Question

Answer and give the rationale or explain why do you think it is correct. ( 5 points each)

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 catheterization on clients while in the nursing program. When the UAP says “Yes,” the nurse asks him to help her out by doing a urinary catheterization on a postsurgical client. What is the best response by the UAP?

1. “Let me get permission from the client first.”

2. “Sure. Which client is it?”

3. “I can’t do it unless you supervise me.

” 4. “I can’t do it. Is there something else I can help you with?”

The nurse’s partner/spouse undergoes exploratory surgery at the hospital where the nurse is employed. Which of the following practices is most appropriate?

1. Because the nurse is an employee, access to the chart is allowed.

2. The relationship with the client provides the nurse special access to the chart.

3. Access to the chart requires a signed release form.

4. The nurse can ask the surgeon to discuss the outcome of the surgery.

Which of the following nursing actions could result in malpractice?

1. Learns about a new piece of equipment.

2. Forgets to complete the assessment of a client.

3. Follows up on client’s complaints.

4. Charts client’s drug allergies.

5. Questions physician about an illegible order.

Answer 1

Answer: “I can’t do it. Is there something else I can help you with?”

( The UAP doesn't have the lisence Or the authority to perform the catheterization process to the patients. The handling of the Catheter should be performed by the experienced nurse and not by the UAP)

Answer: Access to the chart requires a signed release form.

( The signed release form provides the discharge summary of the patient)

Answer: Forgets to complete the assessment of a client.

( Malpractice could be considered in the case where the nursing action may cause harm to the patient. Inability to complete the assessment of the client is one of the case of malpractice, which is done knowingly.)