Kozier & Erb's Fundamentals of Nursing, 10/E Test Bank

Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 04
Question 1
Type: MCSA
A client was given the wrong dose of medication and died. The case is being tried in court and similar cases are
used by the court in comparison to arrive at a decision. Which doctrine should the nurse’s attorney explain is
applied to this situation?
1. Common law
2. Public law
3. Administrative law
4. Stare decisis
Correct Answer: 4
Rationale 1: Common law is a type of law enacted by different entities.
Rationale 2: Public law is a type of law enacted by different entities.
Rationale 3: Administrative law is a type of law enacted by different entities.
Rationale 4: Stare decisis, "to stand by things decided," is a doctrine courts adhere to when arriving at a ruling in
a particular case. The courts apply the same rules and principles applied in previous, similar cases.
Cognitive Level: Application

Client Need: Safe and Effective Care Environment
Client Need Sub: Safety and Infection Control
QSEN Competencies: I.A. 7. Explore ethical and legal implications of patient-centered care
AACN Essentials Competencies: V. 6. Explore the impact of socio-cultural, economic, legal and political factors
influencing healthcare delivery and practice.
NLN Competencies: Context and Environment; Ethical Comportment; Act in accordance with legal and
regulatory requirements, including HIPAA, for faculty, students, patients, and families
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1. List sources of law and types of laws.
MNL Learning Outcome: 1.1.2. Examine the impact the legal aspects of nursing have on practice.
Page Number: 48
Question 2
Type: MCSA
The nurse is notified about new state practice act regulations. Which type of law should the nurse expect to
implement and enforce the nurse practice act regulations?
Kozier & Erb’s Fundamentals of Nursing, 10/E Test Bank
Copyright 2016 by Pearson Education, Inc.
1. Statutory law
3. Common law
4. Public law
Correct Answer: 2
Rationale 1: Statutory laws are laws enacted by any legislative body.
Rationale 2: Administrative agencies are given authority to create rules and regulations to enforce statutory law
when the state legislature passes a statute. State boards of nursing write rules and regulations to implement and
enforce a nurse practice act, which was created through statutory law but is enforced by administrative law.
Rationale 3: Common law refers to laws evolved from court decisions.
Rationale 4: Public law refers to the body of law that deals with relationships between individuals and the
government and governmental agencies.
Cognitive Level: Application

Nursing/Integrated Concepts: Nursing Process: Planning
Page Number: 48
Question 3
Type: MCSA
The admitting nurse explains the process of signing forms to allow for the client's insurance company to be billed
for services. If the insurance fails to pay for services, the client is responsible for payment. Which type of law did
the nurse explain to the client?
1. Contract law
2. Tort law
3. Statutory law
Correct Answer: 1
Rationale 1: Contract law involves the enforcement of agreements among private individuals or the payment of
compensation for failure to fulfill the agreements. Signing a form prior to receipt of health care services makes the
client responsible for cost, regardless of insurance payment.
Rationale 2: Tort law defines and enforces duties and rights among private individuals that are not based on
contractual agreements.
Rationale 3: Statutory laws are laws enacted by any legislative body.
Rationale 4: Administrative laws give administrative agencies the authority to create rules and regulations to
enforce statutory laws.
Cognitive Level: Analyzing

Page Number: 48
Question 4
Type: MCSA
The nurse forgets to put the call light within the client's reach and then leaves the room. The client reaches for it
and falls out of bed. With what should the nurse expect to be charged?
1. Assault
2. Battery
3. Negligence
4. Criminal intent
Correct Answer: 3
Rationale 1: Assault is the threat to touch another person unjustifiably.
Rationale 2: Battery is the willful touching of a person that may cause harm.

Rationale 3: Negligence is an example of a tort law. Negligence occurs when something is accidental and harm
results, as in this case. Another example of negligence would be if surgical instruments or bandages are
accidentally left in a client during surgery.
Rationale 4: Criminal intent implies preplanned actions that are illegal.

