Exam 2 Flashcards
mutual recognition model
A regulatory model developed by the National Council of State Boards of Nursing which allows multistate licensure.
standards of care
the skills and learning commonly possessed by a member of a profession
implied contract
a contract that has not been explicitly agreed to by the parties but that the law nevertheless considers to exist
Liability
the quality or state of being legally responsible for one’s obligations and action and to make financial restitution for wrongdoings
respondeat superior
a legal term meaning “Let the Master Answer”- the employer assumes responsibility for the conduct of an employee and can also be held responsible for malpractice by the employee.
collective bargaining
formalized decision making process between an employer and employees to negotiate wages and conditions of employment
Informed Consent
A client’s agreement to accept a course of treatment or a procedure after receiving complete information, including the risks of treatment and facts relating to it, from the health care provider.
Implied Consent
Consent that is assumed in an emergency when consent cannot be obtained from the client or a relative.
Delegation
Transference of responsibility and authority for an activity to a competent individual
Impaired Nurse
A nurse whose practice has deteriorated secondary to chemical abuse
advance health care directives
a variety of legal and lay documents that allow persons to specify aspects of care they wish to receive should they become unable to make or communicate their preferences
Health Care proxy
a legal statement that appoints a proxy to make medical decisions for the client in the event the client is unable to do so.
Do Not Resuscite Orders
An expressed wish for a terminally ill patient for no resuscitation in the event of cardiac or respiratory event.
Euthanasia
The act of painlessly putting to death persons suffering from incurable/distressing diseases.
Tort
a civil wrong doing committed against a person or person’s property
Misdemeanor
a legal offense usually punishable by a fine and/ or a short jail term sentence
Malpractice
the negligent acts of persons engaged in professions or occupations in which highly technical or professional skills are employed
Assault
An attempt or threat to touch another person unjustifiably.
Battery
the willful or negligent touching of a person, which may or may not cause harm.
Libel
Defamation by means of print, writing, or pictures
Slander
Defamation by spoken word
Civil Action
Legal actions deals with actions that are conflicts between two people. (for nurses this could be anything from equal protection to sexual harassment to abandonment)
Criminal Action
Legal actions that deal with the relationships between individuals and society as a whole. Suchas, if a nurse intentionally kills a patient, society will bring them to trial.
A primary care provider’s orders indicate that a surgical consent form needs to be signed. Since the nurse was not present when the primary care provider discussed the surgical procedure, which statement best illustrates the nurse fulfilling the client-advocate role?
A) “The doctor has asked that you sign this consent form”
B)”Do you have questions regarding the procedure?”
C)”What were you told about the procedure you are going to have?”
D) “Remember that you can change your mind and cancel the procedure”
Answer 3
Although the client refused the procedure, the nurse insisted and inserted a nasogastric tube in the R nostril. The administrator of the hospital decided to settle the lawsuit because the nurse is guilty of……?
Battery
A nurse discovers that a primary care provider has prescribed a rather large dosage of a medication. Which is the appropriate action?
1) Administer the medication
2) Notify the physician
3) Call the pharmacist
4) Refuse to administer the medication
Notify the physician
A primary care provider prescribes one tablet, but the nurse accidentally administers two. After notifying the primary care provider, the nurse carefully monitors the client carefully for untoward effects of the medication. Of which there are none. Is the client going to be successful in suing the nurse for malpractice?
No, the client was not harmed
A nursing student is employed and working as an unlicensed assistive personnel on a busy surgical unit. The nurses know that the UAP is enrolled in a nursing program and will be graduating soon. A nurse asks the UAP if he has performed a urinary catheterizatation on clients while in the nursing program. The UAP responds “yes”. The nurse asks him to help her out by doing this procedure on a postsurgical client. What should the UAP say?
No, I’m sorry, I cannot.
The nurse’s spouse is undergoing surgery at the hospital where she works. What practice is most appropriate?
1) The nurse is an employee, so she is allowed to see the chart
2) The relationship with the client provides the nurse special privledges
3) Access to the chart will require a signed release form
4) The nurse can discuss with the surgeon that outcome of the surgery
3; the nurse has no special privileges just because she is an employee
Following a MVC, a nurse stops and renders care. Which of the following actions is or are most appropriate?
