Ethics and Law in Leadership

The nurse leader is speaking to a pre-operative client. The client expresses gratitude that the case incentive offered for participating in a surgical clinical trial will help replace lost income during their recovery. The nurse leader asks which risks and benefits of the trial most appealed to the client. Which client response indicates the nurse leader should seek more information?​ "I do not remember anything that was said after the money was mentioned."​ "I still have doubts, but my wife and I discussed the risks and benefits. The main factor is that I have no other options and do not wish to continue living with the disease."​ "The doctor said the outcomes were better with this new surgery that takes less of my bowel."​ "At this point my only options are continue medications that are not working or try the surgery. I am willing to take the risks to get better."​

"I do not remember anything that was said after the money was mentioned."​

The charge nurse supervising a graduate nurse would need to intervene when the nurse violates health information privacy laws with which actions? Select all that apply.​ ​Accesses the electronic health record (EHR) of a client not currently assigned, but previously cared for, to assess client improvement.​ ​Explains the results of a client's diagnostic testing to the unit clerk who is organizing paperwork to be included in the client's medical record.​ ​Asks a client quietly, "when were you diagnosed with diabetes?" during admission assessment in a semiprivate room with the privacy curtain in place between beds.​ Writes a client's last name on a whiteboard hanging in the nurses' station on which scheduled procedures are logged​. Advise the transport colleague, "this client has metastatic breast cancer and must be moved very carefully due to fragile bones."​

Accesses the electronic health record (EHR) of a client not currently assigned, but previously cared for, to assess client improvement.​ ​Explains the results of a client's diagnostic testing to the unit clerk who is organizing paperwork to be included in the client's medical record.​ Advise the transport colleague, "this client has metastatic breast cancer and must be moved very carefully due to fragile bones."​

As part of their responsibilities, the nurse leader provides educational opportunities for colleagues concerning treatment and care at the client's end-of-life and the importance of safeguarding confidential client information. Which topics should the nurse leader cover? Select all that apply.​ Advance directives​ Privacy rule​ Incident reports​ Good Samaritan laws​ Informed consent​

Advance directives​ Privacy rule​

In which situations is it appropriate for a nurse leader to make decisions for employees using the ethical principle of paternalism? Click appropriate or inappropriate for each situation. When the facility is dealing with a mass causality incident While sharing a revision to the organization's mission and vision The day a staff nurse arrives to work with a fever and chills During an ethical consultation with a client's durable power of attorney (DPOA) for healthcare.​

Appropriate Inappropriate Appropriate Inappropriate

Two nursing leaders are discussing difficulties with client transfers between their departments. Each manager has spoken with their staff and believes the concerns are valid and a solution can be reached that is equitable to all staff and puts clients' safety at the highest priority. Which step should the nursing leaders take next?​ Arrange a meeting of key staff to identify key concerns​. Establish an interdepartmental transfer policy and share with staff​. Allow the staff to handle the issue without interference​. Review the current transfer policy in the next staff meeting​.

Arrange a meeting of key staff to identify key concerns​.

Drag the appropriate ethical principle the nurse is being asked to support in each example to the correct box. A client scheduled for a complex surgical procedure asks the nurse, "I don't want anybody making decisions for me. And I don't want to prolong my life. What can I do to make sure that happens?"​ A provider is making rounds on several of the clients on a unit but runs out of time and fails to visit the nurse's assigned client. The nurse approaches the provider and asks, "What about rounding on my client?"​

Autonomy Justice

For each example, indicate if the situation represents a nurse advocating for clients or the nursing profession.​ Empowers others by increasing knowledge of self-practice Vote for state and national leaders who promote expanding nurse practice acts​ Volunteering at a clinic in an underserved area​ Securing informed consent when needed​ Supporting whistleblowers​ Sharing nursing's perspective on health care issues​

Client Nursing Profession Client Client Nursing Profession Nursing Profession

Which actions are the legal responsibility of a nurse leader? Select all that apply.​ Practice within the scope of state nurse practice act​ Enforce federal employment laws​ Reduce risk of organizational liability​ Assume liability for direct reports acting within their scope of practice​ Promote client safety​ Create an environment of diversity and inclusion​

Practice within the scope of state nurse practice act​ Reduce risk of organizational liability​ Promote client safety​ Create an environment of diversity and inclusion​

A nurse manager is speaking with a health care provider and staff nurse after the nurse declined to administer a newly prescribed medication to a client whose electronic health record (EHR) clearly indicated an allergy to the medication. Which leadership/management traits is the nurse manager demonstrating? Select all that apply.​ Promoting social justice​ Creating a safe and professional environment​ Reporting substandard nursing care​ Acting as an intermediary for colleagues​ Acting in the best interest of clients​

Creating a safe and professional environment​ Acting as an intermediary for colleagues​

Match the category of labor law to the correct definition.​ Seeks to prevent discrimination in hiring practices​ Prohibit certain conduct in the workplace​ Set minimum expectations for wages, workplace safety, and pay equity​ Regulate the relationship between unions and employers​

Equal employment law Criminal laws Labor standards Labor relations

During walking rounds with the charge nurse, a nurse manager notices a staff nurse preparing medications for two clients at the same time. Which ethical principles should guide the nurse manager's next actions? Select all that apply.​ Justice Fidelity Paternalism Nonmaleficence Confidentiality

Fidelity Nonmaleficence Confidentiality

The nurse manager is counseling a registered nurse (RN) after a client who was confused was discovered on the floor beside a bed. The bed was in the highest position with all side rails lowered while in the care of the RN. The manager should explain to the RN which professional duties were violated? Select all that apply.​ Advocacy Legal Cultural Physical Ethical

Legal Ethical

The nurse leader is completing their annual self-evaluation. Which actions should the leader list to provide examples of advocacy being a part of their nursing practice? Select all that apply.​ Reviewing informed consent during a unit staff meeting​ Completing all employee annual evaluations on time​ Meeting with local elected officials to encourage funding for a free health clinic serving clients at risk​ Initiating an ethical consultation for a client whose family wanted to ignore a legal advance directive for health care document​

Meeting with local elected officials to encourage funding for a free health clinic serving clients at risk​ Initiating an ethical consultation for a client whose family wanted to ignore a legal advance directive for health care document​

The acute care clinic nurse administers a prescribed narcotic for a client with renal colic and then discharges the client without ensuring that the client has a designated driver. As a result, the client was involved in a motor vehicle accident, causing injury to themself and others. Which ethical principle did the nurse violate?​ Nonmaleficence Paternalism Confidentiality Veracity

Nonmaleficence

The night shift charge nurse has been informed that due to low staffing and high client acuity in the intensive care unit (ICU), one of the nurses will be required to work in the ICU on the upcoming shift. Specify if each factor should or should not be a priority consideration of the charge nurse when determining which nurse should work in the ICU. ​ Nurses with ICU experience​ Facility policies related to nurses working on other units​ Length of time since each nurse was required to work on another unit​ Each nurse's competence in caring for critically ill clients​ Preferences of the nurses ​

Should consider Should consider Should consider Should consider Should not consider

The nurse leader has a significant impact on ethical ___________ because leaders have the power to _________ others and enforce the organization's norms, ___________, and viewpoints.

decision making motivate policies