AACN Essentials Competencies: VIII. 12. Act to prevent unsafe, illegal or unethical care practices
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 10. Compare and contrast intentional torts (assault/battery, false imprisonment, invasion of
privacy, defamation) and unintentional torts (professional negligence).
Page Number: 49
Question 5
Type: MCSA
A client is suing the hospital for malpractice. Before the case goes to court, the attorney meets with staff and reads
the medical record. The nurse realizes that the attorney is performing which activity?
1. Burden of proof
2. Complaint
3. Discovery
4. Civil action
Correct Answer: 3
Rationale 1: Burden of proof falls to the plaintiff and is the duty to prove wrongdoing.
Rationale 2: A complaint is a document filed by a person (plaintiff) who claims that his or her legal rights have
been infringed on by one or more persons (defendants).
Rationale 3: Discovery is an effort by both parties to obtain all the facts of the situation. It occurs before the trial.
Rationale 4: A civil action is a legal action that deals with the relationships among individuals in society.

Nursing/Integrated Concepts: Nursing Process: Assessment
Page Number: 49
Question 6
Type: MCSA
Before applying for re-licensure, the nurse attends continuing education programs. Which action is the nurse
performing to adhere to the state board of nursing expectation?
1. Licensure
2. Competency
3. Credentialing
4. Certification
Correct Answer: 3
Rationale 1: Licensure is the process of granting a legal permit to practice or engage in a profession, such as
nursing.
Rationale 2: Competency is a level of acceptable performance, and credentialing ensures this in licensure.
Certification is also part of credentialing. It validates that an individual has met minimum standards of nursing
competency in a specialty area.
Rationale 3: Credentialing is the process of determining and maintaining competence in general nursing practice.
It is one way to maintain the professional standards of practice and accountability for the members' educational
preparation.
Rationale 4: Certification validates that an individual has met minimum standards of nursing competency in a
specialty area.


Learning Outcome: 3. Compare and contrast the state-based licensure model and the mutual recognition model for
multistate licensure.
Page Number: 49
Question 7
Type: MCSA
The high school graduate desiring to attend nursing school reviews the schools for accreditation. Which
regulatory body’s actions is the student analyzing?
1. State board of nursing
2. NLNAC
3. CCNE
4. ANA
Correct Answer: 1
Rationale 1: All states require that all schools of nursing in the state are approved/accredited by the state board of
nursing.
Rationale 2: Some but not all states require that programs be both state approved and accredited by a national
accrediting agency such as NLNAC.
Rationale 3: Some but not all states require that programs be both state approved and accredited by a national
accrediting agency such as CCNE.
Rationale 4: Voluntary accreditation is not required by all states and is a means of informing the public and
prospective students that the nursing program has met certain criteria. The ANA (American Nurses Association)
is nursing's professional organization.

Learning Outcome: 2. Describe ways nurse practice acts, credentialing, standards of care, and agency policies and
procedures affect the scope of nursing practice.
Page Number: 51
Question 8
Type: MCSA
The nurse carries out a medication order, incorrectly written by the physician and subsequently filled by the
pharmacist. Who, in this situation, is legally liable for the action?
1. Physician
2. Pharmacist
3. Hospital
4. Nurse
Correct Answer: 4
Rationale 1: Even though the physician wrote the order incorrectly, the primary responsibility in question is the
administration of the medication, and so the responsibility is not the physician’s.
Rationale 2: Even though the pharmacist filled an incorrect order, the primary responsibility in question is the
administration of the medication, and so the responsibility is not the pharmacist’s.
Rationale 3: Assuming policies and procedures were written and accessible, the hospital is not legally responsible
in this case.
Rationale 4: The responsibility for the nursing activity—in this case, giving the medication—belongs to the
nurse. Liability is legal responsibility for one's action. Even though the physician wrote the order incorrectly and
the pharmacist filled it, it was the nurse who carried it out, making that person ultimately responsible for the
action.
Cognitive Level: Applying

Learning Outcome: 7. Recognize the nurse’s legal responsibilities with selected aspects of nursing practice.
Page Number: 53
Question 9
Type: MCSA

A hospital receives notice of being sued for an action performed by a nurse. The nurse realizes that which doctrine
is being implemented in this case?
1. Contractual relationship
2. Stare decisis
3. Respondeat superior
4. Res ipsa loquitur
Correct Answer: 3
Rationale 1: A contractual relationship is not a doctrine; it is what the nurse and hospital, for example, enter into
when the hospital hires the nurse as an employee.
Rationale 2: "To stand by things decided," or stare decisis, is the same thing as following precedent, or applying
the same rules to a situation as were applied in similar situations.
Rationale 3: "Let the master answer," or respondeat superior, means that the master (in this case the
hospital/employer) assumes responsibility for the conduct of the servant (the nurse) and can be held responsible
for the nurse's failure to act in a competent way.
Rationale 4: "The thing speaks for itself," or res ipsa loquitur, is a doctrine in cases where harm occurs but cannot
be traced to a specific health care provider or standard.

