Chapter 3: Professional Responsibilities

Question 1

_________ consent occurs when clients comply with the instructions provided by the nurse (ex: the nurse is preparing to administer a TB skin test, and the client holds out their arm for the nurse.)

Answer 1

Implied

Question 2

Individuals authorized to grant consent for another person

Answer 2

Parent of a minor, legal guardian, court-specified representative, client’s health care surrogate, spouse or closest available relative (state laws vary)

Question 3

Role of nurse in informed consent

Answer 3

Witness: ensure provider gave client necessary info, ensure client understood information and is competent to give informed consent, witness client signature, notify provider if client has more questions or does not understand information provided

Question 4

What are the two components of advanced directives?

Answer 4

Living will and durable power of attorney

Question 5

A legal document that expresses the client’s wishes regarding medical treatment in the event the client becomes incapacitated and is facing end-of-life issues

Answer 5

Living will

Question 6

A legal document that designates a health care surrogate, who is an individual authorized to make health care decisions for a client who is unable

Answer 6

Durable power of attorney for health care/health care proxy

Question 7

Negligence and malpractice are examples of _________ torts

Answer 7

Unintentional

Question 8

Practice or misconduct that does not meet expected standards of care and places the client at risk for injury (ex: a nurse fails to implement safety measures for a client who has been identified as at risk for falls)

Answer 8

Negligence

Question 9

Professional negligence (ex: a nurse administers a large dose of medication due to a calculation error. The client has a cardiac arrest and dies.)

Answer 9

Malpractice

Question 10

Invasion of privacy and defamation (including libel and slander) are examples of __________ torts

Answer 10

Quasi-intentional

Question 11

Assault, battery, and false imprisonment are examples of __________ torts

Answer 11

Intentional

Question 12

Laws that protect nurses who provided emergency assistance outside of the employment location

Answer 12

Good Samaritan Laws

Question 13

Nurses are mandatory reporters for

Answer 13

Abuse (suspected child or elder/dependent adult abuse) and communicable diseases

Question 14

Disruptive behavior that occurs between individuals who are at the same level within the organization

Answer 14

Lateral violence (aka horizontal abuse/hostility)

Question 15

Decision-making based on what provides the greatest good for the greatest number of people

Answer 15

Utilitarianism (teleological theory)

Question 16

Decision-making based on obligations, duty, and what one considers to be right or wrong

Answer 16

Deontological theory

Question 17

A problem is an ethical dilemma if

Answer 17

• it cannot be solved solely by a review of scientific data
• it involves a conflict between two moral imperatives
• the answer will have a profound effect on the situation/client

Question 18

According to the Uniform Determination of Death Act (UDDA), death is determined by one of two criteria

Answer 18

1) irreversible cessation of circulatory and respiratory functions
2) irreversible cessation of all functions of the entire brain, including the brain stem

Question 19

The __________ provides nurses with a set of standards for nursing practice

Answer 19

American Nurses Association Code of Ethics

Question 20

The privacy rule of __________ ensures client privacy and confidentiality

Answer 20

HIPAA

Question 21

The __________ is federal legislation that requires that all clients admitted to a health care facility be asked whether they have advance directives

Answer 21

Patient Self Determination Act (PSDA)

Question 22

A document that addresses clients’ rights when receiving care

Answer 22

The Patient Care Partnership