A nurse has been providing care to a 69-year-old female client who has recently had her right foot amputated secondary to a chronic diabetic foot ulcer. The nurse performed wound debridement despite lacking the relevant education and experience. The client experienced permanent nerve damage because of the nurse's misguided efforts. Which category would address the nurse's legal liability?

Larceny

Negligence

Assault

Invasion of privacy

Answer and Explanation

The Correct Answer is B

A. Larceny: Larceny refers to the unlawful taking of someone else's personal property with the intent to permanently deprive them of it. In this scenario, larceny is not applicable because the nurse's actions do not involve theft or misappropriation of property.

B. Negligence: Negligence occurs when a person fails to provide reasonable care, resulting in harm to another person. In this case, the nurse performed a medical procedure without the necessary education and experience, leading to permanent nerve damage in the client. This failure to provide appropriate care constitutes negligence.

C. Assault: Assault involves the threat of physical harm to another person that creates a reasonable fear of imminent harmful or offensive contact. There is no indication in the scenario that the nurse threatened the client with physical harm, so assault is not applicable here.

D. Invasion of privacy: Invasion of privacy occurs when someone intrudes upon another person's private affairs without permission, causing them distress or embarrassment. This concept typically relates to issues such as unauthorized access to medical records or surveillance. There is no mention of invasion of privacy in the scenario provided.

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Correct Answer is C

Explanation

A. Ensure that medical treatments comply with cultural expectations.

- This choice emphasizes the importance of aligning medical treatments with the cultural expectations of patients. Culturally competent healthcare providers recognize that cultural beliefs, values, and preferences can influence individuals' perceptions of illness and treatment. By understanding a patient's cultural background, healthcare providers can adapt treatment plans to be more acceptable and effective within the cultural context. This approach fosters trust and cooperation between patients and healthcare providers, ultimately improving health outcomes.

B. Increase compliance among minority clients.

- This choice suggests that understanding culture can lead to increased compliance with medical recommendations among minority clients. Culturally competent care involves acknowledging and respecting cultural differences in healthcare beliefs and practices. By incorporating cultural considerations into healthcare delivery, providers can enhance patient trust and engagement, leading to improved adherence to treatment plans and better health outcomes, particularly among minority populations who may face unique cultural barriers to accessing and utilizing healthcare services.

C. Provide individualized and culturally sensitive care.

- This choice emphasizes the broader goal of providing individualized and culturally sensitive care to all patients, regardless of their cultural background. Culturally competent healthcare involves recognizing and respecting the diversity of patients' cultural beliefs, values, and practices, and tailoring care to meet their unique needs and preferences. By delivering care that is responsive to cultural differences, healthcare providers can ensure that patients feel valued, understood, and respected, leading to improved patient satisfaction and better health outcomes.

D. Ensure that clients get the respect customary in their own ethnic group.

- This choice highlights the importance of providing respect to patients in a manner that aligns with their own cultural norms and values. Culturally competent care involves recognizing and honoring patients' cultural identities and customs, including expectations regarding respect and dignity. Healthcare providers who understand the cultural context of their patients can ensure that interactions are conducted in a manner that is respectful and appropriate, fostering trust and rapport between providers and patients and promoting positive healthcare experiences.

A. A 79-year-old woman who has dysphagia following her recent stroke B. An 80-year-old man, newly diagnosed with diabetes, who shows an inability to manipulate glucometer and test strips C. An 89-year-old man who has recently lost the ability to climb stairs due to an exacerbation of his heart failure D. A 78-year-old woman who states that she lost all hope since her spouse's death 5 months prior and no longer wants to stay active

Correct Answer is B

Explanation

A. A 79-year-old woman who has dysphagia following her recent stroke:

Dysphagia, or difficulty swallowing, following a stroke is a serious condition that requires careful management to prevent complications such as aspiration pneumonia or malnutrition. While dysphagia presents challenges, it may not necessarily indicate a deficit in knowledge, experience, or skills on the part of the client. Dysphagia management typically involves interventions by healthcare professionals rather than self-management by the client.

B. An 80-year-old man, newly diagnosed with diabetes, who shows an inability to manipulate glucometer and test strips:

This scenario suggests a deficit in knowledge and skills related to managing diabetes, a chronic condition that requires ongoing monitoring of blood glucose levels. Proper use of a glucometer and test strips is essential for self-management of diabetes. The client's inability to manipulate these devices indicates a potential gap in understanding or ability to perform necessary self-care tasks, which could compromise his health if left unaddressed.

C. An 89-year-old man who has recently lost the ability to climb stairs due to an exacerbation of his heart failure:

Losing the ability to climb stairs due to heart failure exacerbation is a significant functional decline rather than a deficit in knowledge, experience, or skills. While it may impact the client's mobility and quality of life, it doesn't necessarily indicate a lack of understanding or skills that could compromise health. The focus for this client would be on managing the exacerbation of heart failure and potentially regaining functional abilities through rehabilitation or other interventions.

D. A 78-year-old woman who states that she lost all hope since her spouse's death 5 months prior and no longer wants to stay active:

This scenario suggests emotional distress and loss of motivation following the death of the client's spouse rather than a deficit in knowledge, experience, or skills related to health management. While emotional well-being is important for overall health, addressing this issue would involve psychosocial support and interventions rather than focusing solely on deficits in knowledge or skills.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A community health nurse provides care for numerous older adult clients. Which client would the nurse identify as demonstrating a deficit in knowledge, experience, and skills that could potentially compromise health?

Correct Answer is B

Explanation

A nurse is educating an older adult client about the role of the immune response and autoimmune activity in the aging process. Which statement by the nurse leads to effective teaching?

A gerontological nurse in a long-term care facility is implementing practices to provide quality, cost-effective care. Which action would be appropriate for the nurse?

A gerontological nurse is teaching a client about safe ambulation because the client is at an increased risk for falls after being prescribed an orthotic boot. Which will the nurse teach the client?

A nurse is determining ways to address ethnic diversity among clients being provided care. Which action would be the most direct way for the nurse to do this?

A nurse is assessing a client who is recently widowed. History reveals that the client worked at home as a full-time wife and mother throughout her adult life. Based on this information, the nurse would most likely expect the client to experience which situation?