Nursing/Integrated Concepts: Nursing Process: Evaluation
Page Number: 62
Question 10
Type: MCSA
A client being prepared for an invasive procedure questions some of the terminology in the consent form. Which
response should the nurse make?
1. "Just sign the form, and I'll make sure your physician talks to you before he begins the procedure."

2. "I'll explain whatever you don't understand."
3. "You should have asked your physician when he was in here."
4. "I'll call your physician back in the room to answer your questions."
Correct Answer: 4
Rationale 1: If the client has questions, he should not sign the form. These questions require the physician’s
attention before the consent is signed.
Rationale 2: If the client has questions, he should not sign the form, and it is not the nurse's responsibility to
answer the questions.
Rationale 3: Telling the client what he "should have" done is demeaning and not an appropriate therapeutic
response.
Rationale 4: Obtaining informed consent for specific medical treatment is the responsibility of the person who is
going to perform the procedure, in this case the physician. Informed consent suggests that the client has been
given complete information, including benefits, risks, and alternatives if the treatment is not given. An element of
informed consent is that the client must be given enough information to be the ultimate decision maker. If not, it is
the physician's responsibility to make sure the client's understanding is clear. It is important that the person
obtaining the consent (the physician in this case) answer the client's questions.

Learning Outcome: 4. Describe the purpose and essential elements of informed consent.
Page Number: 54
Question 11
Type: MCSA
The client presents her hand when the nurse makes this statement: "I need to start an IV so you can get your
antibiotics." Which behavior did the client demonstrate?
1. Informed consent
2. Express consent
3. Implied consent

4. Compliance
Correct Answer: 3
Rationale 1: Informed consent is an agreement by a client to accept a course of treatment or a procedure after
being provided complete information, including the benefits and risks of treatment, and generally requires the
client’s signature (written consent)
Rationale 2: Express consent may be either an oral or written agreement. In this case, there were neither spoken
words nor a written consent form for the IV initiation.
Rationale 3: Implied consent exists when the individual's nonverbal behavior indicates agreement. In this case,
presenting the hand for IV initiation would be a nonverbal behavior indicating agreement with the treatment.
Rationale 4: Compliance occurs when clients agree to follow the recommended treatment, usually by their own
actions as in taking prescribed medications or following a prescribed diet.

Page Number: 54
Question 12
Type: MCSA
An adult client who cannot read needs surgery and is competent to make his own decisions. What is the best
action that the nurse should take?
1. Tell the client in the nurse's own words what the surgical procedure involves.
2. Read the consent form to the client and have the client state understanding.
3. Make sure the physician explains the procedure to the client.
4. Have a family member who can read sign the consent form.
Correct Answer: 2
Rationale 1: Telling the client in words other than what is on the consent form is not appropriate, as some
meaning and information may be lost in the transfer.

Rationale 2: If a client cannot read, the consent form must be read to the client and the client must state
understanding before the form is signed.
Rationale 3: The physician should explain the procedure to the client, regardless of the client's literacy.
Rationale 4: Because the client is a competent adult, he must be the one giving consent. Illiteracy does not make
one incompetent.

Page Number: 55
Question 13
Type: MCSA
An older adult fell at home and fractured a hip, which requires surgical repair. After admittance to the emergency
department, the client was given sedation for pain before a surgical permit was signed. What should be done to
obtain consent?
1. The physician should have the client's wife sign the consent form.
2. The physician should wait until the effects of the medication wear off and have the client sign the form.
3. Because the client has been medicated, the nurse should thoroughly explain the consent form to the client.
4. This would be considered an emergency situation and consent would be implied.
Correct Answer: 1
Rationale 1: A client who is confused, disoriented, or sedated is not considered functionally competent and a
legal guardian or representative can provide or refuse consent for the client. In this case, because the client was
given medication that sedated him, the wife would be appropriate for giving consent for the surgical procedure.
Rationale 2: Waiting until the effects of the medication wear off would not be in the best interest of the client.
Rationale 3: Thorough explanation may or may not matter in this case because the client is considered
functionally incompetent. Besides, it is the physician's responsibility to obtain informed consent.
Rationale 4: Implied consent may be used in a medical emergency, but in this case, there is an appropriate option
available.
.

