A patient is refusing to stay in the hospital because he does not agree with his healthcare treatment plan. The nurse stops the patient from leaving due to concern for his health.
Which of these legal charges could the nurse face?
A. Invasion of privacy, as the nurse is getting involved in the patient's private decisions regarding healthcare.
B. False imprisonment, as the nurse is not allowing the patient to leave as he has decided to.
C. Malpractice, as the nurse is intentionally keeping the patient from making his own decisions, thus violating that nursing duty.
D. Negligence, as the nurse ignored the patient's right to choose with regard to his healthcare.
A patient is having an abortion in a women's clinic and the nurse caring for the patient does not think the reasoning is appropriate. The nurse asks, "Are you sure you want to do this, it can't be undone. Have you read about your other options? Adoption is always a good choice." The patient states she understands all options and is comfortable with her choice. The nurse nods and leaves the room to discuss the procedure with the physician.
Which patient right did the nurse violate with her actions?
A. the patient's right to confidentiality, as the nurse is talking to the physician about the patient and the abortion
B. the patient's right to be left alone without unsolicited attention, as the nurse inserted herself in the patient's healthcare scenario and offered uninvited advice
C. the patient's right to respectful care, as the nurse clearly made it known that she did not approve of the abortion
D. the patient's right to make personal health decisions without interference, as the nurse tried to sway the patient's decision-making and healthcare choice in the direction of not having an abortion
The LPN on shift notices a patient come in to the clinic with bruises on his arm. The patient seems very afraid and doesn't speak much which concerns the nurse because these are signs of physical abuse.
The nurse should __________.
A. report the suspected abuse to one of the other nurses and work together on how to handle it
B. ignore the bruises, as this is not why the patient is being treated and is not appropriate for the nurse to address
C. report the findings to the appropriate authorities based on the state requirements and protocols
D. use therapeutic communication to talk to the patient and attempt to get evidence of suspected abuse
A nurse working with a cardiac patient notes the use of an ethical principle during her care of the patient.
Which of these is the best example of an ethical principle in nursing?
A. Beneficence, as the nurse promoted the patient to be respected and involved in his or her care.
B. Veracity, as the nurse followed through with any promises made to the patient during his or her care.
C. Nonmaleficence, as the nurse did not cause harm to the patient.
D. Fidelity, as the nurse maintained honesty with the patient during any education and care.
The LPN on a Continuous Quality Improvement (CQI) team needs to work on ways to reduce medication errors.
Which of these is the best approach for the nurse?
A. Have an inservice to supervise staff members during medication administration to determine if further education needs to be given.
B. Ensure the staff has been educated on the five rights of medication administration.
C. Ensure that all staff members are educated on how to appropriately fill out an incident report if they make a medication error.
D. Track the incident reports for repeating offenders and report findings to next chain in command.
A nurse witnesses a patient sign the consent form for surgery with the surgeon. As the surgeon leaves, the patient starts to speak and then stops. The nurse asks if the patient has further questions and he says, "I don't want to bother the surgeon."
The nurse should __________.
A. acknowledge the patient's wish not to bother the surgeon and answer all of their questions, as appropriate
B. acknowledge the patient's wish not to bother the surgeon and tell the patient to let you know if they change their mind
C. go get the surgeon to answer all of the patient's questions
D. answer any questions as appropriate as well as have the surgeon come back to answer any questions if needed
An LPN is having conflict with another nurse during her shift. She has tried to discuss the issues with the nurse with no resolution.
What is the most appropriate way for the nurse to proceed?
A. Report the conflict to the nurse manager of the unit.
B. Report the conflict to the assigned charge nurse of the unit.
C. Discuss the conflict with the other nurse to attempt resolution of issue.
D. Report the conflict to the director of nursing over the unit.
A nurse is giving shift report off to the oncoming LPN.
Which of these is an inappropriate shift report?
A. The nurse gives report to the oncoming LPN, checking a wound vac and dressing together.
B. The nurse reports in SBAR format, noting that the patient was noncompliant with their diet during the shift.
C. The nurse reports in the hallway, SBAR format, and alerts the oncoming LPN about how rude the patient was throughout the shift.
D. The nurse reports at bedside with the oncoming LPN and discusses the patient's concerns after the chart has been reviewed.
The LPN needs to delegate a task to the nurse aide who is new to the unit.
Which of these is the best option for the nurse to choose in proceeding?
A. Delegate the task to the nurse aide, watch them perform the task without them seeing you, and follow up to ensure the task was done safely/accurately.
B. Delegate the task to the nurse aide, ensure understanding of the task, and supervise task being performed.
C. Delegate the task to the nurse aide, confirm understanding, and follow up to ensure the task was safely/correctly done.
D. Delegate the task to the nurse aide, supervise if needed and check in after the task to see if help is needed.
Which of these would be the most appropriate way to document a patient's refusal of medication?
A. "Subcutaneous Heparin injection was attempted to be given to the patient per the physician's order. Patient refused, stating, `I do not want that injection.' Potential risks for refusing the medication were reviewed with the patient and patient verbalized understanding."
B. "Pt stated she did not want the SQ heparin inj at this time. Risks of not taking this med were reviewed with the pt and pt verbalized understanding."
C. "The patient refused the heparin injection when I tried to administer it. She yelled at me saying, `I do not want that injection right now!' and told me to leave the room. I explained the risks of not taking the medication. She seemed very annoyed that I tried to give it at that time. I will attempt again later in my shift."
D. "Heparin refused during shift. Risks reviewed."
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