2602: Law/Licensees & Regulation

Elements of malpractice

duty, damages, causation, breach of duty

Which events require an incident report to be filed? Select all that apply. -A patient dies unexpectedly. -There is a fire in one of the break rooms. -A patient gets injured while in the hospital. -A patient has an allergic reaction to medication. -The IV medication pump does not function properly. -An x-ray indicates that a patient's cancer has metastasized.

A patient dies unexpectedly. There is a fire in one of the break rooms. A patient gets injured while in the hospital. A patient has an allergic reaction to medication. The IV medication pump does not function properly.

Which is the definition of meeting the standard of care?

Achieving the expectations based on clinical evidence

Which statement describes the actions related to a law regarding nursing practice after it is amended? -It is enforced by the state legislative body. -It is voted on by the state board of nursing. -It is enforced by the state board of nursing -It is sent to the governor of the state for revisions.

It is enforced by the state board of nursing. (After an amendment is made, the state board of nursing is charged with enforcement of the law.)

Which describes the role that the American Nurses Association (ANA) and National Council of State Boards of Nursing (NCSBN) have in nurse practice acts? Specifies what must be in each state nurse practice act Defines the scope of practice for nurses in each state nurse practice act Guides state nurses associations seeking revisions to nurse practice acts Establishes who is able to use the title of "nurse" in each state nurse practice act

Guides state nurses associations seeking revisions to nurse practice acts

what's the difference between negligence and malpractice?

Negligence occurs when a person does not act reasonably; malpractice is a specific type of negligence that occurs when a medical provider fails to provide reasonable care.

Which describes collective bargaining? Acting as a labor organization Advocating for right to work laws Negotiating with employers as a group of nurses Forming nursing unions to protect nurses' rights

Negotiating with employers as a group of nurses

Who has accountability for nurses in following the scope of practice guidelines in state nurse practice acts? Nurses NCSBN Nursing employers State boards of nursing

Nurses

who governs the practice of nursing?

state govt. (State governments delegate the responsibility for administering the nurse practice act to the state boards of nursing, which enforces the nurse practice acts in each state.)

What has to be included in the explanation given by the provider for the patient to give informed consent?

treatment/procedure: risks, benefits, side effects, alternatives

Why should nurse practice acts be revised and updated periodically? -Communication methods may change that affect nursing practice. -The state board of nursing is required to change the nurse practice act periodically. -New methods of health care delivery may be developed that affect scope of practice. -Philosophies about nursing change over time and may change the scope of practice. -The monitoring of newly graduate RNs requires that the nurse practice acts be updated

-Communication methods may change that affect nursing practice. -New methods of health care delivery may be developed that affect scope of practice. -Philosophies about nursing change over time and may change the scope of practice.

The nurse has to complete an incident report because of a patient injury. Which guidelines should the nurse follow when completing this incident report?

-Describe, objectively, how the injury occurred. -List the events that were witnessed prior to, during, or following the injury.

Which statements describe the responsibilities of the state board of nursing to the nursing profession? Select all that apply. Enforces nurse practice acts Reviews and revises nurse practice acts Creates and administers nurse practice acts Changes laws related to the practice of nursing Clarifies provisions and adds amendments to the nurse practice act

-Enforces nurse practice acts -Reviews and revises nurse practice acts -Creates and administers nurse practice acts -Clarifies provisions and adds amendments to the nurse practice act

Which statements describe functions of state boards of nursing that help protect the safety of the public? -Establishing standards of nursing practice -Establishing a pay scale for licensed nurses -Censuring incompetent or unsafe practitioners -Regulating conditions and requirements for licensure -Reviewing and making amendments to scope of practice guidelines -Prohibiting unlicensed persons from providing services reserved for those with a license

-Establishing standards of nursing practice -Censuring incompetent or unsafe practitioners -Regulating conditions and requirements for licensure -Reviewing and making amendments to scope of practice guidelines -Prohibiting unlicensed persons from providing services reserved for those with a license

In which ways is the state board of nursing similar to the judicial branch of the United States government? Select all that apply. It can deny a license to an applicant. It administers the nurse practice act. It has the authority to adopt and revise rules. It establishes the scope of practice for nurses. It can administer disciplinary action to a licensee.

