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Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Multiple Choice
Identify the choice that best completes the statement or answers the question.
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1. 2. 3. 4. 5. 6. While making rounds, the nurse enters a room and finds an infant patient’s father violently shaking
the infant. The father makes it appear as though the infant was choking. Upon further assessment, the
nurse notes bruised areas on the infant’s arms and legs. What priority action should the nurse take?
1) 2) 3) 4) Discussing what she witnessed with the infant’s mother
Discussing what she witnessed with the other nurses
Reporting what she witnessed and assessed to child protective services
Reporting what she witnessed and assessed to the local law enforcement agency
The nurse is providing care to a child who has suffered abuse. Which nursing action is appropriate?
1) 2) 3) 4) Asking the child what he did to cause his parents to beat him so badly
Telling the child that the individual who hurt him is a bad person
Following protocols for mandatory reporting
Asking the child what really happened
Which criterion should the nurse review to determine if an adolescent is considered legally
emancipated?
1) 2) 4) Over the age of 18 years
Resides outside of the family home
3) Legally married
Receives money from parents each month
Who can provide informed consent for a school-aged pediatric patient?
1) Parent
2) Sibling
3) Physician
4) Grandparent
The nurse receives a notice that the state board of nursing has become a member of the Nurse
Licensure Compact. How does this change in the structure of the state board of nursing influence his
ability to practice nursing?
1) 2) 3) 4) The nurse can practice nursing only in the residing state.
The nurse can practice nursing in other states not listed in the compact.
The nurse is accountable to the state in which he and his patients reside.
The nurse has to obtain an additional license.
A child on a medical-surgical unit experienced a code blue situation unexpectedly. The emergency
situation has ended, and the child survived. The nurses are breaking for lunch and plan to process
their feelings about the emergency. Which action by the nurses will facilitate this?
1) Discussing the event outside the hospital
Copyright © 2017 F. A. Davis Company____
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7. 8. 9. 10. 11. 2) 3) 4) Asking management for the use of a private room to debrief
Talking while riding in the staff elevator
Debriefing the situation at home
The nurse is caring for a child on a medical-surgical unit that has just implemented electronic
medical records for patient documentation. The child’s parent asks the nurse about the facility’s
computerized system for keeping patient information, especially in regard to confidentiality. Which
is the best response by the nurse?
1) 2) 3) 4) “I can see why you’re worried, with all the computer hackers out there these days.”
“Our system was designed with a lot of input from nursing staff.”
“Information in the electronic medical record requires a password to retrieve.”
“Don’t worry; your child’s information is always safe.”
A home health-care case manager often receives documents pertaining to the care of patients through
a shared fax machine. The case manager is aware of how important it is to protect each patient’s
health information. Which action by the nurse ensures that the HIPAA requirements are met in this
situation?
1) 2) 3) 4) Having transmitting agencies call before any information is sent
Taking relevant information over the phone
Having the patient sign a consent form for information to be released
Not utilizing the fax machine; depending on the mail system
Which term should the nurse use to describe a wrongful act that produced harm, regardless of
whether or not the act was committed intentionally or unintentionally?
1) Tort
2) Crime
3) Negligence
4) Malpractice
Which entity may allow a peer assistance program for a nurse who is found guilty of providing
patient care while impaired by drugs or alcohol?
1) The unit manager
2) The patient’s family
3) The state board of nursing
4) The president of the hospital
During an assessment of a child in the urgent care clinic, the nurse notes that the child has a swollen
and split lip. When asked how the child’s lip injury occurred, the parent responds, “We are here for
my child’s ear, not my child’s lip.” Which is the rationale for reporting this incident?
1) 2) 3) 4) The child reports that a parent caused the injury.
The lip injury is unrelated to the ear infection.
The nurse can be sued if there is abuse.
The suspected abuse must be reported.
Copyright © 2017 F. A. Davis Company____
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17. An adolescent patient with a sexually transmitted infection (STI) says to the nurse, “Promise you
won’t tell my parents about my condition.” Which action by the nurse is appropriate?
1) Disclosing information to the parents
2) Communicating only necessary information
3) Respecting the patient’s privacy and confidentiality
4) Honoring the patient’s wishes
A novice nurse attends a lecture regarding risk management. Which action should the nurse
implement to reduce risks in practice?
