Which of the following are examples of intentional torts in nursing practice? (Select all that apply)
A nurse slaps a confused patient who refuses care
A nurse administers the wrong medication due to misreading the label
A nurse fails to put up side rails, resulting in a patient fall
A nurse physically restrains a competent patient for 2 hours without a provider’s order
A nurse threatens to give an injection if the patient doesn’t take oral medication
Correct Answer : A,D,E
Choice A reason: Slapping a patient constitutes battery, an intentional tort involving deliberate harmful or offensive contact without consent. This violates patient autonomy and ethical standards, causing physical and psychological harm. The intentional nature of the act, targeting a vulnerable confused patient, makes it a clear example of an intentional tort in nursing practice.
Choice B reason: Administering the wrong medication due to misreading a label is negligence, not an intentional tort. Negligence involves unintentional failure to meet care standards, lacking the purposeful intent required for torts like assault or battery. This error results from inattention, not deliberate harm, so it does not qualify as an intentional tort.
Choice C reason: Failing to put up side rails, leading to a patient fall, is negligence, not an intentional tort. This reflects a lapse in the standard of care, not a deliberate act to cause harm. Negligence lacks the intentionality required for torts like false imprisonment, making this choice incorrect for the question.
Choice D reason: Physically restraining a competent patient without a provider’s order is false imprisonment, an intentional tort. This deliberate act restricts patient autonomy without medical or legal justification, violating their rights. The intentional restriction of movement, especially in a competent individual, makes this a clear example of an intentional tort.
Choice E reason: Threatening to give an injection to coerce medication compliance constitutes assault, an intentional tort. The deliberate verbal threat creates fear of imminent harm, violating patient autonomy. This intentional act, aimed at manipulating the patient’s behavior, qualifies as an intentional tort in nursing practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Choice A reason: Slapping a patient constitutes battery, an intentional tort involving deliberate harmful or offensive contact without consent. This violates patient autonomy and ethical standards, causing physical and psychological harm. The intentional nature of the act, targeting a vulnerable confused patient, makes it a clear example of an intentional tort in nursing practice.
Choice B reason: Administering the wrong medication due to misreading a label is negligence, not an intentional tort. Negligence involves unintentional failure to meet care standards, lacking the purposeful intent required for torts like assault or battery. This error results from inattention, not deliberate harm, so it does not qualify as an intentional tort.
Choice C reason: Failing to put up side rails, leading to a patient fall, is negligence, not an intentional tort. This reflects a lapse in the standard of care, not a deliberate act to cause harm. Negligence lacks the intentionality required for torts like false imprisonment, making this choice incorrect for the question.
Choice D reason: Physically restraining a competent patient without a provider’s order is false imprisonment, an intentional tort. This deliberate act restricts patient autonomy without medical or legal justification, violating their rights. The intentional restriction of movement, especially in a competent individual, makes this a clear example of an intentional tort.
Choice E reason: Threatening to give an injection to coerce medication compliance constitutes assault, an intentional tort. The deliberate verbal threat creates fear of imminent harm, violating patient autonomy. This intentional act, aimed at manipulating the patient’s behavior, qualifies as an intentional tort in nursing practice.
Correct Answer is ["D","E"]
Explanation
Choice A reason: A crowded room creates distractions and compromises patient confidentiality, hindering open communication during a psychosocial assessment. Effective assessments require a private, calm environment to foster trust and focus, as external stimuli can exacerbate anxiety or disrupt emotional disclosure, making this choice incorrect.
Choice B reason: Avoiding eye contact can signal disengagement or discomfort, undermining the therapeutic alliance needed for a psychosocial assessment. Appropriate eye contact fosters trust and encourages patients to share sensitive information, as it reflects attentiveness and empathy, making this choice incorrect for an effective assessment environment.
Choice C reason: A television on for background noise introduces auditory distractions, reducing the patient’s ability to focus and share openly during a psychosocial assessment. A quiet environment is essential to ensure clear communication and minimize sensory overload, which can affect emotional regulation, making this choice incorrect.
Choice D reason: Adequate lighting creates a comfortable, non-threatening environment for a psychosocial assessment, allowing the nurse to observe nonverbal cues like facial expressions, which are critical for assessing emotional states. Proper lighting supports patient comfort and accurate observation, making this a correct choice for the assessment setting.
Choice E reason: A quiet and private area ensures confidentiality and minimizes distractions, fostering a safe space for patients to discuss sensitive psychosocial issues. This environment supports emotional disclosure and reduces anxiety, enabling accurate assessment of mental health status, making this a correct choice for effective assessments.
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