Page Number: 55
Question 14
Type: MCSA
A client is brought to the emergency department after being involved in a motor vehicle crash. Although the client
is conscious, her condition is critical and will require emergency surgery. The client does not speak English.
Which action should the nurse take?
1. Read the consent form and have the client sign it anyway.
2. Explain the form to the best of the nurse’s ability using pictures and gestures.
3. Have the hospital interpreter explain the procedure.
4. Proceed with surgery, as implied consent would be the case in this situation.
Correct Answer: 3
Rationale 1: Reading the consent form to someone who doesn't understand the words is pointless.
Rationale 2: There is a better option available than using pictures and gestures in the hope of explaining the
procedure.
Rationale 3: If the client does not speak the same language as the health professional who is providing the
information, an interpreter must be present.
Rationale 4: Implied consent indicates that the person understands what will be done.

Page Number: 55
Question 15
Type: MCSA
The nurse manager learns that vital signs delegated to unlicensed assistive personnel (UAP) were not recorded
accurately. With which care provider should the manager discuss this finding?
1. The UAP
2. The nurse
3. Both the UAP and the nurse
4. The team leader
Correct Answer: 2
Rationale 1: Although taking vital signs was an appropriate task to delegate to the UAP, the responsibility of the
action—in this case, the inaction, as the vitals were recorded inaccurately—is not fully assumed by the UAP.
Rationale 2: Although taking vital signs was an appropriate task to delegate to the UAP, the responsibility of the
action—in this case, the inaction, as the vitals were recorded inaccurately—remains with the nurse.
Rationale 3: Although taking vital signs was an appropriate task to delegate to the UAP, the full responsibility of
the action—in this case, the inaction, as the vitals were recorded inaccurately—is not shared by both the UAP and
the nurse.
Rationale 4: Delegating this task was not the responsibility of the team leader and thus he or she has no
responsibility for this action.

Page Number: 57
Question 16
Type: MCSA
A nurse is caring for a client in the emergency department (ED) who was brought in by her adult child for vague,
flu-like symptoms. While helping the client to change into a gown, the nurse notices numerous bruises on the
client's back and arms. When questioned, the client is distracted and ambiguous with her answers. Which action
should the nurse take?
1. Report the situation to law enforcement.
2. Report the situation to social services.
3. Question the adult child who brought the client to the ED.
4. File a written report in the client's chart.
Correct Answer: 2
Rationale 1: In this case, social services should be notified. Law enforcement would be notified if the results of
social services' investigation warrant it.
Rationale 2: Nurses are considered mandated reporters. As a result, they must report any situation when an injury
is present and appears to be the result of abuse, neglect, or exploitation. The situation described may or may not
be one of abuse or neglect, but the nurse is required to report it to the proper authorities. In this case, social
services should be notified.
Rationale 3: Questioning the client's adult child is appropriate, but the incident needs to be reported regardless of
the questioning.
Rationale 4: Documentation in the chart is extremely important, but this would be part of the nurse's notes, not a
separate written report.

Page Number: 57
Question 17
Type: MCSA
A nurse who has been a longtime employee of a hospital, providing bedside care to clients, was seriously injured
and is paralyzed from the shoulders down, with limited use of the upper arms. Through rehabilitation, the nurse is

able to mobilize with a wheelchair and has no cognitive or psychological deficits. The nurse wants to return to the
same position held prior to the injury. Under the guidelines of the ADA, what should the hospital do?
1. The hospital is required to accommodate the nurse.
2. The hospital must find another job for the nurse.
3. The hospital should claim undue hardship to accommodate this nurse.
4. The hospital terminate the nurse's employment.
Correct Answer: 3
Rationale 1: The act’s provisions state that the disabled must be able to perform the responsibilities of the job
with reasonable accommodations. With limited use of the upper arms, this nurse would not be able to perform the
tasks required of a nurse working at the bedside.
Rationale 2: With limited use of the upper arms, this nurse would not be able to perform the tasks required of a
nurse working at the bedside. However, the hospital could help find another position that utilizes the nurse's
experience and desire to continue in the field of nursing, but this would have to be a collaborative effort with the
nurse and a reasonable request regarding the hospital’s needs and resources.
Rationale 3: According to the ADA, it is the employer's responsibility to provide reasonable accommodations
that would allow the person with a disability to perform the job satisfactorily. With limited use of the upper arms,
this nurse would not be able to perform the tasks required of a nurse working at the bedside.
Rationale 4: Terminating employment may or may not occur, but not until all other options have been explored.