1) Not discussing errors made
2) Purchasing liability insurance
3) Storing unused equipment in the halls of the unit
4) Questioning every order that the physician writes
The nursing instructor is evaluating the success of training provided to staff nurses on ways to
reduce the incidence of pediatric medication errors. Which observation indicates the need for
additional training?
1) 2) 3) 4) Staff nurses are double-checking medication calculations.
Staff nurses are using liquid preparations.
Staff nurses are asking the pharmacy to prepare the exact doses.
Staff nurses are asking each other to validate placement of decimal points.
A medication error occurred, and the nurse is preparing to complete an incident report. Which
information is extraneous and should be excluded from the report?
1) 2) 3) 4) Name of the client involved in the incident
Location of a completed incident report in the medical record
Date and time of the incident
Medication involved in the incident
Which is the priority when providing care for a pediatric patient who is the victim of child abuse?
1) Exploring options for self-development
2) 3) 4) Improving quality of life by increasing self-esteem
Exploring options for getting help for the parent
Ensuring the child is safe
From which child should the nurse obtain assent during the informed consent process?
1) A 4-year-old patient
2) A 5-year-old patient
3) A 6-year-old patient
4) A 7-year-old patient
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
Copyright © 2017 F. A. Davis Company____
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18. 19. 20. A nurse working on a medical-surgical unit wants to ensure that care is provided within the standard
of nursing care. Which actions by the nurse are appropriate? (Select all that apply.)
1) Analyzing the position description
2) 3) 4) 5) Reviewing and becoming familiar with the policy and procedure manual
Questioning the value of collaborating with other disciplines
Ensuring that the nursing process steps are practiced
Adhering to national standards of practice and care
The nurse is asked to participate on a committee to ensure that no breaches of confidentiality occur
when providing care. Which actions help ensure patient confidentiality when providing care? (Select
all that apply.)
1) 2) 3) 4) 5) Withholding private information from other staff unless needed for care
Sharing the name and diagnosis of clients upon request
Discussing patient care with nurses on other units
Restricting the discussion of patient care to the report room
Reviewing the patient’s care needs with a designated health insurance agent
The nurse is concerned about being sued for negligence when providing care. Which nursing actions
may be grounds for negligence? (Select all that apply.)
1) 2) 3) 4) 5) Patient fell getting out of bed because the call light was not used.
Patient’s name band was checked prior to providing all medications.
Patient’s morning medications were administered in the early afternoon.
Patient states misunderstanding activity restrictions, and a wound is eviscerated.
Patient documentation did not include the appearance of an infiltrated IV site.
Copyright © 2017 F. A. Davis CompanyBonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Discuss topics concerning legally protecting children against
discrimination, abuse, and neglect.
Chapter page reference: 55
Heading: Children’s Rights
Integrated processes: Clinical Problem-Solving Process
Client need: Safety and Infection Control
Cognitive level: Application [Applying]
Concept: Safety
Difficulty: Moderate
Feedback
1 It is not appropriate at this time to discuss the findings with the infant’s mother.
The nurse does not know if the mother is aware of what is occurring, and it is
best to have this further investigated.
2 It is not appropriate to discuss the findings with the other nurses; because of
privacy regulations, this information should be shared on a need-to-know basis.
3 Because of mandatory reporting laws, nurses must report all suspected cases of
child abuse to the appropriate child protective services agency.
4 This is not the priority nursing action.
PTS: 1 CON: Safety
2. ANS: 3
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Discuss topics concerning legally protecting children against
discrimination, abuse, and neglect.
Chapter page reference: 55
Heading: Child’s Rights
Integrated processes: Clinical Problem-Solving Process
Client need: Safety and Infection Control
Cognitive level: Application [Applying]
Concept: Safety
Difficulty: Moderate
Feedback
1 The nurse must reassure the child that he or she has done nothing wrong.
Copyright © 2017 F. A. Davis Company2 The nurse should avoid making negative comments about the abuser and must
follow established protocols for mandatory reporting, documentation, and use of
available support services.
3 The priority nursing consideration regarding the abused child is to ensure the
immediate safety of the child.
4 The nurse working with the abused child needs to say that he or she believes the
child’s story.
