Integrated Process: Teaching/Learning; Nursing Process:

Planning/Implementation;
Reference: Ch 2, Teaching-Learning
11. 2 An individual is held legally responsible for actions committed
against another
individual or an individual’s property.
1 This is battery, which involves physical harm. 3 This is the definition of
negligence. 4 This is the definition of a crime.
Client Need: Management of Care; Cognitive Level: Knowledge; Nursing
Process:
Assessment/Analysis; Reference: Ch 2, Torts and Crimes Important to
Nurses
12. 3 Using a stretcher with worn straps is negligent; this oversight does
not reflect the
actions of a reasonably prudent nurse.
1, 4 The nurse is responsible and must ascertain the adequate functioning of
equipment. 2 The hospital shares responsibility for safe, functioning
equipment.
Client Need: Management of Care; Cognitive Level: Application; Nursing
Process:
Evaluation/Outcomes; Reference: Ch 2, Torts and Crimes Important to
Nurses
13. 3 It is the nurse’s responsibility to foresee potential harm and prevent
risks by acting
as a client advocate.
1 This is not acceptable as a rationale for inaction. 2 The nurse and health
care provider
share interdependent roles in the assessment and care of clients. 4 High
temperatures
are common in children but are nonetheless a valid cause for concern.
Client Need: Management of Care; Cognitive Level: Analysis; Nursing
Process:
Evaluation/Outcomes; Reference: Ch 2, The Nurse’s Rights and
Responsibilities
14. 1 Each state or province protects the health and welfare of its
populace by regulating
nursing practice.
2 Although the members of the profession can also benefit from a clear
description of
their role, this is not the primary purpose of the law. 3 The employing agency
does
assume responsibility for its employees and therefore benefits from
maintenance of
standards, but this is not the purpose of the law. 4 This is too limited; they are
just one
portion of the population that is protected.
Client Need: Management of Care; Cognitive Level: Comprehension;
Nursing Process:
Assessment/Analysis; Reference: Ch 2, The Nurse’s Rights and
Responsibilities
15. 3 The Nurse Practice Act states that nurses diagnose and treat
human responses to
actual or potential health problems. Administration of oxygen in an
emergency situation
is within the scope of nursing practice.
1, 2, 4 Because the client’s clinical manifestations reflected an immediate
need for
oxygen, postponement of treatment could have resulted in further
deterioration of the
client’s condition.
Client Need: Management of Care; Cognitive Level: Analysis; Nursing
Process:
Evaluation/Outcomes; Reference: Ch 2, The Nurse’s Rights and
Responsibilities
16. 4 The nurse’s data collection was not adequate because the nurse did
not ask about
the date of the previous tetanus inoculation. The nurse failed to support
the life and
well-being of a client.
1 The nurse’s assessment was not thorough in regard to determining the date
of
immunization. 2 It was essential to determine when the client was last
immunized; for