Learning Outcome: 5. Describe the purpose of the Americans with Disabilities Act.
Page Number: 57
Question 18
Type: MCSA
A nurse on the unit notices that a co-worker exhibits a pattern of behavior suggestive of drug abuse. What should
the nurse do?
1. Report the situation to the unit charge nurse.

2. Send an anonymous letter to the director of nursing.
3. Let other co-workers know about the situation.
4. Report the situation, then let management take care of it.
Correct Answer: 1
Rationale 1: As a mandatory reporter, the nurse is required to report situations where co-workers are suspected of
impairment, which includes alcohol/drug abuse as well as mental illness. The nurse should report the matter
starting at the lowest possible level in the agency hierarchy. In this case, the charge nurse would be appropriate.
Rationale 2: The nurse should take responsibility for the report by being open about it, not making an anonymous
report to the higher level of management.
Rationale 3: The nurse should obtain support from at least one other trustworthy person before filing the report.
This doesn't mean telling the whole unit, which could be detrimental to both the nurse reporting the incident and
the co-worker.
Rationale 4: After the report is made, the nurse should see the problem through, not assume that management will
take care of the situation.

Learning Outcome: 6. Discuss the impaired nurse and available diversion or peer assistance programs.
Page Number: 58
Question 19
Type: MCSA
A nurse's co-worker makes a practice of telling offensive jokes or stories with a sexual undertone during the shift.
Which action should the nurse take first?
1. Ignore the co-worker and walk away.
2. Report the incident to the nurse manager.
3. Tell the co-worker to stop the activity because the conduct is offensive.
4. Ask to be scheduled opposite this co-worker.

Correct Answer: 3
Rationale 1: Ignoring the situation is not addressing the situation in an assertive manner.
Rationale 2: Reporting the incident to the nurse manager would be an appropriate second step if the behavior
doesn't stop after the nurse's approach.
Rationale 3: Nurses must develop skills of assertiveness to deter sexual harassment in the workplace. Telling the
co-worker to stop, and why, is the first step in putting an end to the situation.
Rationale 4: Asking to be scheduled opposite this person is not addressing the situation in an assertive manner.

Page Number: 58
Question 20
Type: MCSA
A nurse who is opposed to abortion works in a hospital where abortions are performed. According to the Supreme
Court's conscience clause, which action should the nurse take?
1. The nurse should not take action, because the nurse cannot interfere with a woman's constitutional right to
privacy.
2. The nurse should voluntarily terminate employment.
3. The nurse should counsel women before they have an abortion.
4. The nurse should refuse to participate in abortions.
Correct Answer: 4
Rationale 1: The nurse cannot interfere with a woman's right to privacy, which includes control over her own
body to the extent that she can abort her fetus.
Rationale 2: The conscience clause states that nurses, as well as other health care personnel, have a right to refuse
to participate in abortions.

Rationale 3: Counseling a woman prior to an abortion would not be an appropriate action because the nurse has
chosen to work in a hospital where these procedures are done.
Rationale 4: In Roe v. Wade and Doe v. Bolton, the Supreme Court upheld that a woman's right to privacy
includes control over her own body to the extent that she can abort her fetus. Although the nurse cannot interfere
with this, the conscience clause states that nurses, as well as other health care personnel, have a right to refuse to
participate in abortions and hospitals have the right to deny admission to abortion clients.

Page Number: 59
Question 21
Type: MCSA
A client woke in the middle of the night, confused and unaware of the surroundings. Although the call light was
within reach, the client got out of bed unassisted, tripped on the bedside chair, and fell. Which element of
malpractice should the client’s attorney realize is missing in this case?
1. Foreseeability
2. Damages
3. Injury
4. Duty
Correct Answer: 1
Rationale 1: Foreseeability is the link between the nurse's act and the injury suffered. The call light was within
reach, but the client did not use it and got out of bed unassisted. Nighttime confusion occurs with some clients,
but unless the nurse had knowledge or awareness that this would happen, there was no link between the nurse's
action and the client's fall.
Rationale 2: Damages may well be present, but these probably are not due to any action or inaction on the nurse's
part.
Rationale 3: Injury may well be present, but this probably is not due to any action or inaction on the nurse's part.

