Midterm

Question 1

The study of conduct and character

Answer 1

ethics

Question 2

Refers to freedom from external control

Answer 2

Autonomy

Question 3

Refers to taking positive actions to help others

Answer 3

Beneficence

Question 4

Refers to the avoidance of harm or hurt

Answer 4

Nonmaleficence

Question 5

Veracity

Answer 5

telling the truth

Question 6

Fidelity

Answer 6

refers to the agreement to keep promises

Question 7

Justice

Answer 7

refers to fairness

Question 8

Determine the proper term of ethics for the following scenario: Nurse Lee tells explains to her patient how to take blood pressure and the medication that will be administered to lower her BP. Also she tells her the side effects and risks of the medication

Answer 8

Autonomy; giving the patient information allows them to make decisions and offers independence

Question 9

Determine the proper term of ethics for the following scenario: Nurse Nelson has a patient with 9/10 pain and there are no pain meds prescribed. She tells the Dr. and the doctor tells her to administer Demarol IV PRN.

Answer 9

Beneficence

Question 10

Nurse Nelson is asked to give C.G. Lipitor 5mg PO q2h. Before administering the meds she forgets to do her 3 med checks and just use 2 identifiers. Which ethical term has she violated?

Answer 10

Nonmalefience

Question 11

Which ethical term states that the interests of the patient is more important than self-interest?

Answer 11

Benefience

Question 12

Determine the proper term of ethics for the following scenario: Nurse Nelson tells her patient that she will be back in 20 minutes with her Insulin before her morning breakfast. She actually comes back in 20 minutes.

Answer 12

Veracity; telling the patient the truth about when she will be back

Question 13

Determine the proper term of ethics for the following scenario: Nurse Nelson tells all her patients the same information about the hospital locations and services. Even though F.H. keeps asking for special treatment.

Answer 13

Justice; not giving “VIP” information

Question 14

Determine the proper term of ethics for the following scenario: Nurse Nelson does not agree with a patient’s lifestyle, but still remains her nurse providing the best possible care upholding the nurse standards

Answer 14

Fidelity; the unwillingness to abandon the patient regardless of different personal beliefs

Question 15

What is the difference between scope and standard?

Answer 15

Scope is we can do as nurses and standards is the quality of care and level of safety and ethics

Question 16

What does HIPPA stand for?

Answer 16

Health Insurance Portability Accountability Act

Question 17

What is the Privacy Rule?

Answer 17

a covered entity that informs patients how their PHI will be used and disclosed and how the patient may access their record

Question 18

Who is covered under HIPPA?

Answer 18

health plans, health care providers, and health care clearinghouses

Question 19

What is included in HIPPA?

Answer 19

Patient’s name, contact info. SSN, Dx, and treatments

Question 20

What are some ways to not violate HIPPA?

Answer 20

Do not share psswds, sign off computers, shred appropriate documents, and do not talk about the patients in the hallway

Question 21

What are included as Advance Directives?

Answer 21

living wills, power of attorneys and health care proxies

Question 22

What are Adv. Directives?

Answer 22

they are based on values of informed consent, patient autonomy over end-of-life decisions, truth telling, and control over dying process.

Question 23

Living Wills

Answer 23

represent written documents that direct treatment accordance with a patient’s wishes in the event of a terminal illness or condition. A patient is able to declare which medical procedures he/she wants or does not want when terminally illy or in a persistent vegetative state

Question 24

Durable power of Attorney/ Health Care Proxy

Answer 24

a legal document that designates a person or people of one’s choosing to make health care decisions when a patient is no longer able to make decisions on his/her own behalf

Question 25

Is a living wills legally binding? Durable power of attorney?

Answer 25

both

Question 26

When are living wills and power of attorney enforced?

Answer 26

when the patient has been declared legally competent or lack of capacity to make decisions regarding his/her own health care treatment

Question 27

TORT

Answer 27

Civil wrongful acts or omissions made against a person or property

Question 28

How are TORTS classified?

Answer 28

Intentional, Quasi-intentional, and unintentional

Question 29

Intentional TORT

Answer 29

deliberate acts that violate another's rights

Question 30

What are the types of Intentional TORTs

Answer 30

Assault, battery and false imprisonment

Question 31

What are the types of unintentional TORTs?

Answer 31

Negligence and malpractice

Question 32

Quasi-Intentional

Answer 32

acts in which intent is lacking but volitional action and direct causation occur such as invasion of privacy and defamation of character

Question 33

An intentional threat toward another person that places the person in reasonable fear of harmful, imminent, or unwelcome contact

Answer 33

Assault

Question 34

T/F. Actual contact is required for an assault to occur

Answer 34

False, no actual contact is required, a threat is also considered assault

Question 35

Battery

Answer 35

any intentional offensive touching without consent or lawful justification

Question 36

If Nurse Nelson threatens to give a patient an injection and gives the patient the injection, what is this considered?