PTS: 1 CON: Safety
3. ANS: 3
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Define the key terms.
Chapter page reference: 61
Heading: Emancipated Minor
Integrated processes: Clinical Problem-Solving Process
Client need: Coordinated Care
Cognitive level: Comprehension [Understanding]
Concept: Legal
Difficulty: Easy
Feedback
1 An adolescent who is over the age of 18 years is a legal adult, not legally
emancipated.
2 An adolescent who lives outside the family home is not legally emancipated.
3 An adolescent who is legally married is considered legally emancipated.
4 An adolescent must be financially independent in order to be considered legally
emancipated.
PTS: 1 CON: Legal
4. ANS: 1
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Analyze the purposes for and essential elements of informed consent,
including the concept of assent for those school-aged children over 7 years of age.
Chapter page reference: 57-58
Heading: Informed Consent
Integrated processes: Communication and Documentation
Client need: Coordinated Care
Cognitive level: Application [Applying]
Concept: Legal
Difficulty: Moderate
Feedback
1 For children, it is the legal caregiver—namely, the parent or guardian—who
Copyright © 2017 F. A. Davis Companysigns the consent form.
2 A sibling who is 18 years or older, and is the patient’s legal guardian, can
provide informed consent; however, there is no indication that the sibling meets
these requirements.
3 The physician is the person who obtains informed consent from the parent or
legal guardian but cannot sign the informed consent form permitting a
procedure.
4 A grandparent can provide informed consent if he or she is the child’s legal
guardian; however, there is no indication that the grandparent is the legal
guardian in this scenario.
PTS: 1 CON: Legal
5. ANS: 3
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Describe the types of legal concerns nurses experience relating to their
practice and maintaining a nursing license.
Chapter page reference: 54
Heading: State Regulatory Bodies for Pediatric Health Care
Integrated processes: Clinical Problem-Solving Process
Client need: Coordinated Care
Cognitive level: Comprehension [Understanding]
Concept: Regulations
Difficulty: Easy
Feedback
1 Multistate licensure privilege provides the authority to practice nursing in
another state that has signed an interstate compact.
2 Multistate licensure privilege provides the authority to practice nursing in
another state that has signed an interstate compact.
3 The mutual recognition model of nurse licensure allows a nurse to have a single
license that confers the privilege to practice in other states that are part of the
Nurse Licensure Compact. The nurse is held accountable for following the laws
and rules of the state in which he or she practices or where the client is located.
4 There is no need to obtain an additional license.
PTS: 1 CON: Regulations
6. ANS: 2
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Describe the four specific elements of HIPAA (Health Insurance
Portability and Accountability Act) that contribute to the protection and safety of personal health
information.
Chapter page reference: 56
Heading: HIPAA and Confidentiality
Copyright © 2017 F. A. Davis CompanyIntegrated processes: Communication and Documentation
Client need: Coordinated Care
Cognitive level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Feedback
1 Discussing the event outside the hospital is inappropriate because anyone could
overhear the conversation. This also precludes nurses from discussing patient
care in the home.
2 To comply with HIPAA, nurses cannot discuss events involving patients in any
setting where the conversation can be heard by others, so a private room is the
best solution for debriefing.
3 The nurses must also guard against other health professionals not directly
involved with the patient overhearing their discussion; consequently, a staff
elevator is not acceptable.
4 Discussing the event outside the hospital is inappropriate because anyone could
overhear the conversation. This also precludes nurses from discussing patient
care in the home.
PTS: 1 CON: Communication
7. ANS: 3
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Describe the four specific elements of HIPAA (Health Insurance
Portability and Accountability Act) that contribute to the protection and safety of personal health
information.
Chapter page reference: 56
Heading: HIPAA and Confidentiality
Integrated processes: Communication and Documentation
Client need: Coordinated Care
Cognitive level: Application [Applying]
Concept: Legal
Difficulty: Moderate
Feedback
1 Reminding the patient that there is indeed cause for privacy concerns is not as
therapeutic as explaining that the system requires a password.
2 Nurses need to be involved with the design, implementation, and evaluation of
electronic medical records to maximize their use and effectiveness, but this does
not ensure security.
3 Maintaining privacy and securing data are significant issues. One way that
computers can protect data is with the use of passwords; only those individuals
who have legitimate access to the data are provided a password.