Rationale 4: Duty was addressed this case because the call light was within reach.

Learning Outcome: 8. Discriminate between negligence and professional negligence/malpractice.
Page Number: 65
Question 22
Type: MCSA
A client scheduled for surgery has signed the consent form but refuses to have a Foley catheter placed, saying
"That's not part of the surgery." What should the nurse do?
1. Explain that this is part of the surgical prep and continue with the procedure.
2. Explain that the client has already signed the consent, and place the catheter.
3. Respect the client's wishes and document accordingly.
4. Offer to call the physician.
Correct Answer: 3
Rationale 1: Battery exists when there is not consent, even if the client was not asked. In this case, the client has
the right to refuse other treatment surrounding pre- and post-op care.
Rationale 2: Battery exists when there is not consent, even if the client was not asked. In this case, the client has
the right to refuse other treatment surrounding pre- and post-op care.
Rationale 3: Consent is required before procedures are performed. Depending on the invasiveness of the
procedure, a written consent may be required. The client signed a consent form for surgery, and the refusal for
placement of a catheter should be respected. The nurse should document the incident and not continue with the
procedure.
Rationale 4: Calling the physician is not inappropriate.

Page Number: 54
Question 23
Type: MCSA
The nurse documents in a client's medical record: "The client is a drug addict and is always asking for more
medication than what is necessary." With what might the nurse be charged?
1. Defamation
2. Slander
3. Libel
4. Incompetence
Correct Answer: 3
Rationale 1: Defamation is verbal communication that is false or made with a careless disregard for the truth and
that results in injury to the reputation of a person.
Rationale 2: Slander is defamation by the spoken word.
Rationale 3: Libel is defamation of character by means of print, writing, or pictures. Putting a statement such as
this in the client's medical record is, first, making a diagnosis, which the nurse is not qualified to do, and, second,
making an assumption about the client's need for medication, which is a personal attitude about how the client
responds.
Rationale 4: Incompetence relates to the ineffective or improper execution of nursing tasks.

Learning Outcome: 8. Discriminate between negligence and professional negligence/malpractice.
Page Number: 64

Question 24
Type: MCSA
The nurse is reviewing the Good Samaritan acts. For which situation should the nurse realize that these laws
apply?
1. Giving CPR to a client brought to the emergency department, when the client later is found to have a "Do Not
Resuscitate" order
2. Giving first aid to a child injured in a sporting event
3. Permitting a nursing student to try to insert an airway in an unconscious client
4. Leaving the scene of an emergency to call for help
5. Helping deliver the baby of a neighbor during a snowstorm
Correct Answer: 5
Rationale 1: The Good Samaritan acts are laws designed to protect health care providers against claims of
malpractice in cases of emergency, unless it can be shown that there was a gross departure from the normal
standard of care. Giving CPR would be considered a level of care provided by any other reasonable person under
similar circumstances. The fact that the client had a DNR order was not apparent at the time of care rendered by
the nurse. A nursing student trying to insert an airway is not appropriate, as it would be above the level of care a
student is able to do. A nurse should not leave the scene of an emergency until another qualified person takes
over. The nurse should have someone else call or go for additional help.


Learning Outcome: 12. Describe the laws and strategies that protect the nurse from litigation.
Page Number: 67
Question 25
Type: MCMA
When providing client care the nurse demonstrates practices that are designed to provide legal protections from
liability. Which actions is the nurse demonstrating?
Standard Text: Select all that apply.
1. Checking the client’s name band prior to the administration of a preoperative medication
2. Asking for help when moving a comatose client because the client can not be safely handled by one nurse
3. Attending an in-service on the appropriate use of a new piece of equipment used in the facility
4. Delegating only those tasks that he or she can’t personally perform
5. Reviewing the five rights of medication administration when the client states, “This doesn’t look like my usual
pill”
Correct Answer: 1, 2, 3, 5
Rationale 1: Legal protection for nurses is best assured by always checking the identity of the client to make sure
it is the right client.

Rationale 2: Legal protection for nurses is best assured by asking for assistance and/or supervision in situations in
which the nurse feels inadequately prepared.
Rationale 3: Legal protection for nurses is best assured by maintaining clinical competence.
Rationale 4: Delegation is a nursing responsibility that is designed to help provide quality and timely nursing
care, but that is not its sole focus.
Rationale 5: Legal protection for nurses is best assured by checking any order that a client questions.

