TCRN TCRN Professional and Legal Issues 5

Question 1

A trauma nurse suspects a patient is a victim of human trafficking. The priority nursing action is to:

Accepted Answer

Assess the patient privately, screen using a validated tool, and report to appropriate authorities per facility policy

Answer

Private assessment using a validated trafficking screening tool, followed by reporting per policy, is the safest and most effective evidence-based response.

Question 2

Which action violates a trauma patient's right to confidentiality?

Accepted Answer

Discussing a patient's injuries with a curious coworker who is not involved in the patient's care

Answer

Sharing patient information with staff who have no care-related need-to-know violates HIPAA and the patient's right to privacy.

Question 3

A trauma nurse disagrees with a physician's treatment plan for ethical reasons. The most appropriate course of action is to:

Accepted Answer

Express concerns to the physician, document the discussion, and use the ethics committee if unresolved

Answer

Ethical disagreements should be addressed through direct professional communication and escalation to ethics resources when needed, while continuing safe patient care.

Question 4

What is the primary purpose of peer review in trauma nursing practice?

Accepted Answer

To evaluate clinical performance and identify opportunities for improvement without punitive intent

Answer

Peer review in a just culture context is a quality improvement process focused on learning and improvement, not punishment.

Question 5

A TCRN is caring for a minor trauma patient whose parents disagree about treatment. The nurse should:

Accepted Answer

Follow facility legal counsel guidance and, if urgent, provide stabilizing care while the dispute is resolved

Answer

In emergencies, stabilizing care proceeds regardless of parental disagreement; custody and consent disputes are resolved through legal channels.

TCRN Exam Practice Test

TCRN Exam Practice Test

TCRN TCRN Professional and Legal Issues 5