Safe Maternity Pediatric Nursing By Care Palmer Coats -Test Bank

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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.

____ 1. 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)	Discussing what she witnessed with the infant’s mother
2)	Discussing what she witnessed with the other nurses
3)	Reporting what she witnessed and assessed to child protective services
4)	Reporting what she witnessed and assessed to the local law enforcement agency

____ 2. The nurse is providing care to a child who has suffered abuse. Which nursing action is appropriate?

1)	Asking the child what he did to cause his parents to beat him so badly
2)	Telling the child that the individual who hurt him is a bad person
3)	Following protocols for mandatory reporting
4)	Asking the child what really happened

____ 3. Which criterion should the nurse review to determine if an adolescent is considered legally emancipated?

1)	Over the age of 18 years
2)	Resides outside of the family home
3)	Legally married
4)	Receives money from parents each month

____ 4. Who can provide informed consent for a school-aged pediatric patient?

1)	Parent
2)	Sibling
3)	Physician
4)	Grandparent

____ 5. 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)	The nurse can practice nursing only in the residing state.
2)	The nurse can practice nursing in other states not listed in the compact.
3)	The nurse is accountable to the state in which he and his patients reside.
4)	The nurse has to obtain an additional license.

____ 6. 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
2)	Asking management for the use of a private room to debrief
3)	Talking while riding in the staff elevator
4)	Debriefing the situation at home

____ 7. 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)	“I can see why you’re worried, with all the computer hackers out there these days.”
2)	“Our system was designed with a lot of input from nursing staff.”
3)	“Information in the electronic medical record requires a password to retrieve.”
4)	“Don’t worry; your child’s information is always safe.”

____ 8. 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)	Having transmitting agencies call before any information is sent
2)	Taking relevant information over the phone
3)	Having the patient sign a consent form for information to be released
4)	Not utilizing the fax machine; depending on the mail system

____ 9. 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

____ 10. 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

____ 11. 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)	The child reports that a parent caused the injury.
2)	The lip injury is unrelated to the ear infection.
3)	The nurse can be sued if there is abuse.
4)	The suspected abuse must be reported.

____ 12. 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

____ 13. 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

____ 14. 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)	Staff nurses are double-checking medication calculations.
2)	Staff nurses are using liquid preparations.
3)	Staff nurses are asking the pharmacy to prepare the exact doses.
4)	Staff nurses are asking each other to validate placement of decimal points.

____ 15. 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)	Name of the client involved in the incident
2)	Location of a completed incident report in the medical record
3)	Date and time of the incident
4)	Medication involved in the incident

____ 16. 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)	Improving quality of life by increasing self-esteem
3)	Exploring options for getting help for the parent
4)	Ensuring the child is safe

____ 17. 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.

____ 18. 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)	Reviewing and becoming familiar with the policy and procedure manual
3)	Questioning the value of collaborating with other disciplines
4)	Ensuring that the nursing process steps are practiced
5)	Adhering to national standards of practice and care

____ 19. 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)	Withholding private information from other staff unless needed for care
2)	Sharing the name and diagnosis of clients upon request
3)	Discussing patient care with nurses on other units
4)	Restricting the discussion of patient care to the report room
5)	Reviewing the patient’s care needs with a designated health insurance agent

____ 20. 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)	Patient fell getting out of bed because the call light was not used.
2)	Patient’s name band was checked prior to providing all medications.
3)	Patient’s morning medications were administered in the early afternoon.
4)	Patient states misunderstanding activity restrictions, and a wound is eviscerated.
5)	Patient documentation did not include the appearance of an infiltrated IV site.

Bonus 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.
2	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 signs 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 

Integrated 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:1CON: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.
4	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

	Feedback
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

	Feedback
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 

Integrated 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.

PTS: 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.
4	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:1CON: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

	Feedback
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 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.
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