During a clinical placement on a subacute, geriatric medicine unit, a student nurse fed a stroke client some beef broth, despite the fact that the client's diet was restricted to thickened fluids. As a result, the client aspirated and developed pneumonia. Which statement underlies the student's potential liability in this situation?
The student and the nursing instructor share liability for this lapse in care.
The client's primary nurse is liable for failing to ensure that delegated care was appropriate.
The same standards of care that apply to a registered nurse apply to the student.
The student's potential liability is likely negated by the insurance carried by the school of nursing.
The Correct Answer is C
A. While instructors may have supervisory responsibility, the primary responsibility lies with the individual providing care.
B. The primary nurse may have a role in supervision, but the student is accountable for following clearly defined dietary orders.
C. The same standards of care that apply to a registered nurse apply to the student when performing tasks within their scope of practice and training. This means students are expected to know and follow proper procedures and orders, including dietary restrictions.
D. Insurance may cover legal costs, but it does not negate liability. The student is still accountable for the outcome of their actions.
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Related Questions
Correct Answer is D
Explanation
A. Nurses provide support but do not usually decide disclosure.
B. Clergy may offer spiritual support but do not decide medical disclosure.
C. Family members may want to be involved but don’t have the primary responsibility.
D. The health care provider is typically responsible for deciding what, when, and how to disclose the diagnosis to the client.
Correct Answer is B
Explanation
A. Gentle patting (rather than vigorous rubbing) protects fragile, thinning skin in older adults and is appropriate.
B. Excessive soap can strip natural oils, leading to dryness, irritation, and potential skin breakdown in older adults; only a small amount of mild soap should be used.
C. Observing and reporting skin integrity (including the feet) is within the UAP’s role; detailed assessment or treatment remains the nurse’s responsibility, but inspection and reporting are appropriate.
D. Testing water temperature before assisting the client ensures safety and prevents burns, which is correct practice.
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