Question

52. A client is involuntarily admitted to the mental health unit because of episodes of extremely ariglent behavior toward himself and others. The client is now demanding to be discharged from the hospital immediately and threatens to "break every window in my room" if stopped. The nurse tells the client he will not be allowed to leave and calls security to the unit. The client states, "This is false imprisonment. Ill sue!" Which represents the legal ramifications associated with the nurse's interventions? a. This is false imprisonment and so the client has grounds to sue b. The nurse is reacting responsibly, so there are no legal consequences c. The nurse has failed to provide a therapeutic environment, and the client can sue d. The nurse has failed to help deescalate the situation, but there are no legal consequences 53. A student nurse is concerned about delegation practices and wonders why hospitals employ nursing assistive personnel (NAP) and LPN/LVNS. The student nurse refers to the National Council of State Boards of Nursing and learns that the role of these personnel is to: a. supplement the staffing pattern when an RN is not available. b. aid the RN by performing simple, routine patient care tasks. c. replace the RN when the health care facility provides long-term care. d. provide patient teaching, allowing more direct care to be provided by the RN 54. An adolescent asks the nurse if she is of age to make an organ donation. The nurse should tell the adolescent that the individual must be at least which age to make an organ donation? a. 13 b. 16 c. 18 d. 21 55. Which is an example of a client assault? a. Taking photographs of a client without the client's consent b. Administering an injection that the client refused to receive c. Taking the client for an x-ray when the client refused consent d. Threatening to administer a sedative to a client who is restless 56. Which best describes nursing standards of care? Select all that apply. a. They are guidelines for nursing practice. b. Nursing standards of care are defined in Nurse Practice Acts. c. The law upholds the standards of care that the nurse must follow. d. They are specific guidelines only for unlicensed assistive personnel. e. They are used to measure nursing conduct in a malpractice lawsuit, f. They are used to determine whether the nurse acted as any reasonably prudent nurse under the same or similar conditions. 57. The LPN who works on the dementia unit is told to float to the skilled unit for the day because of short-staffing in the ICU. This nurse who has never worked in the skilled should take which action? a. Go to employee health services for permission to go home b. Call the ICU to let them know that an experienced staff nurse is not available c. Inform the nursing supervisor of the lack of experience for working on the skilled unit d. Ask another staff member who has floated to the skilled unit the previous short-staffing situations to report to the skilled unit.

Answer 1

52.Ans :b.The nurse is reacting responsibly ,so there is no legal consequences.

Reason:The action by the nurse is reasonable. So there will be no consequences against the nurse.

53.Ans :b.aid the RN by performing simple,routine patient care tasks.

Reason:LPN and NAP can assist the RN in performing the tasks within their scope of practice.

54.Ans:c 18

Reason:A person with age of at least 18 years can do organ donation.

55.Ans : d.Threatening to administer a sedative to a client who is restless.

Reason:Assault is intentionally harming a patient .Actual contact is not necessary.

56.Ans:a,b,c,e f

Reason:There is a standard guidelines for nursing practice. But there is no specific guidelines for unlicensed assistive personnel