Copyright © 2017 F. A. Davis Company4 Information in a computer data system may not always be safe, and it is
inappropriate for the nurse to say this.
PTS: 1 CON: Legal
8. ANS: 1
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Describe the four specific elements of HIPAA (Health Insurance
Portability and Accountability Act) that contribute to the protection and safety of personal health
information.
Chapter page reference: 56
Heading: HIPAA and Confidentiality
Integrated processes: Communication and Documentation
Client need: Coordinated Care
Cognitive level: Application [Applying]
Concept: Legal
Difficulty: Moderate
Feedback
1 Case manager nurses need to maintain vigilance to protect the privacy of patient
health-care information when sending and receiving messages. In this case,
having the sending agency call prior to faxing information alerts the nurse to
collect the information from the fax machine at the time it is received, securing
the information so others do not have access to it.
2 Taking information over the phone must be done in a way that is protected and
secured in order to ensure that HIPAA privacy aspects have not been breached.
3 Signing a consent form for information to be released is necessary to share
information, but this ensures only the disclosure aspect of HIPAA—not the
privacy aspect.
4 Sending information through the mail takes time and does not ensure the privacy
of the information.
PTS: 1 CON: Legal
9. ANS: 1
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Differentiate crimes from torts.
Chapter page reference: 53
Heading: Tort Law
Integrated processes: Communication and Documentation
Client need: Coordinated Care
Cognitive level: Knowledge [Remembering]
Concept: Legal
Difficulty: Easy
Copyright © 2017 F. A. Davis CompanyFeedback
1 A tort is the term the nurse uses to describe any wrongful act that produced
harm, regardless of whether the action was intentional or unintentional.
2 The nurse would not use the term crime to describe this situation.
3 Negligence is the failure to provide care according to one’s professional
responsibility.
4 Malpractice is a term used to specify a type of tort in which the expected
standards of care were not met.
PTS: 1 CON: Legal
10. ANS: 3
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Describe the elements of the policies for nurses who are impaired and
elements of the peer assistance programs.
Chapter page reference: 57
Heading: The Impaired Nurse
Integrated processes: Clinical Problem-Solving Process
Client need: Coordinated Care
Cognitive level: Comprehension [Understanding]
Concept: Legal
Difficulty: Easy
Feedback
1 The unit manager cannot make this determination.
2 The patient’s family cannot make this determination.
3 The state board of nursing is the only entity that can decide if a nurse who is
found guilty of providing patient care while under the influence of drugs or
alcohol can participate in a peer assistance program.
4 The president of the hospital cannot make this determination.
PTS: 1 CON: Legal
11. ANS: 4
Chapter number and title: BC 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Discuss topics concerning legally protecting children against
discrimination, abuse, and neglect.
Chapter page reference: 61-62
Heading: Child Protective Services
Integrated processes: Clinical Problem-Solving Process
Client need: Coordinated Care
Cognitive level: Comprehension [Understanding]
Concept: Legal
Difficulty: Easy
Copyright © 2017 F. A. Davis CompanyFeedback
1 Most children will not accuse an abuser; rather, they generally protect the
abuser.
2 The lip injury being unrelated to the ear infection is not a reason to report the
injury.
3 The reason for the law is that experts can assess the situation and determine if
abuse has occurred. The nurse is protected by good faith immunity.
4 Suspected child abuse must be reported by law. Health-care personnel are
protected by good faith immunity because the ultimate goal is the protection of
the child.
PTS: 1 CON: Legal
12. ANS: 2
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Compare and contrast intentional torts experienced by nurses including
assault/battery, false imprisonment, invasion of privacy, defamation, and those considered intentional
torts such as negligence and malpractice.
Chapter page reference: 56
Heading: HIPAA and Confidentiality
Integrated processes: Communication and Documentation
Client need: Coordinated Care
Cognitive level: Application [Applying]
Concept: Legal
Difficulty: Moderate
Feedback
1 The nurse is not obligated to disclose this information to the parents.
2 Nurses are entrusted with sensitive information that at times must be revealed to
other health-care personnel in order to provide appropriate care. In this case, the
nurse may be required to report information to the state health department.
3 Although it is important to respect the patient’s privacy and confidentiality, the
nurse may be required to report information to the state health department.
