Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

7.Sample answer:

Limit telephone orders to true emergency

situations; repeat a telephone order back to the

physician; document the order, its time and date,

situation necessitating order, physician prescribing,

reconfirming the order as it is read back, and sign-

ing name; and VO or TO. If possible, two nurses

should listen to a questionable telephone order,

with both nurses countersigning the order.

8. a.Contraindicated by normal practice
   b.Contraindicated by patient’s present condition
   9.Sample answers:
   a.The nurse is liable for her actions and should file
   an incident report.
   b.The incident report should contain the name
   of the patient; all witnesses; a complete factual
   account of the incident; the date, time, and
   place of the incident; pertinent characteristics of
   the person involved; and other relevant variables
   believed important to the incident.
   c. Answers will vary with student’s experiences.
   REFLECTIVE PRACTICE USING CRITICAL
   THINKING SKILLS
   Sample Answers
   1.How might the nurses involved in this scenario
   respond to Ms. Bedford’s disclosure that she will be
   pressing charges against the hospital?
   The nurse speaking to Ms. Bedford should not volun-
   teer any information regarding the case and should
   refer her to the legal department of the hospital.
   It would also be appropriate for the nurse to seek
   advice from legal counsel. The nurses providing the
   care may be named as defendants and will need to
   work closely with an attorney while preparing the
   defense. Either the defense or the prosecuting
   attorney may call the first nurse to testify as a fact
   witness if he or she has knowledge of the actual
   incident prompting the legal case. This nurse must
   base testimony on only firsthand knowledge of the
   incident and not on assumptions. When in doubt
   about facts, the nurses should simply testify, “I do
   not remember that.”
   2.What intellectual, technical, interpersonal, and/or
   ethical/legal competencies are most likely to be
   used in this situation?
   Intellectual: knowledge of law and sources of law
   and ability to identify potential areas of liability
   in nursing
   Technical: ability to provide technical nursing assis-
   tance in a competent, legally appropriate manner
   Interpersonal: ability to work collaboratively with
   other members of the healthcare team and legal
   department
   Ethical/Legal: ability to identify errors in personal
   action
   3.What resources might be helpful for the nurses in
   this case?
   Hospital legal department, liability insurance, risk
   management programs, malpractice arbitration panel

CHAPTER 8

PRACTICING FOR NCLEX

MULTIPLE CHOICE QUESTIONS

1.a 2.b 3.a 4.d 5.c

6.c 7.d 8.b 9.a 10.a

ALTERNATE-FORMAT QUESTIONS

Multiple Response Questions

1.a, b, e

2.c, d, f

3.b, d, f

4.b, d, f

DEVELOPING YOUR KNOWLEDGE BASE

FILL-IN-THE-BLANKS

1.Inpatient

2.Ambulatory care

3.Respite

4.Hospice

5.Voluntary

6.Respiratory therapist

MATCHING EXERCISES

1.f 2.d 3.g 4.b 5.e

6.j 7.h 8.l 9.c 10.i

11.m 12.q 13.a 14.n 15.p

16.h 17.f 18.a 19.j 20.g

21.e 22.b 23.c 24.i 25.d

SHORT ANSWER

1. a.DRGs encourage early discharge from the hospi-
   tal and have created a new acutely ill population
   who need skilled care at home.
   b.There are increasing numbers of older people liv-
   ing longer with multiple chronic illnesses who
   are not institutionalized.
   c. With more sophisticated technology, people can
   be kept alive and comfortable in their own homes.
   d.Healthcare consumers demand that services be
   humane and provisions be made for a dignified
   death at home.


2. a.Primary care offices: Make health assessments,
   assist physician, and provide health education
   b.Ambulatory care centers and clinics: A nurse
   practitioner may run these centers, which
   usually provide walk-in services and are open at
   times other than traditional office hours.
   c. Mental health centers: Nurses who work in crisis
   intervention centers must have strong communi-
   cation and counseling skills and must be
   thoroughly familiar with community resources
   specific to the needs of patients being served.
   d.Rehabilitation centers: These centers use a
   healthcare team comprising physicians, nurses,
   physical therapists, occupational therapists, and
   counselors.
   e.Long-term care centers: Help patients maintain
   function and independence with concern for the

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