A nurse is teaching a group of newly hired nurses about professional liability. The nurse should include which of the following as an example of negligence?

A nurse delivers care that a client did not agree to.

A nurse's actions result in a client being harmed.

A nurse consistently seeks higher medical authority for a client's treatment.

A nurse places an incident report in the client's medical record.

Answer and Explanation

The Correct Answer is B

Rationale:

A. A nurse delivers care that a client did not agree to: Providing care without consent constitutes battery, which is an intentional tort, not negligence. It involves violating a client’s autonomy and legal right to make informed decisions about their treatment.

B. A nurse's actions result in a client being harmed: Negligence involves failing to act as a reasonably prudent nurse would, resulting in client harm. This can include omitting necessary care or performing tasks improperly, leading to injury or adverse outcomes.

C. A nurse consistently seeks higher medical authority for a client's treatment: Seeking clarification or elevation of concerns is an appropriate professional behavior and demonstrates advocacy, not negligence. It helps ensure safe, well-informed care decisions.

D. A nurse places an incident report in the client's medical record: Incident reports are internal risk management tools and should not be included in the client’s medical record. Doing so is a documentation error, not an example of negligence.

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Correct Answer is C

Explanation

Rationale:

A. Implement the plan in the health care setting: Implementation is an important part of the quality improvement process, but it follows planning and assessment stages. Executing a plan before confirming its potential effectiveness can lead to ineffective interventions.

B. Test the plan to see if refinements are needed: Testing typically occurs after initial development and evaluation. While it's essential for refining the plan, it should not occur until the plan has been reviewed for its potential to produce meaningful improvements.

C. Determine whether the plan will result in an improvement: The first step in quality improvement planning is evaluating whether the proposed interventions are likely to produce a measurable and positive effect. This ensures that resources and efforts are directed toward impactful changes.

D. Adjust the plan as necessary to improve quality: Adjustments should be made based on data gathered during testing and implementation. Altering the plan before determining its likely impact or testing it limits the ability to identify what actually works.

A. Provide discharge teaching for a client following an appendectomy. B. Evaluate the plan of care for a client who had a stroke. C. Assess a client following a right hip arthroplasty. D. Administer oral medications to a client who has heart failure.

Correct Answer is D

Explanation

Rationale:

A. Provide discharge teaching for a client following an appendectomy: Discharge teaching involves comprehensive education, evaluation of learning needs, and clinical judgment—responsibilities that fall within the scope of practice of a registered nurse (RN).

B. Evaluate the plan of care for a client who had a stroke: Evaluating and modifying the plan of care requires critical thinking and nursing judgment, which are functions reserved for RNs. LPNs may contribute to care but do not evaluate the overall plan.

C. Assess a client following a right hip arthroplasty: Initial assessments, especially after surgery, involve interpreting data and identifying complications, which are RN responsibilities. LPNs may collect data but do not perform comprehensive assessments.

D. Administer oral medications to a client who has heart failure: Administering routine oral medications is well within the LPN’s scope of practice. LPNs are trained to safely administer medications and monitor for expected and adverse effects in stable clients.

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A nurse is teaching a group of newly hired nurses about professional liability. The nurse should include which of the following as an example of negligence?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is D

Explanation

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