4 It may not be possible to honor the patient’s wishes in this circumstance. In this
case, the nurse may be required to report information to the state health
department.
PTS: 1 CON: Legal
13. ANS: 2
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Describe the purposes of the nurse’s professional practice liability
insurance.
Chapter page reference: 56-57
Heading: The Nurse’s Professional Practice Liability Insurance
Copyright © 2017 F. A. Davis CompanyIntegrated processes: Clinical Problem-Solving Process
Client need: Coordinated Care
Cognitive level: Application [Applying]
Concept: Nursing
Difficulty: Moderate
Feedback
1 Risk management also entails analyzing errors to determine causes and
changing policy to reduce more errors. Nurses should report all errors in an
effort to assist in the campaign to reduce medical errors.
2 A large part of risk management entails reducing costs related to lawsuits. The
nurse is best protected by purchasing personal liability insurance.
3 Storing unused equipment in the hall eliminates the risk of contamination but
could increase risks due to injury.
4 The nurse does not need to question every order that a physician writes; the
nurse is responsible for questioning only orders that may injure patients.
PTS: 1 CON: Nursing
14. ANS: 3
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Differentiate the various types of medical and medication errors
currently happening in contemporary health-care settings.
Chapter page reference: 58-60
Heading: Medical and Medication Errors
Integrated processes: Teaching and Learning
Client need: Pharmacological and Parenteral Therapies
Cognitive level: Analysis [Analyzing]
Concept: Safety
Difficulty: Difficult
Feedback
1 Nurses who double-check medication calculations, use liquid preparations, and
ask another nurse to validate the placement of the decimal point are
demonstrating that the training was effective.
2 Nurses who double-check medication calculations, use liquid preparations, and
ask another nurse to validate the placement of the decimal point are
demonstrating that the training was effective.
3 Nurses should not expect the pharmacy to prepare the medications in exact
doses.
4 Nurses who double-check medication calculations, use liquid preparations, and
ask another nurse to validate the placement of the decimal point are
demonstrating that the training was effective.
Copyright © 2017 F. A. Davis CompanyPTS: 1 CON: Safety
15. ANS: 2
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Differentiate the various types of medical and medication errors
currently happening in contemporary health-care settings.
Chapter page reference: 59-60
Heading: Preventing Errors
Integrated processes: Communication and Documentation
Client need: Coordinated Care
Cognitive level: Application [Applying]
Concept: Legal
Difficulty: Moderate
Feedback
1 Incident reports generally include the names and identifying information of any
patients and health-care personnel involved, as well as information on witnesses.
2 There should be no entry in the medical record that an incident report was
completed.
3 The location, time, and date of the incident should be included in the report.
4 The name of the medication should be included in the incidence report.
PTS: 1 CON: Legal
16. ANS: 4
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Discuss topics concerning legally protecting children against
discrimination, abuse, and neglect.
Chapter page reference: 55
Heading: Children’s Rights
Integrated processes: Clinical Problem-Solving Process
Client need: Safety and Infection Control
Cognitive level: Analysis [Analyzing]
Concept: Safety
Difficulty: Difficult
Feedback
1 Exploring options for self-development and improving the quality of life by
increasing self-esteem are long-term interventions for abused adults, not
children.
2 Exploring options for self-development and improving the quality of life by
increasing self-esteem are long-term interventions for abused adults, not
children.
3 Although exploring options for getting help for the parent is important, this is
not the priority.
Copyright © 2017 F. A. Davis Company4 When providing care to a child who is the victim of abuse, ensuring his or her
safety is the priority.
PTS: 1 CON: Safety
17. ANS: 4
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Analyze the purposes for and essential elements of informed consent,
including the concept of assent for those school-aged children over 7 years of age.
Chapter page reference: 57-58
Heading: Informed Consent
Integrated processes: Clinical Problem-Solving Process
Client need: Coordinated Care
Cognitive level: Knowledge [Remembering]
Concept: Development
Difficulty: Easy
Feedback
1 This child is not developmentally capable of providing assent.
2 This child is not developmentally capable of providing assent.
3 This child is not developmentally capable of providing assent.
4 When a child is 7 years of age or older, assent is commonly secured. In seeking
assent, the health-care team and parents, caregiver, or guardian include the
school-aged child or adolescent in the decision-making process. Feedback from
the child is solicited as part of assent, or agreement, and the child is asked if she
or he has any questions or concerns about the course of medical treatment.
