test 5 nursing process, legal /ethical, documentation

behaviors and actions required by law.

legal obligations

pertains to damaging written statements read by others

libel

written defemation

libel

granted by the state to a graduate of a nursing education program who passes the NCLEX-RN.

licensure

what process is a specialized form of credentialing based on laws passed by state legislature and endorses entry level competence but not necessarily that the nurse has the specialized knowledge that is necessary for some care settings

licensure

not a method for validation ?

litigation

an instructive form of advance directive; that is, it is a written document that identifies a person's preferences regarding medical interventions to use in a terminal condition, irreversible coma, or persistent vegetative state with no hope of recovery.

living will

failing to perform (or performing) an act that causes harm to a client.

malpractice

Nurses must obtain a _________ before each and every instance in which they use restraints.

medical order

the ability to do the ethically right thing because one knows it is the right thing to do

moral agency

ertain to actions which are committed or omitted, thereby causing physical harm to a client.

negkigence and malpractice

an act of omission or commission

negligence

failing to perform care for a client.

negligence

harm that results because a person did not act reasonably.

negligence

occurs when a nurse fails to provide care that another nurse with the same educational background would perform.

negligence

A nurse knows that the expression "Do not cause harm" refers to which ethical principle?

nonmaleficence

conducting procedures and interventions in a safe manner so that no harm is caused to the client

nonmaleficence

responsibility of care

nurse cannot over look incident

clients right to acess health care whenever required

nurse cannot tell patient that they cant come back to hospital

may share responsibility for damages in the event of client injury if an assignment called for clinical skills beyond a student's competency, or the instructor failed to provide reasonable and prudent clinical supervision.

nursing instructor

nurse can only administer medications with

order

Making a decision for a client who is confused to prevent an injury is an example of

paternalism

should be concealed or obliterated in case studies or research work.

personal information

A nurse is of the Catholic faith and votes pro-life. This nurse is considered to have:

personal values

verbal attack on a person's character

slandar

nurse practice act , in which nurse is licensed, this act is derived from what law

statutory law

what type of law is enacted by a legislative body (nurse practice acts)

statutory law

Frequent absences from the unit, leaving early or being late, and isolation from others may be signs associated with

substance abuse

duty

the obligation to use a reasonable standard of care to prevent injury to others for nurse client relationship

What is the primary reason nurses fill out an incident report?

to improve quality of care

False Imprisonment

unlawful restraint or restriction of a person's freedom of movement

Administering pain medication as ordered, transferring a client to a step-down unit, and discussing the care of a comatose client with the family are all within

ethical scope of nursing practice

a systematic study of principles of right and wrong conduct, virtue and vice, and good and evil as they relate to conduct and human flourishing.

ethics

nurse should not make incriminating statements

ex- as usual, health care provider did not respond

breach of duty

failure to assess, intervene, or notify health care provider regarding client condition does not meet standard of care

Causation

failure to meet the standard of care caused injury

To be found guilty of slander or libel, the statement must be proved

false

Prevention of movement or unjustified retention of a person without consent may be

false imprisonment

If the client is not in a condition to sign the consent form

family member can sign

demonstrated by continuing loyalty and support to a client

fidelity

A nurse who obtains a license to practice nursing through self-misrepresentation is guilty of what tort?

fraud

willful and purposeful misrepresentation that could cause, or has caused, loss or harm to a person or property.

fraud

designed to protect health practitioners when they give aid to people in emergency situations in which the practitioner is off duty, such as providing emergency care to a choking victim in a restaurant.

good samaritan laws

damages

harm or injury to the client

responsible for having the client, or in this case, the client's family sign consent

health care provider

may also be held liable for the negligence of a student nurse enrolled in a hospital-controlled program because the student is considered an employee of the hospital.

hospital

designed to identify actual or potential risks that can be addressed to improve quality of care

incident report

are not intended to initiate litigation or document everyday occurrences.

incident reports

Disclosing confidential information to an unauthorized third party subjects the nurse to liability for invasion of privacy, even if the information is true

invasion of privacy

Type of Intentional Tort

invasion of privacy

involves a breach in keeping client information confidential.

invasion of privacy

ideas or beliefs a person considers important and feels strongly about

personal values

upholds the client's right to self-determination; that is, respecting the client's right to make informed decisions about their care

principle of autonomy

directive is not needed for each state can be used in any state, regardless of where it was created nurse should advise the client to take it when travelling out of state.

separate or different advance

nurse should or shouldn't wait until rounds are made to infrom supervisor

shouldn't

A client who is scheduled for hernioplasty needs clarification regarding the procedure. The nurse calls the health care provider at the client's insistence. The health care provider, who is in a bad mood, is overheard telling the client that the nurse does not know anything. Which legal tort has the health care provider committed?

slandar

spoken defamation of character

slandar

oral defamation of character

slander

documentation must be

Factual Accurate Complete Current Organized

attempts to notify health care provider concerning patient vital sign, no response, how would nurse document.

The nurse must document when the health care provider was called and response or lack of response; what nursing action was done, if any, and notification of appropriate personnel. ex- 1300: Client temperature elevated. Telephoned health care provider's service 3 times without a response. Tepid sponge bath given and nursing supervisor notified.

eliminates the risk of practicing in a negligent manner

When a nurse follows correct policies for administering medications, follows the standards of care, and uses equipment in the correct manner

The nursing student who administers medication to a resident while working as an unlicensed assistive personnel (UAP) at a local nursing home is performing

a task outside the scope of the job responsibilities of a UAP

If a client wants to leave the health care facility, the nurse should

ask the client to sign a release stating client left without medical approval Additional options would include having the client meet with the health care provider or client advocate if the client was willing to remain for care while those actions were initiated.

a threat or attempt to make bodily contact with another person without that person's consent

assault

refers to a competent person's right to make their own choices without intimidation or influence

autotonomy

whole purpose of having an advance directive

avoid the ambiguity and potential confusion that making such assumptions can cause

Deciding whether to perform cardiac compressions against a client's wishes is

ethical dilemma

process by which an educational program, rather than an individual nurse, is identified as meeting standards

accredidation

voluntary process by which a nursing education program is recognized as having met certain standards by the NLN Commission for Nursing Education Accreditation and/or the American Association of Colleges of Nursing.

accreditation

what type of law is administered by agencies that are responsible for law enforcement

administrative law

written statements identifying a competent person's wishes concerning terminal care

advance directives

A nurse who is named a defendant should work closely with

an attorney exception of risk manager

nurse should not discuss case with

anyone, including anyone at the agency, the plaintiff, the plaintiff's lawyer, anyone testifying for the plaintiff, or reporters.

occurs when it is difficult for a decision to be made due to competing ethical principles.

ethical dilemma

carrying out the implied threat

battery

requires that the procedure be provided with the intent of doing good for the client involved.

beneficence

post op patient given meds for pain, patient says pain unrelieved, nurse takes no further action, and does not contact surgeon regarding pain. nurses failure to take further action represent which element of liability in this case?

breach of duty

what should nurse do if patient is leaving but has not been discharged

call and inform the supervisor of situation

which approach to bioethics focuses on the specific situations of individual clients, and characteristics of this approach include promoting the dignity and respect of clients as people.

care based approach

Asking the client to explain the client's cultural beliefs will help the nurse to use what kind of approach

care-based

The promotion of the dignity and respect of clients as people is what kind of approach to bioethics

care-based

Nurses practicing in a critical care unit must acquire specialized skills and knowledge to provide care to the critically ill client. These nurses can validate this specialty competence through what process?

certification

process by which a person who has met certain criteria established by a nongovernmental association is granted recognition in a specified practice area.

certification

process that is often necessary to ensure that the nursing care provided in specialized and high-acuity settings is safe and appropriate

certification

voluntary process whereby a person who has met criteria established by a nongovernmental association is granted special recognition in a specified practice area

certification

what process validates specialty knowledge, experience, and clinical judgement.

certification

what type of law has evolved from accumulated judiciary desicions. made in court

common law

what type of law is based on federal and state constitutions that inidicate how state and federal gov are created, granted authority, and list principles and provisions for establishing specific law

constitutional law

refers to ways in which professional competence is ensured and maintained.

credentialing

The need to emphasize the relevance of clinical experience and the need for an orientation toward service are part of

criticisms of bioethics

the action of deceiving someone

deception

an act in which untrue information harms a person's reputation and is therefore not applicable here.

defamation

Both libel and slander are considered

defamation of character

includes false communication that results in injury to a person's reputation.

defamation of character

-an intentional tort in which one party makes derogatory remarks about another that diminish the other party's reputation

defemation of character

what theory of ethics says that an action is right or wrong independent of its consequences.

deontologic theory

can also accredit health care agencies.

joint commission

the idea that the burdens and benefits of new or experimental treatments must be distributed equally among all groups in society

justice

approach to value transmission is one that allows others, especially children, to make decisions without guidance, resulting in a decision that may not be a sound one.

lassiez faire

what process grants educational programs by state agencies endorsing the approval of the programs design and mission to meet the needs of state requirements

legal accreditation