Legal/Ethical Implications

Question 1

Which organization developed the Code of Ethics for Nursing?

Answer 1

The American Nurses Association

Question 2

Provision 1 of the Code of Ethics

Answer 2

Respect for human dignity and right for self-determination

Question 3

Provision 2 of Code of Ethics

Answer 3

Nurses primary commitment is to the patient

Question 4

provision 3 of Code of Ethics

Answer 4

Nurse’s responsibility is to promote the health and safety of patients (includes disclosing errors to patients)

Question 5

Provision 4 of Code of Ethics

Answer 5

Responsibility of a nurse to follow legal requirements

Question 6

Provision 5 of Code of Ethics

Answer 6

Responsibility of nurse to promote health and safety

Question 7

Provision 6 of Code of Ethics

Answer 7

Virtues that make a nurse morally good (avoid causing harm (maleficence) and do good (beneficence)

Question 8

Provision 7 of Code of Ethics

Answer 8

Nurse practicing within professional standards of state nurse practice act and standards of professional nursing orgs

Question 9

Provision 8 of Code of Ethics

Answer 9

Nurse must address social determinants of health

Question 10

How does the ANA define nursing?

Answer 10

The protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through diagnosis and treatment, and advocacy in the care of individuals, families, groups, communities, and populations.

Question 11

What are authoritative statements of duties that all RNs, regardless of role or specialty, are required to perform competently?

Answer 11

Standards of Practice (ANA)

Question 12

Which part of ADPIE is health promotion and teaching?

Answer 12

Intervention

Question 13

What describes the competent level of behavior in a professional nursing role?

Answer 13

ANA Standards of Professional Performance

Question 14

What is culturally congruent practice?

Answer 14

Application of evidence-based nursing that fits with cultural values and beliefs and the patient and communities

Question 15

How does the FDA protect public health regarding meds?

Answer 15

Enforcing an official drug approval process, issuing Black Box Warnings, and regulating OTC medications.

Question 16

What part of the FDA evaluates new drugs?

Answer 16

The Center for Drug Evaluation and Research

Question 17

What are risk management strategies that are needed for FDA approval?

Answer 17

FDA-approved drug label that describes the drug’s benefits and risks.
If more is needed, drug maker may need to implement a Risk Management and Mitigation Strategy

Question 18

What agency enforces the controlled substances laws and regulations in the US?

Answer 18

The US Drug Enforcement Agency (DEA)

Question 19

What is the Controlled Substances Act? Who enforces it?

Answer 19

A law enforced by the DEA regarding manufacture, distribution, and dispensing of legally produced controlled substances

Question 20

Are most controlled substance laws federal or state level?

Answer 20

Most are state although the federal government does create some laws.

Healthcare professionals follow whichever (state or federal) that is more strict.

Question 21

Can an NP prescribe a controlled substance?

Answer 21

Yes, any physician, PA, or NP can prescribe a controlled substance as long as they have a DEA registration number.

Question 22

How are Schedule II prescriptions required to be sent?

Answer 22

Handwritten or electronically sent to the pharm through DEA approved software (fax or phone is NOT acceptable)

Question 23

How many times can you refill schedule II? Schedule III or IV?

Answer 23

Schedule II: NO REFILLS
Schedule III or IV: up to 5 times

Question 24

What types of records must hospitals, clinics, and pharmacies maintain to have a “closed system”?

Answer 24

Records regarding the location from manufacturer to the hospital/clinic/pharm, receipt by the pharmacy, distribution to the patient, and disposal.

Question 25

What are Schedule I drugs?

Answer 25

High potential for abuse and dependence, and NO medical use

Heroin, LSD (???), marijuana (LMAO??????)

Question 26

What are Schedule II drugs?

Answer 26

High potential for abuse with potential for dependence, but have medical use.

Vicodin, cocaine, meth, methadone, Diluadid, Demerol, oxycodone, fentanyl, Dexedrine, Adderall, Ritalin

Question 27

What are Schedule III drugs?

Answer 27

Moderate to low potential for physical and psychological dependence.

Tylenol with codeine, ketamine, anabolic steroids, T

Question 28

Schedule IV drugs

Answer 28

Low potential for abuse and low risk of dependence.

Xanax, Soma, Valium, Ativan, Talwin, Ambien, Tramadol

Question 29

Schedule V drugs

Answer 29

Lower potential for abuse than schedule IV and contain little narcotics. Used as antidiarrheal, antitussive, and analgesic.

Robitussin with codeine, Lyrica, Lomotil

Question 30

What is the Joint Commission?

Answer 30

National org that accredits and certifies healthcare organizations

Question 31

What are the National Patient Safety Goals?

Answer 31

goals established by the Joint Commission to help accredited organizations address areas of concern regarding patient safety.

Goals are developed annually.

Question 32

What does the Centers for Medicare and Medicaid Services do?

Answer 32

Establishes and enforces regulations to protect patient safety in hospitals that receive Medicare and Medicaid funding.

Question 33

What are the 5 Rights of medication administration?

Answer 33

Right patient
Right drug
Right route
Right time
Right dose

Question 34

What is a good way to remember high risk medications?

Answer 34

A : Anti-infective
P : Potassium and other electrolytes
I : Insulin
N : Narcotics and other sedatives
C : Chemotherapeutic agents
H : Heparin and Anticoagulants

Question 35

What is polypharmacy?

Answer 35

Routine use of 5 or more meds

Question 36

What is the gold standard for medication safety info?

Answer 36

The Institute for Safe Medication Practices