PTS: 1 CON: Development
MULTIPLE RESPONSE
18. ANS: 1, 2, 4, 5
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Discuss the ways in which the nurse practice acts, standards of care, and
hospital/health-care institution’s clinical policies and procedures affect nursing education and
practice.
Chapter page reference: 54
Heading: Standards of Care
Integrated processes: Clinical Problem-Solving Process
Client need: Coordinated Care
Cognitive level: Application [Applying]
Concept: Regulations
Difficulty: Moderate
Copyright © 2017 F. A. Davis CompanyFeedback
1. This is correct. The nurse’s specific job description contributes to defining the
standard of care. Employers can limit but not expand the scope of practice, and
the nurse is held to functioning within the scope of employment.
2. This is correct. Agency policies and procedures serve in defining the standard of
care.
3. This is incorrect. In addition to the steps of the nursing process, nurses are
expected to demonstrate competence within multiple areas of their professional
role, including collaboration with the entire care team.
4. This is correct. A competent nurse adheres to the steps of the nursing process.
5. This is correct. A primary source for defining the standard of care is the
prevailing national nursing standards. Nurses who follow national standards of
practice and standards of care provide their patients with the best care possible
and are far less likely to commit any unintentional act that may rise to the level
of malpractice.
PTS: 1 CON: Regulations
19. ANS: 1, 4, 5
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Describe the four specific elements of HIPAA (Health Insurance
Portability and Accountability Act) that contribute to the protection and safety of personal health
information.
Chapter page reference: 56
Heading: HIPAA and Confidentiality
Integrated processes: Clinical Problem-Solving Process
Client need: Coordinated Care
Cognitive level: Application [Applying]
Concept: Legal
Difficulty: Moderate
Feedback
1. This is correct. The nurse has the responsibility to keep patient information
private and confidential. Actions that ensure patient confidentiality include
sharing information only with staff who are directly involved in care and
restricting discussion regarding patient care to the report room or other secure
areas.
2. This is incorrect. Patient names and diagnoses should be shared only with those
who are directly providing care.
3. This is incorrect. The nurse is able to review the patient’s care needs with the
designated health insurance agent.
4. This is correct. The nurse has the responsibility to keep patient information
private and confidential. Actions that ensure patient confidentiality include
Copyright © 2017 F. A. Davis Companysharing information only with staff who are directly involved in care and
restricting discussion regarding patient care to the report room or other secure
areas.
5. This is correct. The nurse has the responsibility to keep patient information
private and confidential. Actions that ensure patient confidentiality include
sharing information only with staff who are directly involved in care and
restricting discussion regarding patient care to the report room or other secure
areas.
PTS: 1 CON: Legal
20. ANS: 1, 3, 4, 5
Chapter number and title: Bonus Chapter 5: Legal Aspects of Pediatric Nursing Care
Chapter learning objective: Compare and contrast intentional torts experienced by nurses including
assault/battery, false imprisonment, invasion of privacy, defamation, and those considered intentional
torts such as negligence and malpractice.
Chapter page reference: 53
Heading: The Prevention of Negligence
Integrated processes: Clinical Problem-Solving Process
Client need: Coordinated Care
Cognitive level: Application [Applying]
Concept: Legal
Difficulty: Moderate
Feedback
1. This is correct. One strategy to prevent instances of professional negligence is to
ensure patient safety. The patient fell when getting out of bed because the call
light was not used. Because there is no way of knowing if the patient knew how
to use the call light, the nurse should be concerned with this situation.
2. This is incorrect. Checking the patient’s name band before providing
medications is not an action that is negligent.
3. This is correct. Providing medications beyond the prescribed time can be viewed
as negligent care.
4. This is correct. Clear communication of directions and explanations and
providing effective patient education regarding the patient’s health-care
requirements can help decrease the risk of bad outcomes; thus, the wound
evisceration could be viewed as negligent care.
5. This is correct. Poor documentation about care, wounds, and IV sites could be
viewed as negligent care.
PTS: 1 CON: Legal
Copyright © 2017 F. A. Davis Company
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