This quiz in Community Public Health Nursing covers legal frameworks affecting health practices. It assesses knowledge of state statutes, administrative law, and local ordinances, focusing on how nurses can influence law and protect stakeholders.
County or district law
Federal acts
Local ordinances
State statutes
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Please dont do that; other clients will start expecting the same service.
That was very kind and considerate of you to spend your gas and time driving the client.
You shouldnt start a habit like that; the client may expect transportation for other errands now.
Your insurance as an employee may not cover doing personal errands for clients, so avoid taking clients in your personal car.
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Vicarious liability
Civil disobedience
Criminal action
Negligence under tort law
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Legal concerns are always in the news, whereas ethical concerns are not.
Legal issues are typically observed before ethical issues are noticed.
The nurse must fulfill legal obligations but not necessarily ethical ones.
When ethical issues become a social concern, laws are passed to provide guidance.
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Explaining to the nurse that it is the clients responsibility to get in touch with the clinic office
Applauding the nurses actions for showing good use of technology
Asking other nurses to follow this example as it made very efficient use of agency time
Instructing the nurse to leave a name and phone number for the client to return the call
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Administrative law
Common law
Legislative law
Tort law
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Calling, e-mailing, faxing, or writing the leaders of the House of Representatives and Senate concerning what should be included in the administrative law
Writing the state legislators to suggest that appropriate legislation be introduced
Promising to contribute money to the legislators reelection campaign if the administrative law reflects the nurses views
Providing input, either verbally or in writing, to the involved agency, after notice of proposed rules is published
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The health care provider and the client
The agency or hospital and the client
The health care provider and the agency or hospital
The client and the general population
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The nurse should have avoided reassurance, because the client took the reassurance as a promise of the outcome.
The nurse should have given better care to help ensure that the wife survived her treatment.
The nurse should have read the wifes medical record to determine her prognosis before reassuring her.
The nurse should have reassured the wife only when they were alone, without the husband knowing what was said.
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No, unless the 17-year-old had her parents consent
Yes, if the mother signs her own consent form
Yes; it is important that both mother and child be protected
It would depend on the laws in that state regarding emancipated minors
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Documenting that a particular nurse should not be retained
Documenting the breach in a standard of care
Punishing the employee at fault
Recognizing patterns of possible problems
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The nurse did not correctly apply the rights of medication administration.
The nurse caused significant emotional distress to the boy and mother.
The nurse is the one who administered the drug to the boy that caused the reaction.
The nurse has no evidence that the physician ordered the offending drug.
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As the supervisor responsible for delegating the care, the nurse is also responsible.
The nurse cannot be sued for an error made by someone else.
The nurse cannot be sued because the statute of limitations has been met.
Under respondeat superior, the nurse is responsible for everything any staff member does at any time.
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Acts
Judicial law
Ordinances
Statutes
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Ask another nurse working at the agency what to do.
Ask the physician what should be done when there are discrepancies.
Follow agency policy and procedures that are in place.
Report the discrepancies to the agency and volunteer to help revise the policy.
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What a reasonably prudent nurse would do in the same situation
What is currently being advocated in nursing textbooks
What has been outlined in the policies and procedures of the agency
What the customary traditional practices in the community are
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Civil cases involve society as a whole, whereas criminal cases are more limited.
Criminal cases are prosecuted by the government, while civil cases involve private persons or businesses.
Only in civil cases does the guilty party go to jail; in criminal cases, financial penalties are imposed.
The penalties are more severe for civil than for criminal violations because more people are affected.
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Accept that the client has the right to deny consent but try to visit later when she may not be quite so upset
Call a legal consult because the client has obviously lost the ability to make rational decisions.
Demand the client sign an against medical advice slip or else change the dressings, using coercion as necessary.
Walk away, document the clients refusal, and accept the clients decision.
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If a client states lack of concern about publicly sharing information with anyone
If the client has an extremely contagious disease, in which case the nurse may tell those possibly exposed
If the local public health department decides to encourage the general population to take protective measures
If the family requests that others are informed so they may be supportive of the client
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The attorney sued for damages from the plaintiff.
The defendant sued the plaintiff for damages.
The plaintiff sued the defendant for damages.
The plaintiff sued the defendant so that he would be incarcerated.
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The provider believes abuse is occurring and reports it in good faith.
The provider can prove the abuse.
The provider has at least one other witness to the abuse.
The provider has good evidence of abuse.
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The nurse did not tell the client that no further visits would be made and did not suggest other options for care.
The nurse supervisor agreed that the suggested changes for the clients care were unreasonable.
The jury believed that the client was always right, regardless of the improperness of the clients behavior.
The physician sided with the client against the nurse and stated that the nursing plan of care was unreasonable.
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Ask to see a copy of the policy and make sure it totals at least $1 million per occurrence.
Continue to carry personal liability insurance for self-protection.
Express gratitude because of the high cost of carrying personal liability insurance.
Concentrate on providing the best care possible to avoid lawsuits.
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The client agreed to the care at the time.
The nurse did not know the chosen action was inappropriate.
The nurse thought what was being done was appropriate.
The time limit for suing had passed.
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Call an expert witness to testify that the behavior was prudent and reasonable for a nurse in such a situation.
Hire an attorney who will argue that the physician was responsible for the nurses behavior.
Describe how the textbooks used while the nurse was enrolled in nursing education endorsed the action that the nurse performed.
Explain that the client asked the nurse to engage in that behavior, and the client has the authority to decide on personal care.
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Asking the client to talk to a health care provider about disease progression
Reporting the disease if such reporting is required by state law
Determining whether the disease is easily transmitted through air or body fluids
Encouraging the client to stay at home and not have visitors
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The nurse will be able to inform clients of existing federal programs for which the client may be eligible.
The nurse will be aware of new resources and opportunities for clients.
The nurse will be able to uphold the current administrative rules and regulations.
The nurse will be able to protect himself or herself from nuisance suits by knowing all the legal safeguards.
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The person who was responsible for the occurrence of the incident
The nurses objective observation of the incident
The nurses perspective as to what probably happened
The nurses speculation on how such incidents could be avoided in the future
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Ensuring that the highest priority needs in society are met
Ensuring that ethical issues are resolved on the basis of the majorities agreement about the conclusion represented in the law
Helping society maintain employment (e.g., courts, jails and prisons, police officers, attorneys)
Maintaining public order and communicating expectations about behavior
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Agency director
State hygienic laboratory personnel
Attending physician
States attorney general
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Suggestions from agency personnel
Case precedents or similar previous court decisions
Extensive public debate and a legislative vote
Decisions made by judges
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Agencies are required by law to ask whether such a document exists.
The elderly client may not be capable of making his own decisions much longer.
If the client becomes confused, the nurse will know which family member to ask for a decision about his care.
The information will tell the nurse whether resuscitation should be performed.
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