Legal/Ethics practice questions (nclex style)

The nurse practice acts are an example of civil law.
A. True
B. False

Answer: False
Rationale: Nurse practice acts fall under
Statutory law

The client's right to refuse treatment is an example of _________ laws.

civil

Miss Magu, an 88-year old woman, believes that life should not be prolonged when hope is gone. She has decided that she does not want extraordinary measures taken when her life is at its end. Because she feels this way, she has talked with her daughter ab

C. Prizing a value

The nurse notes that an advance directive is in the client's medical record. Which of the following statements represents the best description of guidelines a nurse would follow in this case?
A. A durable power of attorney for health care is invoked only

C. A living will is invoked only when the client has a terminal condition or is in a persistent vegetative state.
Rationale:
A living will directs the client's healthcare in the event of a terminal illness or condition. A durable power of attorney is invo

A student nurse who is employed as a nursing assistant may perform any functions that she taught in school.
A. True
B. False

B. False
Rationale:
You may only perform functions that you are licensed to perform while on the job.

Although the client refused the procedure, the nurse insisted and inserted a nasogastric tube in the right nostril. The administrator of the hospital decides to settle the lawsuit because the nurse is most likely to be found guilty of which of the followi

Answer #4
Rationale: Battery is the willful touching of a person without permission. Another name for an unintentional tort is malpractice. This situation is an intentional tort because the nurse executed the act on purpose.

A nurse discovers that a primary care provider has prescribed an unusually large dosage of a medication. Which is the most appropriate action?
1. Administer the medication
2. Notify the prescriber
3. Call the pharmacist.
4. Refuse to administer the medica

Answer #2
Rationale:
The nurse should call the person who wrote the order for clarification. Administering the medication is incorrect because knowing the dose is outside the normal range and not questioning it could lead to client harm and liability for

Nurses agree to be advocates for their patients. Practice of advocacy calls for the nurse to:
A. Seek out the nursing supervisor in conflicting situations
B. Work to understand the law as it applies to the client's clinical condition.
C. Assess the client

C. Assess the client's point of view and prepare to articulate this point of view.
Rationale:
Nurses strengthen their ability to advocate for a client when nurses are able to identify personal values and then accurately identify the values of the client a

A primary care provider prescribes one tablet, but the nurse accidentally administers two. After notifying the primary care provider, the nurse monitors the client carefully for untoward effects of which there are none. Is the client likely to be successf

Answer: 1
Rationale:
All elements such as duty, foreseeability causation, harm/injury and damages must be present for malpractice to be proven.

Obtaining informed consent is the responsibility of
A. The physician
B. The RN manager
C. The nurse
D. The CNA

A. The physician
Rationale:
The physician is RESPONSIBLE for obtaining an informed consent.

A nursing student is employed and working as an unlicensed assistive personnel (UAP) on a busy surgical unit. The nurses know that the UAP is enrolled in a nursing program and will be graduating soon. A nurse asks the UAP if he has performed a urinary cat

Answer: 4
Rationale:
A sterile invasive procedure that places the client at significant risk for infection is generally outside the scope of practice of a UAP. Even though the UAP is a nursing student, the agency job description should be followed.

The primary care provider wrote a do-not-resuscitate (DNR) order. The nurse recognizes that which applies in the planning of nursing care for this client?
1. The client may no longer make decisions regarding his or her own health care.
2. The client and f

Answer: #3
Rationale:
A DNR order only controls CPR and similar life-saving treatments. All other care continues as previously ordered. Competent clients can still decide about their own care (including the DNR order.)

The nurse's partner/spouse undergoes exploratory surgery at the hospital where the nurse is employed. Which practice is most appropriate
1, Because the nurse is an employee, access to the chart is allowed.
2. The relationship with the client provides the

Answer: #3
Rationale: The only person entitled to information without written consent is the client and those providing direct care. The nurse has open access to information regarding assigned clients only.

Following a motor vehicle crash, a nurse stops and offers assistance. Which of the following actions are most appropriate? Select all that apply
1. The nurse needs to know the Good Samaritan Act for the state.
2. The nurse is not held liable unless there

Answer: 1,2,5
Rationale:
The nurse is subject to the limitations of state law and should be familiar with the Good Samaritan laws in the specific state. Gross negligence would be described by the individual state law. Unless there is another equally or mo

The nurse notices that a colleague's behaviors have changed during the past month. Which behaviors could indicate signs of impairment? Select all that apply
1. Is increasingly absent from the nursing unit during the shift.
2. Interacts well with others
3.

Answer: 1, 3, 4
Rationale:
Interacting with others (versus isolating self from others) and setting limits on the number of hours working are positive behaviors and not indicative of possible impairment. The other options are warning signs for impairment

Which nursing actions could result in malpractice? Select all that apply
1. Learns about a new piece of equipment
2. Forgets to complete the assessment of a client
3. Does not follow up on client's complaints.
4. Charts client's drug allergies
5. Question

Answer: 2 and 3
Rationale:
Standards of practice require a complete assessment. A nurse needs to be sure the client's needs have been met. They both can impact client safety and do not follow standards of care.