Answer 36

battery

Question 37

Conduct that falls below the generally accepted standard of care of a reasonable prudent person/ failure of responsibilities

Answer 37

Negligence

Question 38

When nursing care falls below a standard of care under the nurses recognizance

Answer 38

Malpractice

Question 39

If a nurse forgets to check medication 3x before administering what is this an example of?

Answer 39

malpractice

Question 40

If a nurse hangs the wrong IV solution for a patients, what is this an example of?

Answer 40

negligence

Question 41

What are the common failures of negligence?

Answer 41

failure of ADPIE, failure to notify heal care provider of problems, failure to follow orders, failure to follow 6 rights of med administration

Question 42

Transferring responsibility for the performance of an activity or task while retaining accountability for the outcome

Answer 42

Delegation

Question 43

What are the 5 rights of delegation?

Answer 43

1. Right Task 2. Right Circumstances 3. Right Training 4. Right Communication 5. Right Supervision

Question 44

What do you not delegate as an RN?

Answer 44

1. New admissions 2. Patients being discharged 3. Transfers in and out 4. Patient Teaching 5. Unexpected outcomes 6. Patients with potential problems

Question 45

Between the following which patient should you see first? 1. physiological vs psychological 2. acute vs. chronic 3. unstable vs stable 4. unpredictable vs predictable

Answer 45

1. physiological 2. acute 3. unstable 4. unpredictable

Question 46

LVN role

Answer 46

1. care for stable problems 2. differentiate between abnormal and normal 3. sterile dressings 4. Accu-check 5. Perform trache care 6. suctioning 7. administer enteral feedings 8. insert urinary catheter

Question 47

What can LVNs not do?

Answer 47

1. administer blood products 2. administer IV Meds 3. assess 4. nursing diagnosis

Question 48

UAP role

Answer 48

1. standard and unchanging care 2. ADLs 3. ambulate a stable patient 4. ROM 5. Routine VS 6. Bed making 7. I&O 8. Specimen collection: Guaiac and urine `

Question 49

How should you delegate using communication?

Answer 49

provide clear instructions on the procedure itself, what will be accomplished, when it should be completed, and the unique needs of the patient. Make sure whom you delegate the task to has experience

Question 50

Responsibility as a nurse

Answer 50

willingness to respect one's professional obligations and to follow through; as a nurse you are responsible for your actions and those to whom you delegate

Question 51

Accountability as a nurse

Answer 51

refers to the ability to answer for one's actions; professional actions are explainable to your patients and employer

Question 52

What is an Incident Report?

Answer 52

any event that is not consistent with the routine, expected care of a patient or the standard procedures in place on a health care unit

Question 53

Who does an Incident Report go to?

Answer 53

risk-management dept.

Question 54

What is the purpose of an Incident Report?

Answer 54

helps identify trends in an organization that provide justification for changes in policies and procedures or for in-service programs

Question 55

Informed Consent

Answer 55

a patient's agreement to have a medical procedure after receiving full disclosure of risks, benefits, alts, and consequences of refusal

Question 56

Who is responsible for obtaining the informed consent?

Answer 56

the person responsible for performing the procedure, this does not fall under the nurse

Question 57

Who signs the consent form for a child?

Answer 57

parents

Question 58

If an adult is unconscious who signs an informed consent?

Answer 58

the person legally authorized to give it on the patient's behalf

Question 59

If there is an emergency and impossible to obtain consent from a patient or authorized person, what is the procedure?

Answer 59

a health care provider may perform a procedure required to benefit the patient or save a life without liability for failure of consent

Question 60

Primary Health Care

Answer 60

focuses on improved health outcomes for an entire pop. includes: primary care, health education, proper nutrition, maternal and child health care, family planning, immunizations and control of diseases

Question 61

Secondary Prevention

Answer 61

focuses on early Dx, use of referral services. and rapid initiation of treatment to stop the progress of disease process

Question 62

Tertiary Prevention

Answer 62

activities directed toward rehab rather than Dx and treatment

Question 63

Secondary and Tertiary Care

Answer 63

Dx and treatment of illness are traditionally assessed

Question 64

Good Samaritan Law

Answer 64

encourages health care professionals to assist in emergencies

Question 65

Good Samaritan Law as a nurse

Answer 65

provides immunity to a nurse who does what is responsible to save a person's life and is liable for injury that may result from the act

Question 66

Good Samaritan Law as a citizen

Answer 66

if you do something within accepted standards you are immune from liability as long as you acted without gross negligence