Notifying the physician of these findings before giving the medication

E) B) and D)
F) A) and D)

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Which of the following is an important step in preventing legal action against the nurse?


A) Never make a mistake.
B) Deflect blame from yourself as much as possible.
C) Develop caring, therapeutic relationships with patients.
D) Avoid explaining care procedures to patients.

E) A) and D)
F) A) and B)

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A nursing student got a thank-you card from a patient's family and had another student take a photo of the student with the family.The student asks the nursing instructor if it would be alright to post the photo on Facebook.Which response by the instructor is best?


A) "Yes, as long as you ask the family if that would be OK."
B) "I think that would be OK, but you should check hospital policy."
C) "No, posting pictures of patients and families on social media sites is not acceptable."
D) "No, that could lead to a malpractice suit by the patient or family."

E) B) and D)
F) A) and D)

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The American Nurses Association (ANA) published a guide for state nurses associations seeking to revise their nurse practice acts.According the ANA,which of the following should be included in these revisions?


A) Differentiation between advanced and generalist nursing practice
B) Authority for boards of nursing to oversee UAP
C) Specified frequency of revisions to the nurse practice acts
D) Authority for boards of nursing to regulate prescription writing by advanced practice nurses
E) Nurses' responsibility for delegating to LPN/LVNs

F) A) and E)
G) None of the above

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The nurse forgets to give the patient a dose of antibiotic.Later in the shift,the patient goes into cardiac arrest and dies.What element is lacking to support malpractice?


A) Duty of care
B) Breach of duty
C) Specific injury
D) Proximate cause

E) A) and C)
F) B) and C)

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Which of the following is a nursing responsibility regarding informed consent?


A) Canceling the procedure if the patient has questions
B) Explaining the procedure, risks, and treatment alternatives
C) Serving as a witness, ensuring that the patient does not feel coerced into a decision
D) Ensuring that the physician has completely explained the costs of the procedure

E) None of the above
F) A) and B)

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Which of the following puts the nurse at increased risk for legal action?


A) Delegating a Foley catheter insertion to a LPN/LVN
B) Documenting the exact words a patient uses when complaining
C) Not assessing a patient who is complaining of pain
D) Caring for a postoperative patient who has a pulmonary embolus while being transferred to the chair

E) A) and D)
F) All of the above

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