1) Knowing the Good Samaritan Act
2) The nurse is not held liable unless their is gross negligence
3) After assessing the situation, the nurse can leave to obtain help
4) The nurse should expect compensation for her work
5) The nurse can offer to help, but not insist or pressure
1,2,5
Which of the following could end in a malpractice suit?
1) Learning about a new piece of equipment
2) Forgetting to assess a patient
3) Does not follow up on a client’s complaint
4) Asking a patient for their allergies
5) Asking the physician about an illegible order
2,3
When an ethical issue arises, one of the most important nursing responsibilities in managing client care situations is which of the following?
1) Be able to defend the morality of one’s actions
2) Remain neutral and detached when making ethical decisions
3) Ensure that a team is responsible for deciding ethical questions
4) Follow the client and family’s wishes exactly
1
Which of the following situations is most clearly a violation of the underlying principles associated with professional nursing ethics?
1) The hospital policy permits the use of internal fetal monitoring during labor. However, there is literature to support and refute the value of this practice.
2) When asked about the purpose of a medication, a nurse colleague responds, “Oh, I never look them up, I just give what is prescribed”
3) The nurses on the unit agree to sponsor a fund-raising event to support a labor strike proposed by fellow nurses at another facility
4) A client reports that he didn’t quite tell the doctor the truth when asked if he was following his diet plan at home
2
Following a MVC, the parents of a pediatric pt. refuse to withdraw life support from their child who has NO brain function. Although the nurse believes the child should be allowed to die and organ donation should be considered, the nurse supports their decision. What moral principle is this nurse following?
Respect for Autonomy
Which of the following statements would be most helpful when a nurse is assisting clients in clarifying their values?
1) “The was NOT a good decision! Why would you think that would work?
2) “The most important thing is to follow the plan of care. Did you follow ALL your doctor’s orders?”
3) “Some people might have made a different decision. Why did you make your decision in that way?
4) “If you had asked me earlier, I would have given you my exact opinion on what to do…Now how do you feel about your choice?
3
After recovering from her hip replacement, an elderly client wants to go home. The family wants the client to go to a nursing home. If the nurse were acting as a client advocate, the nurse would perform which of the following actions..
1) Inform the family that the client has a right to make their own decisions
2) Ask the primary care provider to discharge the patient home
3) Suggest the patient get a lawyer
4) Help the client and their family communicate their views to each other
4
Values, Moral Framework, and code of ethics influence the professional nurse’s moral decisions in which of the following ways?
1) The nurse will provide direct client care that is consistent with the nurse’s personal views
2) The nurse will seek to ensure that the nurse and client share the same values
3) The choice of moral framework determines what the client’s outcome will be
4) The nurse is bound to act according to the nurses’ code of ethics even if his or her values are different.
4
Validation
The act of “double checking” or verifying data to ensure it is accurate and factual
Subjective Data
Symptoms
Covert Data
Data that is apparent only to the person affected; can only be described or verified by that person
Review of Systems or “Screening examination”
a brief review of the essential functioning of various body parts or systems
Rapport
a relationship between two or more people of mutual trust and understanding
Open ended Questions
Questions that specify only the broad topic to be discussed an invite clients to discover and explore their thoughts and feelings about the topic
Objective Data
“Signs” “Overt Data” Information or data that is detectable by an observer or can be tested against an accepted standard; can be seen, heard, felt, or smelled
Non-Directive Interview
an interview using open-ended questions and empathetic responses to build rapport and learn client concerns
Neutral Question
A question that does not direct or pressure a client to answer in a certain way
Leading Questions
- a question that influences the client to give a particular answer
Interview
a planned communication, a conversation with purpose
Inferences
interpretations or conclusions made based on cues or observed data
Directive Interview
A highly structured interview that uses closed questions to elicit SPECIFIC information
Database
All information about a client, including nursing health history, physical assessment, physician’s history, physical examination, and lab/diagnostic test results.
