Exam 2: NU 180 / NU180 (Latest
Update 2025 / 2026) Nursing and Healthcare II | Questions & Answers | 100 % Correct | Grade A - Galen
Question:
The nurse discusses the patient's condition on the phone with the patient's brother. On learning this, the patient is upset, saying he has not spoken with his brother for years and does not want his brother to know anything about his condition. The nurse has
Answer:
breached confidentiality.
RATIONALE
Confidentiality and privacy are the issues. HIPAA provides for only limited disclosure of patient health care information. Patient consent is required to disclose. Disclosure of information is not necessarily slander unless the nurse speaks of the patient in a derogatory way. A felony is a major crime. Assault involves threatening the patient.
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Question:
What is the nurse's responsibility regarding an improper medical order that, if carried out, may harm a patient?
Answer:
The nurse must go directly to the physician and, if necessary, refuse to carry out the order.
RATIONALE
The nurse should deal directly with the physician who wrote the order. If this is unsuccessful, the nurse should use the nursing chain of command.Carrying out the orders as written without questioning is unsafe and may cause harm to the patient. Going directly to the patient and asking the individual to make a decision about the order is unrealistic and inappropriate.Carrying out the order and then immediately resigning so as not to be held responsible is unsafe.
Question:
A risk management strategy a nurse can use to prevent being named in malpractice lawsuits is
Answer:
maintaining good relationships with patients and families.
RATIONALE
One of the best defenses for prevention of legal liability is developing rapport with patients. A 2 / 3
patient who was treated with respect and consideration is less likely to sue.Carrying liability insurance does not prevent lawsuits. Requesting supervision for all care is an impractical action. Not signing a name to patient's medical records is an impossibility.
Question:
A nursing student is assigned to care for a patient who requires several technical procedures. The student was busy and did not prepare in advance for the assignment. In preconference, the student is unable to describe the care to be given. The instructor would be justified in
Answer:
sending the student off duty and turning the patient's care over to staff.
RATIONALE
The instructor is ultimately responsible for ensuring that the patient receives safe, effective care at the hands of the student. If the instructor has doubts created by the student's lack of preparation, the student should not be allowed to continue with the assignment.
Question:
Which statement is true regarding durable medical power of attorney and living wills?
Answer:
They allow patients a voice about medical interventions after they are incapable of acting.
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