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Test Bank For Effective Leadership and Management in Nursing 9th Edition Eleanor J Sullivan
Test Bank For Effective Leadership and Management in Nursing 9th Edition Eleanor J Sullivan
1) The nurse completes an admission assessment with the client. The client hands the nurse two
documents. The documents state the treatment the client wants withheld if permanently
unconscious, in the event of terminal illness, and the primary physician's order for no heroics.
The nurse communicates in report that copies of which documents are located in the chart?
Note: Credit will be given only if all correct choices and not incorrect choices are selected.
Select all that apply.
1. Do-Not-Resuscitate order (DNR)
2. Tort
3. Living will
4. Will
5. Durable power of attorney (DPOA)
Answer: 1, 3
Explanation: 1. The DNR is a medical order that no resuscitative measures be administered to
the client.
2. Tort is divided into unintentional (professional negligence) and intentional (intent to harm is
present).
3. A living will is when the competent adult signs a form indicating what healthcare the person
does and does not want in the event of terminal illness.
4. A will is a legal declaration by which a person, the testator, names one or more persons to
manage his or her estate and provides for the distribution of his or her property at death.
5. The DPOA is for healthcare decisions permitting a competent adult to appoint a surrogate or
proxy to make decisions in the event that the individual becomes unable to do so.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Planning/Ethics
Learning Outcome: 7-3: Examine the sources of law, types of law, and liability in the legal
system.
2) The nurse manager has had two incidents happen on the unit in the last month. An LPN
administered an intravenous push (IVP) medication to a client and a nurse noticed alcohol on
another nurse's breath. The manager is aware that the ________ will take action after being
notified of these incidents.
Answer: State Board of Nursing
Explanation: It is the nurses' duty to educate, examine and report another nurse's behavior to
protect the health, safety, and welfare of the public.
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Safety and Infection Control
Nursing/Int Conc: Nursing Process: Intervention/Ethics
Learning Outcome: 7-4: Explore legal issues in nursing involving licensure, patient care,
management, and employment matters.
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Copyright © 2018 Pearson Education, Inc.
3) A 14-year-old client tells the nurse that she is going to have sexual activity with her boyfriend.
What should the nurse say to the client?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. "You need to make an appointment to get birth control."
2. "Tell me more about this decision."
3. "Have you told anyone about this decision?"
4. "Do you have any insurance to pay for this visit?"
5. "I'll have to tell your parents about this."
Answer: 2, 3
Explanation: 1. Telling the client to make an appointment and get birth control takes the client's
autonomy away and does not address the client's present need.
2. Allowing the client to talk through this decision and giving options is helping to address the
client's needs.
3. Enquiring about if the client has talked to anyone helps to address the client's need for
information.
4. Knowing whether the client has insurance does not address the client's needs.
5. This answer is incorrect; the nurse would not need to tell the parents because this information
is confidential.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Assessment/Health Teaching and Health Promotion
Learning Outcome: 7-4: Explore legal issues in nursing involving licensure, patient care,
management, and employment matters.
4) A client is admitted for back pain and the client's family plans with the nurse what
interventions will be initiated for the client. The issue with this plan of care is the lack of
________.
Answer: autonomy
Explanation: Autonomy is the ability of an individual to determine his or her own course of
action.
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Planning/Ethics
Learning Outcome: 7-2: Analyze the ethical principles of autonomy, beneficence,
nonmaleficence, and distributive justice.
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Copyright © 2018 Pearson Education, Inc.
5) Restraining clients without consent or sufficient justification may be interpreted as ________.
Answer: false imprisonment
Explanation: Restraining clients without consent or sufficient justification may be interpreted as
false imprisonment. In addition to legal rights, the use of restraints involves ethical issues such as
autonomy and beneficence.
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Assessment/Quality of Practice
Learning Outcome: 7-4: Explore legal issues in nursing involving licensure, patient care,
management, and employment matters.
3
Copyright © 2018 Pearson Education, Inc.
7) For malpractice to exist, which of the following elements must be present?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Causation
2. Defamation
3. Breach of duty
4. Duty
5. Injury
Answer: 1, 3, 4, 5
Explanation: 1. For malpractice to exist the elements of duty, breach of duty, causation, and
injury all must be met.
2. For malpractice to exist the elements of duty, breach of duty, causation, and injury all must be
met. Defamation is not an element that must be present.
3. For malpractice to exist the elements of duty, breach of duty, causation, and injury all must be
met.
