fundamentals of nursing

Fundamental of Nursing Practice Quiz Part 1

Test your knowledge about the fundamentals of nursing practice quiz which includes the concept of nursing.

If a nurse administers an injection to a patient who refuses that injection, she has committed

A. Assault and battery
B. Negligence
C. Malpractice
D. None of the above

Rationale:

Assault is the unjustifiable attempt or threat to touch or injure another person. The battery is the unlawful touching of another person or the carrying out of threatened physical harm. Thus, any act that a nurse performs on the patient against his will is considered assault and battery.

If a patient asks the nurse her opinion about particular physicians and the nurse replies that the physician is incompetent, the nurse could be held liable for

A. Slander
B. Libel
C. Assault
D. Respondent superior

Rationale:

Oral communication that injures an individual’s reputation is considered slander. Written communication that does the same is considered libel.

A registered nurse reaches to answer the telephone on a busy pediatric unit, momentarily turning away from a 3 month-old infant she has been weighing. The infant falls off the scale, suffering a skull fracture. The nurse could be charged with

A. Defamation
B. Assault
C. Battery
D. Malpractice

Rationale:

Malpractice is defined as injurious or unprofessional actions that harm another. It involves professional misconduct, such as omission or commission of an act that a reasonable and prudent nurse would or would not do. In this example, the standard of care was breached; a 3-month-old infant should never be left unattended on a scale.

Which of the following is an example of nursing malpractice?

A. The nurse administers penicillin to a patient with a documented history of allergy to the drug. The patient experiences an allergic reaction and has cerebral damage resulting from anoxia.
B. The nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping.
C. The nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus
D. The nurse administers the wrong medication to a patient and the patient vomits. This information is documented and reported to the physician and the nursing supervisor.

Rationale:

The three elements necessary to establish nursing malpractice are nursing error (administering penicillin to a patient with a documented allergy to the drug), injury (cerebral damage), and proximal cause (administering the penicillin caused the cerebral damage). Applying a hot water bottle or hot pad to a patient without a physician’s order doesn’t include the three required components. Assisting a patient out of bed with the bed locked in position is the correct nursing practice; therefore, the fracture was not the result of malpractice. Administering an incorrect medication may be a nursing error. However, if such action resulted from a serious illness or chronic problem, the nurse might be sued for malpractice.

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#1. Which of the subsequent signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery?

An Asian patient is probably going to hide his pain. Consequently, the nurse must observe for objective signs. In an abdominal surgery patient, these might include immobility, diaphoresis, and avoidance of deep breathing or coughing, also as increased pulse, shallow respirations (stemming from pain upon moving the diaphragm and respiratory muscles), and guarding or rigidity of the wall. Such a patient is unlikely to display emotion, like crying.

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