Leadership Roles and Management Functions in Nursing: Chapter 5 Exam Questions and Answers, Exams of Nursing

Download Leadership Roles and Management Functions in Nursing: Chapter 5 Exam Questions and Answers and more Exams Nursing in PDF only on Docsity!

functions in Nursing theory and application

10th edition Chapter 5 Exam Questions

And Answers 100% Pass

Two registered nurses have disagreed about their scope of practice regarding medication administration. What resource should the nurse consult? A. The Nurse Practice Act B. The nursing standards of practice C. The attorney general's office D. The code of ethics - correct answer ✅A. The Nurse Practice Act Feedback: Nurse Practice Acts define and limit the practice of nursing, stating what constitutes authorized practice as well as what exceeds the scope of authority. An attorney general's office cannot supersede the provisions of a Nurse Practice Act. Ethical guidelines do not establish a nurse's scope of practice. Standards of practice describe the quality of a nurse's care but not the legal scope. A nurse is facing a malpractice suit after a client was injured in a fall. When establishing whether the nurse committed a breach of duty, the court will consult with:

functions in Nursing theory and application

10th edition Chapter 5 Exam Questions

And Answers 100% Pass

A. Medical experts from the same area of specialty B. Members of public who have been treated in similar care setting C. The administrators of health facility where the fall occurred D. Other nurses who practice in similar settings and specialties - correct answer ✅D. Other nurses who practice in similar settings and specialties Feedback: The testimony of other nurses in the same specialty as the defendant may be used to prove breach of duty. These people are considered a reliable and valid source of information by the court, more so than members of the public, administrators, or medical experts A health care provider prescribes a medical procedure that the staff nurse has reason to believe will harm the client. Which principle should guide the nurses choice of action? a. The staff nurse cannot be held legally liable for any harm to the client if the procedure is carried out with due care.

functions in Nursing theory and application

10th edition Chapter 5 Exam Questions

And Answers 100% Pass

The preoperative admitting nurse witnessed a client sign an operative consent form. The nurse then cosigned the same document as a witness. The client suffered an injury during surgery and names the nurse in the suit because the nurse witnessed the consent form. What is the most likely outcome? a. The nurse is not likely liable because the signature only specifies that the nurse witnessed the client signing the consent form. b. The nurse is likely not liable because surgery is beyond the nurse's scope of practice. c. The nurse may be liable because cosigning the consent form makes the nurse an equal member of the surgical team. d. The nurse is liable because cosigning the consent form confirms that the client fully understood the risks of surgery. - correct answer ✅ANS: A

functions in Nursing theory and application

10th edition Chapter 5 Exam Questions

And Answers 100% Pass

Feedback: Informed consent is obtained by a physician; therefore, in most cases, a nurse is not legally responsible for informed consent but is confirming that the client signed the consent form. If the nurse acts solely in the role of a witness, there are not likely to be legal consequences for the nurse. The nurse would not be considered to be a full member of the surgical team if his or her role was limited to admitting the client. Surgery is beyond the nurse's scope of practice, but this does not form the basis for the nurse's likely exemption from liability. A client is preparing to be discharged from the health-care facility and has told the nurse that he would like to read his medical record. What is the nurse's best initial action? a. Arrange for the medical record to be provided to the client. b. Inform the client that this request will be communicated to the facility's ethics

functions in Nursing theory and application

10th edition Chapter 5 Exam Questions

And Answers 100% Pass

A charge nurse has discovered that a medication error was made on the previous shift. What is the nurse's best action? a. Share that information with the charge nurse on the previous shift. b. Document the incident and follow it up as per hospital policy. c. Write a memo to the nurse who made the error requesting an incident report be written. d. Document in the client's chart that an incident report will be completed. - correct answer ✅ANS: B Feedback: It is the responsibility as manager to immediately document the error according to hospital policy. Because policies concerning such situations vary, it is vital to know and follow established policies. It is not generally appropriate to make such a note on the client's chart. Speaking to another nurse or manager is not a sufficient response, although this may be one part of the follow-up process.

functions in Nursing theory and application

10th edition Chapter 5 Exam Questions

And Answers 100% Pass

What is the best reason that nurse-managers have an ongoing responsibility to be aware of legislation affecting nursing practice? a. Laws are created by people who are not nurses. b. Laws are fluid and subject to change. c. Awareness will help ensure ethical practice. d. Awareness is included in nursing standards of practice. - correct answer ✅ANS: B Feedback: When using doctrines as a guide for nursing practice, the nurse must remember that all laws are fluid and subject to change. Laws are not static. It is the responsibility of each manager to keep abreast of legislation and laws affecting both nursing practice and management practice. It is true that laws are made by people who are not nurses, but this does not necessarily create a need for managers to stay abreast of laws. Standards of practice do not explicitly guide nurses to remain aware of changes in legislation. Awareness is

