legally required to verify an accurate count of doses before taking a dose

from the
locked source and at the change of the shift. 5 The nurse should not discard
an opioid
in a client’s room. Any waste of an opioid must be witnessed by another
nurse.
Client Need: Pharmacological and Parenteral Therapies; Cognitive Level:
Analysis;
Nursing Process: Planning/Implementation; Reference: Ch 2, Nursing
Responsibilities
Related to Medication Administration
33. 3 This is an invasion of privacy, which is an intentional tort.
1, 2, 4 This is an example of professional negligence (malpractice).
Client Need: Management of Care; Cognitive Level: Application; Nursing
Process:
Evaluation/Outcomes; Reference: Ch 2, Torts and Crimes Important to
Nurses
34. 1 When a client signs herself and her infant out of the hospital, she is
legally
responsible for her infant.
2, 3, 4 The infant is the responsibility of the mother and can leave with the
mother when
she signs them out.
Client Need: Management of Care; Cognitive Level: Application;
Integrated Process:
Communication/Documentation; Nursing Process:
Planning/Implementation;
Reference: Ch 2, Clients’ Rights
35. 4 This response is a threat (assault) because the nurse is attempting
to put pressure
on the client to speak or be left alone.
1 This is not a reward and punishment technique that is used in behavior
modification
therapy. 2, 3 Clients in emotional crisis should not be left alone.
Client Need: Management of Care; Cognitive Level: Analysis; Nursing
Process:
Evaluation/Outcomes; Reference: Ch 2, Torts and Crimes Important to
Nurses
36. 1 The Nurse Practice Act requires nurses to diagnose human
responses.
2 This is a physical assessment, not a medical diagnosis, and is within the
nurse’s
role. 3 Assessments should not differ when done by the nurse. 4 The nurse is
capable
of independently performing a physical assessment.
Client Need: Management of Care; Cognitive Level: Application;
Integrated Process:
Communication/Documentation; Nursing Process: Evaluation/Outcomes;
Reference:
Ch 2, The Nurse’s Rights and Responsibilities
37. 3 The reporting of possible child abuse is required by law, and the
nurse’s identity
can remain confidential.
1 The nurse is functioning in a professional capacity and therefore can be
held
accountable. 2, 4 Although the Good Samaritan Act protects health
professionals, the
nurse is still responsible for acting as any reasonably prudent nurse would in
a similar
situation.
Client Need: Management of Care; Cognitive Level: Comprehension;
Nursing Process:
Planning/Implementation; Reference: Ch 2, The Nurse’s Rights and
Responsibilities
38. 3 Because the client’s condition is terminal, the nursing priority
should be directed
toward providing basic care and comfort.
1, 2, 4 Although these are important aspects of nursing care, provision of
comfort is the
priority when caring for a dying client.
Client Need: Basic Care and Comfort; Cognitive Level: Analysis;
Integrated Process: