Week 3 Exam 1 Legal

Question 1

What are the four main principals of nursing code of ethics?

Answer 1

Autonomy
Beneficence
Justice
Non-maleficence

Question 2

What is autonomy?

Answer 2

Autonomy is recognizing each individual patient’s right to self-determination and decision-making.

Question 3

What is beneficence?

Answer 3

Beneficence is acting for the good and welfare of others and including such attributes as kindness and charity.

Question 4

What is justice?

Answer 4

Justice is that there should be an element of fairness in all medical and nursing decisions and care. Nurses must care for all patients with the same level of fairness despite the individual’s financial abilities, race, religion, gender, and/or sexual orientation.

Question 5

What is non-maleficence?

Answer 5

Least amount of harm to achieve a beneficial outcome

Question 6

Name some ethical issues in healthcare

Answer 6

abortion
Vaccines
DNR
Organ transplant
reproductive tech
euthanasia

DNR- need a advance directive - person decides own care.

Spouse/ pater first then children. With siblings the majority wins. If not reached agreement- hospital decides.

power of attorney- means nothing in a hospital setting.

Question 7

Types of laws on EXAM

Answer 7

Public Law—government is directly involved
Regulates relationships between individuals and government

Private Law—civil law
Regulates relationships among people

Criminal Law—concerns state and federal criminal statutes
Defines criminal actions (e.g., murder, theft)

Question 8

Federal Law

Answer 8

HIPAA-Health Insurance Portability and Accountability Act

Question 9

State Laws KBN

Answer 9

Mandatory Reporting – various states require healthcare worker to report communicable diseases. You also have the duty to report physical, sexual, emotional abuse or neglect of vulnerable individuals. You do not need evidence. This only initiates an investigation.

The duty to report takes priority over the patient’s right to privacy. If you suspect abuse, you will not be charged with violating HIPAA.

Good Samaritan Laws – designed to protect from liability those who provide emergency care to someone who is in need of medical services. Call 911, don’t leave patient, do not accept money, provide reasonable care

Question 10

What does the Nurse Practice Act do?

Answer 10

Define scope of nursing practice

Question 11

What does KBN do?

Answer 11

• Admister NCLEX
  -nurse practice acts
  -scope of practice

Provides standards of care

Question 12

Who credentials colleges?

Answer 12

ACEN

Question 13

KBN provides what?

Answer 13

license and certifications

Question 14

Scope of practice?

Answer 14

LPNS have a diffrent scope the RN, than MD.

Dont go out of scope- trouble

Question 15

Nurses have rights

Answer 15

slide 15 but i dont think i need to know

Question 16

Can nurses loose their license?

Answer 16

yes
drugs
DUI
theft
Fraud
Neglect
Criminal

Question 17

What is malpractice?

Answer 17

Malpractice is failure to act in a reasonable manner. Performing an unsafe procedure is an example of malpractice.

Question 18

What is malpractice vs Negligence? On EXAM

Answer 18

Negligence- forgetting something

forgetting to use fall risk interventions

Malpractice – lawsuit brought against a facility or person for damages r/t
death or injury.

Question 19

Practice Neg vs mal

Answer 19

Surgeon removes wrong body part -mal

Nurse doesn’t turn patient every 2 hours and result is pressure wound-neg

Fall interventions not in place when patient falls-neg

Nurse gives wrong medication-mal

Question 20

What is a sentinel event?

Answer 20

Defined by TJC as any unanticipated event in a healthcare setting resulting in death or serious injury.

The specifically include loss of limb or gross motor function

Question 21

What do you not document in the EMR?

Answer 21

Incident report

Question 22

What can a nurse do have a legal safeguard

Answer 22

positive relationships with clients and coworkers