A nurse is completing an admission assessment on a client who has been transferred to the unit. The client has a history of falls and confusion. The nurse forgets to initiate any fall risk prevention as indicated by the hospital policy, and later during the shift, the client falls and sustains a wrist fracture. Which legal tort is the nurse at risk for from this situation?

Slander

Malpractice

Battery

Negligence

Answer and Explanation

The Correct Answer is D

Choice A reason: Slander refers to spoken defamation of a person's character. Since this situation does not involve any spoken statements that defame the client, slander is not applicable.

Choice B reason: Malpractice is a specific type of negligence that occurs when a healthcare professional fails to perform their duties to the required standard, resulting in harm to a patient. While closely related, in this scenario, the broader term negligence more accurately describes the failure to follow hospital policy.

Choice C reason: Battery involves intentional and wrongful physical contact with a person without their consent, causing harm. In this situation, the nurse's failure to prevent the fall is not an intentional act, so battery is not applicable.

Choice D reason: Negligence occurs when someone fails to take reasonable care to avoid causing injury or loss to another person. In this case, the nurse's failure to initiate fall risk prevention measures, as required by hospital policy, resulted in the client falling and sustaining a wrist fracture, making the nurse at risk for negligence.

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Correct Answer is C

Explanation

Choice A reason: Containing the fire by closing all the doors is an important step to prevent the spread of fire and smoke, but it is not the priority action. The primary concern should be the safety of the client, which involves removing them from immediate danger.

Choice B reason: Extinguishing the fire using the nearest fire extinguisher is a critical action to control the fire, but it should not take precedence over ensuring the client's safety. The nurse must first ensure that the client is out of harm's way before attempting to put out the fire.

Choice C reason: Removing the client from immediate danger is the priority action. The nurse's first responsibility is to ensure the safety of the client by getting them to a safe area away from the fire. This action minimizes the risk of injury or harm to the client.

Choice D reason: Activating the fire alarm is essential to alert other staff and initiate emergency procedures, but it should be done after ensuring that the client is safe. The primary focus should be on the immediate safety of the client, followed by actions to manage the fire.

A. "Taking estrogen as prescribed will help to decrease the growth of facial hair." B. "Taking estrogen as prescribed may increase my risk for migraine headaches." C. "Taking estrogen as prescribed will help to decrease my body's muscle mass." D. "Taking estrogen as prescribed may cause infertility."

Correct Answer is A

Explanation

Choice A reason: This statement is incorrect because estrogen therapy may not effectively reduce the growth of facial hair in transgender women. Additional treatments, such as laser hair removal or electrolysis, may be needed to address facial hair growth.

Choice B reason: This statement is correct because estrogen therapy can increase the risk of migraine headaches in some individuals. This potential side effect should be discussed with clients considering estrogen therapy.

Choice C reason: This statement is correct because taking estrogen as prescribed can help decrease muscle mass, which is one of the desired effects of feminizing hormone therapy for transgender women.

Choice D reason: This statement is correct because estrogen therapy can cause infertility. Transgender women undergoing estrogen therapy should be informed about this potential outcome and consider fertility preservation options if they wish to have biological children in the future.

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client on the medical unit when the waste basket catches fire. What is the priority action for the nurse?

Correct Answer is C

Explanation

The nurse is educating a transgender female client about the expected outcomes of estrogen therapy. Which statement made by the client would indicate the need for further teaching?

Correct Answer is A

Explanation

The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbor asks the nurse, "How is Mary doing? She is my best friend and is seen at your clinic every week." Which is the most appropriate nursing response?

The nurse observes an unlicensed assistive personnel (UAP) reprimanding a client for not using the urinal properly. The UAP tells him that he will be put in a diaper if he does not use the urinal more carefully next time. Which of the following torts is the UAP committing?

A nurse has several tasks to delegate to assistive personnel (AP). Which of the following tasks should the nurse ask the AP to perform first?

The emergency department nurse is triaging clients arriving from a mass casualty incident. During the triage, the nurse confirms that each client has a disaster tag. What information should be placed on the tag for each client? (Select all that apply)

The nurse is assessing a mechanically ventilated client with pneumonia after providing deep oral suctioning to the client. Which assessment finding would be unexpected and be a priority for the nurse to address?

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The nurse is working on the neurological unit. Which task would be most appropriate to delegate to the unlicensed assistive personnel assigned to the unit?