ANM Ethical and Legal Standards 4

Question 1

A nurse manager is approached by a pharmaceutical sales representative offering gift cards to nurses who prescribe a specific medication. The ANM's response should be:

Accepted Answer

Decline and report the offer to compliance, as it represents a conflict of interest

Answer

Accepting gifts from pharmaceutical representatives creates conflicts of interest that compromise clinical objectivity and violates most hospital compliance policies and ANA ethics guidelines.

Question 2

Which of the following scenarios constitutes patient abandonment by a nurse?

Accepted Answer

A nurse leaves the unit mid-shift without notifying supervisors or arranging coverage

Answer

Patient abandonment occurs when a nurse unilaterally terminates the nurse-patient relationship without ensuring continuity of care, such as leaving mid-shift without notice.

Question 3

The ANM is responsible for ensuring staff understand mandatory reporting requirements. Which of the following MUST be reported regardless of patient consent?

Accepted Answer

Suspected child abuse observed during patient assessment

Answer

Suspected child abuse is a mandatory reporting requirement in all U.S. states, superseding confidentiality obligations and not requiring patient or guardian consent.

Question 4

A night shift nurse calls in sick and no replacement is available. The ANM decides to mandate overtime for a nurse who has already worked 12 hours. Which ethical consideration is most relevant?

Accepted Answer

Nonmaleficence — fatigued nurses pose increased risk of errors and patient harm

Answer

Nonmaleficence requires considering that fatigue significantly increases medication error rates, placing both patients and the mandated nurse at increased risk.

Question 5

A nurse from a staffing agency makes a clinical error. From a legal liability standpoint, which party is most likely responsible?

Accepted Answer

Both the hospital and potentially the staffing agency, depending on contract terms and supervision

Answer

Liability for agency nurse errors is typically shared between the hospital (which directs daily work) and the staffing agency, depending on contractual agreements and the degree of supervision.

(ANM) Assistant Nurse Manager Certification Practice Test

(ANM) Assistant Nurse Manager Certification Practice Test

ANM Ethical and Legal Standards 4