Try Naxlex NCLEX-RN (Free-Trial)

A nurse is reinforcing teaching with a newly licensed nurse about ethical principles when providing client care. Which of the following situations should the nurse use as an example of negligence?

A client who is alert and oriented makes an informed decision to leave the hospital against medical advice. The nurse applies restraints to the client to prevent her from leaving.

A nurse finds a client who is on a low-sodium diet eating salted potato chips. The nurse tells him she will apply wrist restraints if he does not stop eating the chips.

A nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning. The nurse reports the findings to the provider in the early afternoon.

A client who is competent refuses an antidepressant medication. The nurse dissolves the medication in food and administers it to the client without his knowledge.

Answer and Explanation

The Correct Answer is C

A. This scenario demonstrates false imprisonment, not negligence. The nurse is unlawfully restricting the client’s freedom of movement despite the client being competent and making an informed decision.

B. This represents assault, not negligence. The nurse is making a threat to physically restrain the client, which can cause fear or anxiety, fulfilling the definition of assault.

C. This is negligence because the nurse failed to take timely action when a critical finding was identified. The absence of a peripheral pulse in a casted limb indicates compromised circulation and possible compartment syndrome, a medical emergency that requires immediate intervention. Delaying notification to the provider places the client at risk for permanent tissue damage or loss of limb, meeting the definition of negligence — failure to act as a reasonably prudent nurse would under similar circumstances.

D. This describes battery, not negligence. Battery occurs when a nurse intentionally touches or treats a client without consent, even if the intent is beneficial. It violates the client’s right to autonomy and informed consent.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. A living will allows a client to specify preferences for life-sustaining treatments, such as mechanical ventilation or resuscitation, in the event they are unable to communicate their wishes.

B. As long as the client is competent, they can revoke or modify their advance directives or change their designated proxy at any time.

C. This indicates a need for further teaching. Once a client becomes incapacitated, no one can alter their living will—it is a legally binding document that reflects the client’s wishes. Family members must follow the directives as written.

D. The proxy (or durable power of attorney for health care) only becomes active when the client loses decision-making capacity.

A. Irrigate and perform a dressing change for a client who has a pressure injury wound. B. Obtain a daily weight on a client who has heart failure. C. Administer oral PRN pain medication to a client who has arthritis. D. Reinforce teaching the use of an incentive spirometer to a postoperative client.

Correct Answer is B

Explanation

A. This task involves assessment, sterile technique, and evaluation of tissue healing—all of which require nursing knowledge and clinical judgment. Therefore, it cannot be delegated to an assistive personnel (AP).

B. This is an appropriate task to delegate to an AP because it is routine, predictable, and noninvasive. It does not require assessment or decision-making. The AP can collect the data, while the nurse interprets the results and determines any necessary actions related to fluid balance and cardiac function.

C. Medication administration requires a licensed nurse who can assess pain, evaluate effectiveness, and monitor for side effects. This task is outside the scope of practice for an AP.

D. Even though reinforcement sounds simple, it still involves teaching and evaluation of understanding, which are nursing responsibilities. The nurse must ensure the client demonstrates proper technique and compliance, so this task cannot be delegated to an AP.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reinforcing teaching with a newly licensed nurse about ethical principles when providing client care. Which of the following situations should the nurse use as an example of negligence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about advance directives with a client admitted to the hospital and is scheduled for surgery. Which of the following statements made by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client about ways to improve their health. Which of the following modifiable risk factors should the nurse include?(Select All that Apply.)

A nurse has completed the planning step of the nursing process for a client who has an acid-base imbalance. Which of the following steps should the nurse take next?

Which of the following steps of the nursing process includes gathering information from a client who requires medical treatment?

A nurse working in a mental health facility is utilizing milieu therapy to provide a therapeutic environment for their clients. Which of the following steps of the nursing process is the nurse demonstrating?

A nurse is instructing a client who has heart disease about ways to improve their health such as eating a heart healthy diet. Which of the following concepts is the nurse demonstrating to the client?

A nurse is caring for a client who is unconscious and has a living will. The client's family asks if they can make changes to lifesaving measures now that the client is unconscious. Which of the following statements should the nurse make?

A nurse is caring for a client and notes that the client appears disheveled and frightened and seems to be talking to someone who is not there. The nurse should identify that this is an example of which of the following steps of the nursing process?

A nurse in an emergency department often sees victims of intimate partner violence. Which of the following actions should the nurse take when caring for victims of violence?