-It can deny a license to an applicant. -It can administer disciplinary action to a licensee.

Which is the intent of having workplace policies in health care organizations?

-Promoting compliance with nursing practices -Reducing various interpretations of work conduct -Acting as a resource for nurses to use as a reference when confused about a specific task

Which statements describe the purpose of mandatory licensure? Select all that apply. Protection for the public Protection for licensed nursing personnel To prohibit unlicensed personnel from using the title of "nurse" To ensure that nurse practice acts are reviewed and revised periodically To regulate the educational requirement for nursing licensure in each state

-Protection for the public -Protection for licensed nursing personnel -To prohibit unlicensed personnel from using the title of "nurse"

Which statements define the scope of nurse practice acts? Select all that apply. Establishes pay scales for nurses Protects the title of registered nurse Protects the health and safety of the public Allows unlicensed personnel to be considered nurses Describes qualifications and responsibilities of nurses

-Protects the title of registered nurse -Protects the health and safety of the public -Describes qualifications and responsibilities of nurses

Which is true about state nurse practice acts? Select all that apply. All states follow the same nurse practice acts. State boards of nursing provide oversight of nurse practice acts. State nurse practice acts define and protect the profession of nursing. All state nurse practice acts define minimum educational requirements for licensure. A nurse who lives in one state and works in another state is bound to the standards set by the resident state's nurse practice act.

-State boards of nursing provide oversight of nurse practice acts. -State nurse practice acts define and protect the profession of nursing. -All state nurse practice acts define minimum educational requirements for licensure.

In which situation might a nurse manager use the state nurse practice act? -When creating an in service about licensure renewal for her staff -When a nurse's license has expired, but the nurse is scheduled to work -When a nurse on that unit questions a task she is told to delegate to an UAP -When developing policies on the nurse manager's unit and she is unsure who is allowed to perform the task -When a newly graduated RN has completed her six week orientation to the unit and is ready to work independently

-When creating an in service about licensure renewal for her staff -When a nurse's license has expired, but the nurse is scheduled to work -When a nurse on that unit questions a task she is told to delegate to an UAP -When developing policies on the nurse manager's unit and she is unsure who is allowed to perform the task

Which factors have led to an increased need for liability insurance for nurses? New departments and units in hospitals More floating and cross training coverage Employer insurance coverage lower than judgments More responsibility for supervising subordinate staff members Failure for some employers to provide adequate defense for nurses

More floating and cross training coverage Employer insurance coverage lower than judgments More responsibility for supervising subordinate staff members Failure for some employers to provide adequate defense for nurses

If a state board of nursing requires a nursing education program to be nationally accredited, how does this action act as a safeguard for the public?

Nationally accredited programs have stricter oversight, which sets a higher standard and expectation.

Which statement defines a whistleblower? Someone who leads a nursing union Someone who does something illegal at work Someone who participates in collective bargaining Someone who reports wrongdoings in the workplace

Someone who reports wrongdoings in the workplace [SNITCH]

Which group, besides unions, is qualified to act as a labor organization? State nurses associations Open shop policy members Closed shop policy members Collective bargaining groups

State nurses associations

Which are the five rights to ensure safe delegation?

Task, Person, Circumstances, Direction, Supervision

When a nursing contract is described as "at will," which statement about this is true? The nurse has to give 24-hour notice before quitting. The employer can terminate the nurse without giving a reason. The nurse agrees not to quit and the employer agrees not to terminate the nurse. The contract between the employer and the nurse is oral and based on mutual agreement.

The employer can terminate the nurse without giving a reason.

Which information should be included in patient documentation?

The patient's overall status Care provided to the patient Specific time that medicine was administered