functions in Nursing theory and application

10th edition Chapter 5 Exam Questions

And Answers 100% Pass

acuity settings, such as long-term care, so practicing in such an environment may not necessarily reduce the nurse's risk of a lawsuit. It is unrealistic and unnecessary to perform all interventions with a witness, and there is no evidence that this would reduce the risk of a lawsuit. Lifelong learning is beneficial but is not noted to reduce the nurse's risk of a lawsuit A state Nurse Practice Act is an example of which source of law? a. Statutes b. Constitution c. Administrative d. Judicial - correct answer ✅ANS: A

functions in Nursing theory and application

10th edition Chapter 5 Exam Questions

And Answers 100% Pass

Feedback: Statutes are the only laws made by official enactment by the legislative body. A Nurse Practice Act is an example of a "law that governs." As a statute, a Nurse Practice Act is not a form of constitutional, administrative, or judicial law. A nurse failed to supervise a confused client, and the client fell while transferring to the bathroom. The client was unharmed, but the client's family has launched a malpractice suit, citing the nurse's breach of duty. What is the most likely outcome of this case? a. The outcome will depend on the extent to which the client was responsible for the incident. b. It will likely be successful, provided the family can prove the event was reasonably foreseeable.

functions in Nursing theory and application

10th edition Chapter 5 Exam Questions

And Answers 100% Pass

Breach of duty b. Presence of injury c. Ability to foresee harm d. Causal relationship between inadequate care and injury e. Intent to cause harm - correct answer ✅ANS: A, B, C, D Feedback: A lawsuit pertaining to malpractice must include a standard of care, breach of duty, injury, a causal relationship between breach of duty and injury, and a foreseeability of harm. Malicious intent does not need to be present or proven. The presence of malice would be more suggestive of a criminal act than professional malpractice. A nurse is being sued for malpractice after a client completed suicide on the

functions in Nursing theory and application

10th edition Chapter 5 Exam Questions

And Answers 100% Pass

medical-surgical unit. The nurse's attorney has pointed out that the client had no history of suicide attempts, had no history of mental illness, and denied suicidality on the standard intake assessment. This argument calls into question what component of a malpractice suit? a. Breach of duty b. Failure to meet standard of care c. Foreseeability of harm d. A causal relationship - correct answer ✅ANS: C Feedback: This argument suggests that there is no obvious reason why the nurse should have predicted a suicide attempt. This may negate the criterion of foreseeability. There is no

functions in Nursing theory and application

10th edition Chapter 5 Exam Questions

And Answers 100% Pass

Feedback: The legal concept of respondeat superior states that an employer should be held legally liable for the conduct of employees whose actions he or she has a right to direct or control. Consequently, there is no direct reference to the nurse's resources, intent, or insurance coverage. A client has provided informed consent for surgery and is being assessed by the nurse. What statement by the client should prompt the nurse to contact the surgeon? a. "Why am I not allowed to eat and drink before the surgery?" b. "How long do you think I'll stay in the recovery room?" c. "Do you think this surgery is actually safe and necessary?" d.

functions in Nursing theory and application

10th edition Chapter 5 Exam Questions

And Answers 100% Pass

"What is the difference between the surgeon and the anesthesiologist?" - correct answer ✅ANS: C Feedback: Nurses are obligated to provide teaching and to clarify information given to patients by their physicians. This could include such topics as the different roles of the OR team, typical recovery times, and the rationale for fasting. However, nurses must be careful not to give new information or to go outside the scope of practice. Addressing the safety and relative risks of a surgery, or the necessity for surgery, would be beyond the nurse's scope In which situations does the nurse-manager have a legal responsibility for reporting? Select all that apply. a. A nurse had to work 2 hours of overtime because another nurse failed to report for a shift.

functions in Nursing theory and application

10th edition Chapter 5 Exam Questions

And Answers 100% Pass

practitioners? a. Involving health-care consumers as active members of the health- care team b. Promoting the creation of cultures of client safety in health-care organizations c. Establishing a federal leadership locus for advocacy of client safety and health-care quality d. Building an evidence-based information and technology system that impacts client safety - correct answer ✅ANS: A Feedback: One way to promote open communication between clients and practitioners is involving health-care consumers as active members of the health- care team. Pursuing client

functions in Nursing theory and application

10th edition Chapter 5 Exam Questions

And Answers 100% Pass

safety initiatives prevent medical injury by promoting the creation of cultures of client safety in health-care organizations, establishing a federal leadership locus for advocacy of client safety and health-care quality, and building an evidence- based information and technology system impacts client safety. A registered nurse has admitted to the manager that she obtained her license on false pretenses and that she never actually graduated from a nursing education program. What is most likely to take place next? a. An investigation by the board of nursing b. A civil lawsuit by the health-care facility c. Criminal charges d.