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Chapter 7: Legal Dimensions of Nursing Practice
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Question 1 See full question
33s
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A client is in a persistent vegetative state. The client has no immediate family and is
a ward of the state. Under these circumstances, who will speak on this client's
behalf?
You Selected:
A surrogate decision maker
Correct response:
A surrogate decision maker
Explanation:
Infants, young children, people with severe cognitive impairment or who are
incapacitated, and people in a persistent vegetative state or coma do not have the
capacity to participate in decision-making about their health care. For such people,
a surrogate decision maker must be legally designated to act on their behalf. The
surrogate decision maker may be any one of the individuals listed in the other
answers, if properly identified by the hospital authorities.
Reference:
,A nurse, while off-duty, tells the physiotherapist that a client who was admitted to
the nursing unit contracted AIDS due to exposure to sex workers at the age of 18.
The client discovers that the nurse has revealed the information to the
physiotherapist. With what legal action could the nurse be charged?
Slander
Explanation:
The nurse can be charged with slander, which is a verbal attack on a person's
character. Libel pertains to damaging written statements read by others. Both libel
and slander are considered defamation of character-an intentional tort in which
one party makes derogatory remarks about another that diminish the other party's
reputation. To be found guilty of slander or libel, the statement must be proved
false. Negligence and malpractice pertain to actions which are committed or
omitted, thereby causing physical harm to a client.
Reference:
Taylor, C., Lynn, P., & Bartlett, J., Fundamentals of Nursing, 9th ed., Philadelphia,
Wolters Kluwer, 2019, Chapter 7: Legal Dimensions of Nursing Practice, p.
125.
Chapter 7: Legal Dimensions of Nursing Practice - Page 125
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Question 3 See full question
1m 26s
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A nurse is writing a letter to a U.S. congressman to support the promotion of health
care issues. Which guidelines would ensure a properly written letter? Select all that
apply.
You Selected:
The nurse should name the city and state where the nurse lives and votes.
The nurse should state the purpose of the letter briefly and clearly in the
first paragraph.
The nurse should restate exactly what the legislator should do at the end of
the letter.
,Correct response:
The nurse should state the purpose of the letter briefly and clearly in the
first paragraph.
The nurse should name the city and state where the nurse lives and votes.
The nurse should restate exactly what the legislator should do at the end of
the letter.
Explanation:
Writing a letter to a U.S. congressman should be in the format of a formal letter,
stating the nurse’s concerns in a way that best relays this information. The formal
letter should state the purpose of the letter briefly and clearly in the first
paragraph, state the city and state where the nurse lives and votes, and restate
exactly what the legislator should do at the end of the letter. The nurse should cite
specific examples from the workplace to support the position. The letter should be
kept to one page. The letter should be addressed to one legislator only, not a group
of individuals.
Reference:
Taylor, C., Lynn, P., & Bartlett, J., Fundamentals of Nursing, 9th ed., Philadelphia,
Wolters Kluwer, 2019, Chapter 7: Legal Dimensions of Nursing Practice, p.
122.
A legal document that states a client's health-related wishes — such as a preference
for pain management if the client becomes terminally ill — and also allows the
client's adult child to direct the client's care, is:
an advance directive.
Explanation:
Clients communicate their wishes to health care providers by verbally participating
in health care decision making and by employing written documents called advance
directives. A will is a legal document where one communicates wishes of how to
dispose of personal effects and belongings upon one's death. The terms license
and standard of care have no application in this scenario.
Reference:
Taylor, C., Lynn, P., & Bartlett, J., Fundamentals of Nursing, 9th ed., Philadelphia,
Wolters Kluwer, 2019, Chapter 7: Legal Dimensions of Nursing Practice, p.
140.
, In some cases, the act of providing nursing care in unexpected situations is covered
by the Good Samaritan laws. Which nursing action would most likely be covered by
these laws?
a choking victim in a restaurant
Correct response:
Emergency care for a choking victim in a restaurant
Explanation:
Good Samaritan laws are designed to protect health practitioners when they give
aid to people in emergency situations in which the practitioner is off duty, such as
providing emergency care to a choking victim in a restaurant. The other examples
listed are not situations covered by the Good Samaritan law.
A nurse is caring for a client following endotracheal intubation. Before applying soft
wrist restraints to prevent the client from pulling out the endotracheal tube, what is
the most appropriate action of the nurse?
Obtain a medical order.
Explanation:
Nurses must obtain a medical order before each and every instance in which they
use restraints. Due to the severity of the client illness requiring endotracheal
intubation, the client may not be able to provide a written consent. The client does
not need to be sedated unless medically necessary, and although it is appropriate
to notify the family, this is not the priority.
Action has been taken against a nurse’s license based on a claim that the nurse
acted outside of nursing’s scope of practice. The nurse’s attorney determines that
the nurse needs more education about the purpose of the board of nursing when
the nurse makes which statement?
“The rules made by the board of nursing don’t reflect my practice.”
Explanation:
A nurse’s practice should reflect the rules of the board of nursing rather than vice
versa. Boards of nursing are established by state legislation through the state’s
nurse practice act and exist to protect the public. These rules help to keep
unlicensed people from practicing nursing.
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