4. For malpractice to exist the elements of duty, breach of duty, causation, and injury all must be
met.
5. For malpractice to exist the elements of duty, breach of duty, causation, and injury all must be
met.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Assessment/Leadership
Learning Outcome: 7-3: Examine the sources of law, types of law, and liability in the legal
system.
4
Copyright © 2018 Pearson Education, Inc.
8) The nurse acknowledges the job of the State Boards of Nursing is to secure the safety of the
public by which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Practice defined by each state
2. Practice protecting the client's privacy
3. National licensure exam
4. Regulation of practice
5. Nationwide continuing education credits
Answer: 1, 3, 4
Explanation: 1. In each state nursing practice is regulated and defined by the State Board of
Nursing.
2. Nursing practice is meant to protect the public from unsafe practice.
3. Each nursing graduate must apply to the appropriate State Board of Nursing to take the
National licensure exam.
4. In each state nursing practice is regulated and defined by the State Board of Nursing.
5. Not all State Boards of Nursing require continuing education (CE) credits but in the future all
states may require CE credits to maintain competence of practice. The number of CEs required
are dependent on the individual state's requirement.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Planning/Leadership
Learning Outcome: 7-4: Explore legal issues in nursing involving licensure, patient care,
management, and employment matters.
9) A client has been diagnosed with leukemia and is scheduled to talk with the oncologist. After
listening to the oncologist talk about treatment plans the client states, "God will take care of me.
I don't want any treatment." The nurse knows the client has exercised the principle of ________.
Answer: autonomy
Explanation: Autonomy is the ability of an individual to determine his or her own course of
action.
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Int Conc: Nursing Process: Planning/Ethics
Learning Outcome: 7-2: Analyze the ethical principles of autonomy, beneficence,
nonmaleficence, and distributive justice.
5
Copyright © 2018 Pearson Education, Inc.
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“Let us not forget that it is not the want of generous sentiment, but of sufficient
information, that prevents the American people from being united in action
against the aggressive policy of the slave power. Were these simple questions
submitted to-day to the people of the United States:—Are you in favor of the
extension of slavery? Are you in favor of such extension by the aid or connivance of
the federal government? And could they be permitted to record their votes in
response, without embarrassment, without constraint of any kind, nineteen-
twentieths of the people of the free States, and perhaps more than half of the
people of the slave States, would return a decided negative to both.
“Let us have faith in the people. Let us believe, that at heart they are hostile to
the extension of slavery, desirous that the territories of the Union be consecrated
to free labor and free institutions; and that they require only enlightenment as to
the most effectual means of securing this end, to convert their cherished sentiment
into a fixed principle of action.
“The times are pregnant with warning. That a disunion party exists in the South,
no longer admits of a doubt. It accepts the election of Mr. Buchanan as affording
time and means to consolidate its strength and mature its plans, which
comprehend not only the enslavement of Kansas, and the recognition of slavery in
all territory of the United States, but the conversion of the lower half of California
into a slave State, the organization of a new slavery territory in the Gadsden
purchase, the future annexation of Nicaragua and subjugation of Central America,
and the acquisition of Cuba; and, as the free States are not expected to submit to all
this, ultimate dismemberment of the Union, and the formation of a great
slaveholding confederacy, with foreign alliances with Brazil and Russia. It may
assume at first a moderate tone, to prevent the sudden alienation of its Northern
allies; it may delay the development of its plot, as it did under the Pierce
administration; but the repeal of the Missouri compromise came at last, and so will
come upon the country inevitably the final acts of the dark conspiracy. When that
hour shall come, then will the honest Democrats of the free States be driven into
our ranks, and the men of the slave States who prefer the republic of Washington,
Adams and Jefferson—a republic of law, order and liberty—to an oligarchy of
slaveholders and slavery propagandists, governed by Wise, Atchison, Soulé, and
Walker, founded in fraud and violence and seeking aggrandizement by the
spoliation of nations, will bid God speed to the labors of the Republican party to
preserve liberty and the Union, one and inseparable, perpetual and all powerful.
“Washington, D. C., Nov. 27, 1856.”
The Kansas Struggle.
