An 80-year-old woman has been admitted to the emergency department after a sudden loss of consciousness and computed tomography indicates a serious ischemic stroke. The patient's son is adamant that the patient would not want thrombolytic therapy.
The son would have the right to refuse this treatment on his mother's behalf if
A) there is a reasonable belief that such a treatment would not result in improved outcomes for
the patient.
B) a durable power of attorney for healthcare names the son as a healthcare proxy.
C) the son is able to show evidence that his mother was legally incompetent prior to her stroke.
D) there is unanimity among other immediate family members.
Question 2Mr. Yamata was recently admitted to the hospital after a fall in which he suffered a fracture of his femoral head. Over the past 2 days, he has begun to refuse care.
Which of the following
factors is most significant in the determination of Mr. Yamata's legal competence to refuse
care?
A) Mr. Yamata was recently diagnosed with early-stage Alzheimer disease.
B) Mr. Yamata defers most of his important decisions to his oldest son.
C) Mr. Yamata has previously expressed a preference for complementary and alternative
therapies.
D) Mr. Yamata attempted to transfer to the commode independently, despite the nurse's
instructions to the contrary.
Question 3In response to her recent job application, a nurse has been contacted by a member of the hospital's human resources (HR) department in order to schedule an interview. The nurse should
A) bring several copies of her rsum to the interview.
B) ask the HR representative how she should dress for the interview.
C) do research so that she can avoid asking questions during the interview.
D) ask the interviewers about their work history and areas of career interest.
Question 4What is the basic tenet of shared governance?
A) It allows nursing staff and management to be involved in decision-making.
B) It establishes the control of the institution over the actions of the nursing staff.
C) It allows the administrative decision area to be controlled by management.
D) It supports the traditional role of the supervisor as one who hires, evaluates, promotes, and
fires.
Question 5Mrs. Howe, age 59, had a bilateral mastectomy with axillary node dissection and was discharged home 2 days later with drains in situ. Contrary to the nurses' predischarge teaching,
Mrs. Howe attempted to remove one of her drains independently once output ceased, resulting
in pain, tissue trauma, and bleeding. Mrs. Howe claims that her injuries were the result of negligence by the nurses on the unit. How would the court apply the principle of comparative
negligence in this case?
A) The court would determine what proportion of the patient's injuries was the result of her
own actions.
B) The court would compare Mrs. Howe's actions with those of a reasonable person.
C) The court would determine whether it was medically appropriate to discharge Mrs. Howe
with her drains still in situ.
D) The court would decide if the nurses on the postsurgical unit are legally obliged to teach
patients.
Question 6A nursing student who has held a variety of nonnursing positions is scheduled to graduate in a few weeks and is searching for a nursing job.
The student has responded to a posting at a
local hospital that asks for two references. Which of the following individuals would be the
best choices for these two references?
A) A trusted coworker and a nurse who supervised the student during a preceptorship
B) A family friend who knows the student well and the associate dean of the nursing school
C) The two work supervisors with whom the student has the strongest rapport
D) A nursing instructor and the supervisor of the student's latest job
Question 7Nursing practice is subject to a wide variety of laws and regulations. Which of the following actions is the clearest violation of criminal law?
A) A nurse left a patient's bed in a raised position and the patient subsequently fell.
B) A nurse withheld opioids from a patient and then sold them.
C) A nurse left the unit before her replacement had arrived.
D) A nurse applied restraints to a patient in alcohol withdrawal without first obtaining an
order.
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