Quiz #24 Community, Safety, Emergency, Legal & Ethical & Transcultural Nursing

Question 1

some types of Negligence

Answer 1

medication errors, patient falls, use of restraints, and equipment injuries.

Question 2

assault

Answer 2

intentional threat to cause bodily harm .

Question 3

battery

Answer 3

Unlawful touching of another person
this is why we have to ask informed verbal consent.
or administering injection against a will of client.

Question 4

negligence

Answer 4

Doing of an act or not doing of an act that was reasonable to do that resulted in harm towards a person.

Question 5

tort

Answer 5

A type of civil law that false imprisonment/unlawful confinement against a clients will.

Question 6

Competency

Answer 6

Legal presumption that a person of age can make their own decisions unless otherwise noted.

Question 7

Defamation

Answer 7

Spoken or written statements made
maliciously and intentionally that may injure the subject’s reputation.

Question 8

Libel

Answer 8

malicious or untrue writing about another person
that is brought to someone else’s attentio

Question 9

example of negligence:
a nurse is caring for a pt with gast . what do you need to do?

Answer 9

monitor for cmst :
circulation , movement, sensation and temp

Question 10

The nurse in the morning has assessed that the pt has slow capillary refill and the temp is not warm and did not report to health care provider?

Answer 10

this is negligence ,
must report right away

Question 11

the nurse is assisting pt to bathroom and they had a fall as a result the pt sustained a hip fracture?

Answer 11

the nurse can be sued for negligence.

*expert witness would be asked
they would get another nurse (expert witness) nurse has to be proactive was this accident preventable? you have to have the preventive measures ahead of time. if you know the pt is at risk for falls you have to be proactive ahead of time. provide walker , gate belt etc..

Question 12

Pt has a urinary catheter, you have been taking care of pt and pt acquired a urinary tract infection.

Answer 12

usually if pt has a catheretaor pt is at risk for urinary tract infection (uti).
uti can be considered negligence.

Question 13

Pt is post op so there is strict bed rest that was ordered by doc the pt asked for bedside commode the nurse allowed it since she saw another nurse do it ?

Answer 13

This is considered negligence because you have to stick to the order of the doctor .
*what you see others do might not be correct. stick to order.

Question 14

examples of negligence acts:
Medication error that resulted in injury?

Answer 14

allergic reaction, stomach upset ,increase in blood pressure

Question 15

negligence acts

Answer 15

*Failure of the nurse to check function of aquimnet
*failure to report (coc )
change of condition.

Question 16

Example of (coc) change of conditions among Elderly?

Answer 16

Fever is not the first sign of infection confusion is the first or early sign of infection .

Question 17

fall results from?

Answer 17

failure to provide safety to the client

Question 18

Mr. S is a patient at County General Hospital. He has designated that his daughter will make decisions regarding his medical treatment if he becomes unable to do this himself. This is called:

Answer 18

A health care proxy or a durable power of attorney.

Question 19

Who is responsible for regulating and licensing the nursing practice?

Answer 19

The Board of Registered Nursing (BRN)

Question 20

Which of the following best defines “breach of duty?

Answer 20

“Failure to perform in a reasonable, prudent, manner”

Question 21

The nurse has strong moral convictions that abortion is wrong. When assigned to assist with an abortion, the nurse has the right to:

Answer 21

Ask for another assignment.

Question 22

Although the nurse may disagree with a DNR order, the nurse:

Answer 22

Must follow the order

**A do-not-resuscitate (DNR) order is a legal document that means a person has decided not to have cardiopulmonary resuscitation (CPR) attempted on them if their heart or breathing stops

Question 23

accountability

Answer 23

Being responsible for our actions , when the nurse shows responsibility for their own action in respect to legal duty.

Question 24

liability

Answer 24

our legal responsibility

Question 25

*legal relationship
nurse patient relationship

Answer 25

When the nurse assumes responsibility for patients care.

*respect and trusting relationship

Question 26

legal liability

Answer 26

Failure to provide care to expected level of expertise rise to legal liability.
as an lvn you are expected to do the procedures . know the scope of your practice.

Question 27

advocate

Answer 27

-Defend or plead a cause or issue on behalf of another.
-health care proxy or DPOA

Question 28

health care proxy or DPOA

Answer 28

-It could be a member of the family but the member should be legal age .
-The nurse cannot because it is a conflict of interest .
-Assigned by pt him or herself to act in his behalf in case there will come a time when pt will not be able to make decisions for himself .

Question 29

standards of care

Answer 29

-what should and what should not be done to patient.
-Boundaries and limitations of our practice.
-acts that are or not permitted to be performed.
-failure to adhere to the standards may adhere to legal liability.

Question 30

scope of nursing practice

Answer 30

-the interventions or acts that should be done or not done because we are in the limits and boundaries of our profession.
-give direction to the practice of nursing. Follow the laws of individual states.

Question 31

nurse practise act

Answer 31

defines and limits the scope nursing in a given state.
*document that identifies the roles and responsibilities of an LVN.
Defined in every state.

Question 32

if you are not sure how to do something?

Answer 32

ask for help,

Question 33

patients bill of rights

Answer 33

Created by the american hospital association in 1972, it is part of admission form.
*Was modified in 2003 now its called patient care partnership is a document that has become the standards of care for patients expectations/Understanding Expectations,Rights, and Responsibilities.

Question 34

STATE BOARD

Answer 34

responsible for regulating and licensing the nursing practice.

Question 35

Why is it so important for each state to implement their
own licensing laws in the medical field?

Answer 35

To protect the public, which includes you and me, from
unqualified practitioners.
A newly licensed nurse must practice under the supervision of an RN or Physician.

Question 36

Patient rights

Answer 36

Health Insurance Portability and Accountability
Act of 1996 (HIPAA)
staff that have direct care to pt can only access pt information.

Question 37

clients health care records

Answer 37

Can only be shared to health care team member who are directly involved with care of pt.

*Medical records are NOT public documents

Question 38

Brining documents of pt out of unit?

Answer 38

Violation of pt privacy, can not do that. hipaa

Question 39

Doing an invasive procedure without informed consent?

Answer 39

civil battery

-informed consent must be obtained before any invasive treatment or procedures.

Question 40

to provide consent that pt must be at least?

Answer 40

a. legal age 18
b. marriage
c. court approved emancipation
d. living apart from parents/guardian
e.serving in military

Question 41

Confidentiality

Answer 41

Nurses have an ethical responsibility to protect patient information.
Failure to maintain confidentiality gives rise to legal liability.

Question 42

The BEST way to avoid a lawsuit is to Provide

Answer 42

-compassionate, competent nursing care
-Nurse-patient rel. must be one based on trust and respect
*Use of open and honest communication
*Maintain and adhere to the standards of care and scope of
practice
*Good Samaritan law provides immunity from lawsuits in
certain circumstances

Question 43

Proper documentation

Answer 43

IF IT ISN’T CHARTED, IT WASN’T
DONE

Question 44

Non-maleficence

Answer 44

means to do no harm

Question 45

what is malpractice

Answer 45

physical injury or harm that has occurred
bridge of duty : the direct cause of the harm , failure to perform