The Senatorial term of Douglas was drawing near to its close, when
in July, 1858, he left Washington to enter upon the canvass for re-
election. The Republican State Convention of Illinois had in the
month previous met at Springfield, and nominated Abraham Lincoln
as a candidate for United States Senator, this with a view to pledge
all Republican members of the Legislature to vote for him—a practice
since gone into disuse in most of the States, because of the rivalries
which it engenders and the aggravation of the dangers of defeat sure
to follow in the selection of a candidate in advance. “First get your
goose, then cook it,” inelegantly describes the basic principles of
improved political tactics. But the Republicans, particularly of the
western part of Illinois, had a double purpose in the selection of
Lincoln. He was not as radical as they, but he well represented the
growing Republican sentiment, and he best of all men could cope
with Douglas on the stump in a canvass which they desired should
attract the attention of the Nation, and give shape to the sentiment of
the North on all questions pertaining to slavery. The doctrine of
“popular sovereignty” was not acceptable to the Republicans, the
recent repeal of the Missouri compromise having led them, or the
more radical portion of them, to despise all compromise measures.
The plan of the Illinois Republicans, if indeed it was a well-settled
plan, accomplished even more than was anticipated, though it did
not result in immediate success. It gave to the debate which followed
between Lincoln and Douglas a world-wide celebrity, and did more
to educate and train the anti-slavery sentiment, taken in connection
with the ever-growing excitement in Kansas, than anything that
could have happened.
Lincoln’s speech before the convention which nominated him,
gave the first clear expression to the idea that there was an
“irrepressible conflict” between freedom and slavery. Wm. H. Seward
on October 25th following, at Rochester, N. Y., expressed the same
idea in these words:
“It is an irrepressible conflict between opposing and enduring
forces, and it means that the United States will sooner or later
become either an entire slaveholding Nation, or an entirely free labor
Nation.”
Lincoln’s words at Springfield, in July, 1858, were:
“If we could first know where we are, and whither we are tending,
we could better judge what to do, and how to do it. We are now far
into the fifth year, since a policy was initiated with the avowed
object, and confident promise of putting an end to the slavery
agitation. Under the operation of that policy, that agitation has not
only not ceased, but has constantly augmented. In my opinion it will
not cease, until a crisis shall have been reached and passed. ‘A house
divided against itself cannot stand.’ I believe this government cannot
endure permanently half slave and half free. I do not expect the
Union to be dissolved—I do not expect the house to fall—but I do
expect it will cease to be divided. It will become all one thing, or all
the other. Either the opponents of slavery will arrest the further
spread of it, and place it where the public mind shall rest in the belief
that it is in the course of ultimate extinction; or its advocates will
push it forward, till it shall become alike lawful in all the States, old
as well as new—North as well as South.”
Douglas arrived in Chicago on the 9th of July, and was warmly
received by enthusiastic friends. His doctrine of “popular
sovereignty” had all the attractions of novelty and apparent fairness.
For months it divided many Republicans, and at one time the New
York Tribune showed indications of endorsing the position of
Douglas—a fact probably traceable to the attitude of jealousy and
hostility manifested toward him by the Buchanan administration.
Neither of the great debaters were to be wholly free in the coming
contest. Douglas was undermined by Buchanan, who feared him as a
rival, and by the more bitter friends of slavery, who could not see
that the new doctrine was safely in their interest; but these things
were dwarfed in the State conflict, and those who shared such
feelings had to make at least a show of friendship until they saw the
result. Lincoln was at first handicapped by the doubts of that class of
Republicans who thought “popular sovereignty” not bad Republican
doctrine.
On the arrival of Douglas he replied to Lincoln’s Springfield
speech; on the 16th he spoke at Bloomington, and on the 17th, in the
afternoon, at Springfield. Lincoln had heard all three speeches, and
replied to the last on the night of the day of its delivery. He next
addressed to Douglas the following challenge to debate:
Chicago, July 24th, 1858.
Article VII.—Slavery.
Free Negroes.
Bill of Rights, Sec. 23. Free negroes shall not be allowed to live in
this state under any circumstances.
Sec. 1. Every male citizen of the United States, above the age of
twenty-one years, having resided in this state one year, and in the
county, city, or town in which he may offer to vote, three months
next preceding any election, shall have the qualifications of an
elector, and be entitled to vote at all elections. And every male citizen
of the United States, above the age aforesaid, who may be a resident
of the state at the time this constitution shall be adopted, shall have
the right of voting as aforesaid; but no such citizen or inhabitant
shall be entitled to vote except in the county in which he shall
actually reside at the time of the election.
The Topeka Constitution.
Slavery.