In which situations would a nurse have the duty to intervene and report? (Select all that apply)
A health care provider gives a telephone order
A peer fails to provide patient care due to being under the influence of alcohol
A team member violates relationship boundaries with a patient
A medication is prescribed by a licensed health care provider
The Correct Answer is B
Choice A reason: A provider giving a telephone order is a standard practice in healthcare, not inherently requiring reporting unless the order is unsafe. It does not indicate negligence or ethical violations, unlike impaired practice or boundary issues, making it incorrect for mandatory intervention and reporting.
Choice B reason: A peer under the influence of alcohol compromises patient safety due to impaired judgment and coordination, a serious ethical and professional violation. Nurses are obligated to report such behavior to protect patients, aligning with nursing ethics and safety protocols, making this a correct choice.
Choice C reason: Violating relationship boundaries with a patient, such as inappropriate personal interactions, breaches ethical standards and risks patient harm. Nurses must report this to ensure patient safety and maintain professional integrity, aligning with mental health care ethics, making this a correct choice.
Choice D reason: A licensed provider prescribing medication is a routine clinical action, not requiring reporting unless the prescription is unsafe or inappropriate. This choice does not inherently indicate a need for intervention, unlike impaired practice or boundary violations, making it incorrect.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Assault involves a threat of harm without physical contact. Forcing medication involves actual physical intervention, not just a threat, making assault incorrect. Battery better describes the unauthorized physical act in this scenario, as it involves direct contact.
Choice B reason: Battery is the unauthorized physical contact or use of force on a patient, such as forcibly administering medication against their objection. This violates patient autonomy and ethical standards, aligning with the scenario, making this the correct term for the nurse’s action.
Choice C reason: Negligence involves failing to meet a standard of care, causing harm, such as ignoring a patient’s needs. Forcing medication is an active violation, not a failure to act, making negligence incorrect for this intentional physical intervention.
Choice D reason: Malpractice involves professional negligence causing harm, typically through substandard care. Forcing medication is a deliberate act of battery, not a failure in skill or judgment, making malpractice less precise than battery for this scenario.
Correct Answer is C
Explanation
Choice A reason: Autonomy involves respecting a patient’s right to make decisions. While relevant in mental health, the scenario focuses on differing treatments for similar conditions, not patient choice, making autonomy less directly applicable than the principle of fair treatment across patients.
Choice B reason: Beneficence emphasizes promoting patient well-being. Both restraints and supervision aim to prevent harm, fulfilling beneficence, but the concern is about unequal treatment, not the intent to benefit, making this principle less relevant than justice.
Choice C reason: Justice involves fair and equitable treatment for all patients. Using restraints for one self-mutilating patient and supervision for another raises concerns about consistency and fairness in care, directly aligning with the ethical principle of justice, making this the correct choice.
Choice D reason: Nonmaleficence focuses on avoiding harm. Both interventions aim to prevent self-mutilation, fulfilling this principle, but the ethical issue is about equitable application, not harm avoidance, making justice the more relevant principle in this scenario.
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