Client Need Sub: Management of Care
Learning Outcome: 12. Describe the laws and strategies that protect the nurse from litigation.
Page Number: 68
Question 26
Type: MCMA
The clinical nursing instructor determines that a nursing student understands the legal responsibilities to clients
when providing care. What did the instructor observe to come to this conclusion?
1. Prepared to discuss the client’s medical diagnosis in pre-conference
2. Overheard stating, “My care is held to the same standards as that of the unit nurses”
3. Offers to stay with the client who is about to experience a painful diagnostic procedure
4. Addresses the staff and clients respectfully and by their full names
5. Asks for help with a dressing change involving techniques he or she has not yet performed alone
Correct Answer: 1, 2, 5
Rationale 1: Nursing students are held to the same standards as licensed nurses, and therefore need to make sure
that they are prepared to provide the necessary care to assigned clients.
Rationale 2: Nursing students are held to the same standards as licenses nursed, and therefore need to make sure
that they are prepared to provide the necessary care to assigned clients.

Rationale 3: Although offering to stay with a client during a painful procedure shows compassion, it is not a
behavior representative of legal responsibility.
Rationale 4: Although showing respect for staff and clients demonstrates professionalism, it is not a behavior that
is representative of legal responsibility.
Rationale 5: It is important that nursing students ask for help or supervision in situations for which they feel
inadequately prepared.

Learning Outcome: 13. Discuss the legal responsibilities of nursing students.
Page Number: 70
[New Questions: ]
Question 27
Type: MCMA
While working a scheduled shift the nurse focuses on actions to protect the privacy of a client with local notoriety.
What actions should the nurse take at this time?
1. Secure the client’s medical record.

2. Review the client’s care with the media.
3. Remove the client’s name from the door.
4. Permit family to view the client’s record.
5. Fax the client’s lab values with a cover sheet.
Correct Answer: 1, 3, 5
Rationale 1: Actions to ensure the client’s privacy include securing the medical record.
Rationale 2: Sharing the client’s care with the media violates the client’s privacy.
Rationale 3: Actions to ensure the client’s privacy include removing the client’s name from the door.
Rationale 4: Permitting family to view the client’s record violates the client’s privacy.
Rationale 5: Actions to ensure the client’s privacy include faxing information with a cover sheet.

Learning Outcome: 11. Describe the four specific areas of the Health Insurance Portability and Accountability Act
and their impact on nursing practice.
Page Number: 66
Question 28
Type: MCMA
The nurse manager is concerned that a staff nurse’s care demonstrates gross negligence. What actions did the
manager use to make this determination?
1. Removed a client’s central line

2. Reconnected contaminated intravenous tubing to a client
3. Accessed the computerized documentation system with a password
4. Walked a client with a blood pressure of 70/58 mm Hg to the bathroom
5. Delegated nasotracheal suctioning for a client to unlicensed assistive personnel
Correct Answer: 1, 2, 4, 5
Rationale 1: Gross negligence involves extreme lack of knowledge, skill, or decision making that the person
clearly should have known would put others at risk for harm. Removing a client’s central line would be gross
negligence.
clearly should have known would put others at risk for harm. Reconnecting contaminated intravenous tubing
would be gross negligence.
Rationale 3: Accessing the computer documentation system with a password demonstrates compliance with
HIPAA.
clearly should have known would put others at risk for harm. Walking a patient with an unsafe blood pressure is
gross negligence.
clearly should have known would put others at risk for harm. Inappropriately delegating a skill is gross
negligence.

Learning Outcome: 9. Delineate the elements of professional negligence.
Page Number: 62


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Kozier & Erb’s Fundamentals of Nursing, 10/E

Rationale 1: Common law is a type of law enacted by different entities.

Rationale 2: Public law is a type of law enacted by different entities.

Rationale 3: Administrative law is a type of law enacted by different entities.

Cognitive Level: Application

Rationale 1: Statutory laws are laws enacted by any legislative body.

Rationale 3: Common law refers to laws evolved from court decisions.

Cognitive Level: Application

Rationale 3: Statutory laws are laws enacted by any legislative body.

Cognitive Level: Analyzing

Rationale 1: Assault is the threat to touch another person unjustifiably.