Page 181 - Saunders Comprehensive Review For NCLEX-RN

represents an example of invasion of client privacy. Which situation, if
identified by the student, indicates an understanding of a violation of this
client right?
1. Performing a procedure without consent
2. Threatening to give a client a medication
3. Telling the client that he or she cannot leave the hospital
4. Observing care provided to the client without the client’s
permission
25. Nursing staff members are sitting in the lounge taking their morning break.
An assistive personnel (AP) tells the group that she thinks that the unit
secretary has acquired immunodeficiency syndrome (AIDS) and proceeds to
tell the nursing staff that the secretary probably contracted the disease from
her husband, who is supposedly a drug addict. The registered nurse should
inform the AP that making this accusation has violated which legal tort?
1. Libel
2. Slander
3. Assault
4. Negligence
26. An older woman is brought to the emergency department for treatment of a
fractured arm. On physical assessment, the nurse notes old and new
ecchymotic areas on the client’s chest and legs and asks the client how the
bruises were sustained. The client, although reluctant, tells the nurse in
confidence that her son frequently hits her if supper is not prepared on time
when he arrives home from work. Which is the most appropriate nursing
response?
1. “Oh, really? I will discuss this situation with your son.”
2. “Let’s talk about the ways you can manage your time to prevent
this from happening.”
3. “Do you have any friends who can help you out until you resolve
these important issues with your son?”
4. “As a nurse, I am legally bound to report abuse. I will stay with
you while you give the report and help find a safe place for you to
stay.”
27. The nurse calls the primary health care provider (PHCP) regarding a new
medication prescription, because the dosage prescribed is higher than the
recommended dosage. The nurse is unable to locate the PHCP, and the
medication is due to be administered. Which action should the nurse take?
1. Contact the nursing supervisor.
2. Administer the dose prescribed.
3. Hold the medication until the PHCP can be contacted.
4. Administer the recommended dose until the PHCP can be located.
28. The nurse employed in a hospital is waiting to receive a report from the
laboratory via the facsimile (fax) machine. The fax machine activates and the
nurse expects the report, but instead receives a sexually oriented
photograph. Which is the most appropriate initial nursing action?
1. Call the police.
2. Cut up the photograph and throw it away.
3. Call the nursing supervisor and report the occurrence.

181