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Chapter 2
Legal and Ethical Aspects of Nursing
| Question | Answer |
|---|---|
| Malpractice | Professional negligence.The concept of malpractice must contain 4 elements for liability to be established:duty(relationship between patient and nurse);Breach (failur to perform the duty);Harm (to the patient);Proximate cause(breach cause harm to patient) |
| Negligence | Absence of due care; carelessness |
| Accountability | Being responsible for one's own actions |
| Liability (liable) | Legal responsibility |
| Advocate | Defends or pleads a cause or issue on behalf of another |
| Verdict | Decision |
| Deposition | Questioning by an attorney on a legal case |
| Standards of care | Defines acts whose performance is required, permitted, or prohibited |
| Value clarification | Process of self-evaluation that helps gain insight into personal values |
| Euthanasia | Allowing a person to die; letting a person die |
| Health care system | A network of agencies, facilities, and providers involved with health care in a specified geographic area |
| Health care delivery team | Patient, health care provider (medical specialist, medical doctor), nurse (RN,LVN/LPN), other caregivers (social workers, physical therapist,dietitian and nutritionist, respiratory therapist), technician and paraprofessionals. |
| Nonmaleficence | To do no harm |
| Autonomy | Freedom of personal choice; a right to be independent and make decisions freely |
| Beneficence | Means doing good or acting for someone's good |
| Informed consent (Doctorine of informed consent) | Refers to full disclosure of the facts the patient needs to make an intelligent (informed) decision before an invasive treatment or procedure is performed. Patients must be informed of risks, benefits,alternative treatment, and consequences of refusing tx |
| Civil battery (technical battery) | The unlawful touching of a person |
| The newly licensed LPN has reviewed the nurse practice act (NPA) of the state licensure. What is the purpose of this documentation | Define the scope of nursing practice |
| The nurse working in a nursing home correctly recognizes that duties include patient advocacy. Which role is considered a primary duty of patient advocacy? | To safeguard the well-being of every patient |
| The health care provider's order read “assist the patient with walking.” The nurse allowed the patient to walk alone . The patient fell, fracturing the humerus . Which verdict is the most likely occurrence? | The nurse will be guilty by negligence |
| The patient refused to take the medication his doctor ordered for relief of pain. The LPN/ LVN knows this is a patient right established by: | The Patient Self-Determination Act |
| The nurse believes that all patients should be treated as individuals. The ethical principle that this belief reflects is: | Autonomy |
| The LPN/ LVN knows that one of the best defenses against a lawsuit is for a nurse to: | promote a positive nurse-patient relationship |
| LPN/ LVNs have a code of professional and personal ethics to follow. The purpose of a code of ethics is to: | Promote trustworthy, accountable LPNs |
| The patient admitted for surgery has a lump in her breast . The patient's daughter asks the LPN/ LVN if her mother should have the surgery. Which issue must be considered before responding? | Confidentiality and invasion of privacy |
| The nurse's first job as an LPN/ LVN is on a unit that cares for terminally ill children. What action should be taken by the nurse before helping families cope with their children's illnesses? | Evaluate her own personal mores and customs that may affect the practice of nursing in general |
| The LPN/ LVN is reviewing the patient's medical record. The nurse notes the presence of an advance directive. The nurse recognizes that the purpose of this documentation is to: | Encourage a person t o determine how they will die |
| The nurse knows that all patients have the right to nursing interventions regardless of their race, religion, or gender. The ethical principle that best describes this concept is: | Justice |
| An alert adult patient has refused an intramuscular injection. The nurse waits until the patient is asleep and gives the injection anyway. The nurse could be charged with: | Civil Battery |
| The nurse loves photography and brings his camera to work at the nursing home. He takes a picture of one of his coworkers walking a patient. What best describes the actions taken by the nurse? | He violated the patient's right to privacy. |
| The nurse gets a report, puts it in his pt notebook before taking a break. His notebook has PPI on pts & the notes are missing from his pocket when he returns to the unit, and is later found visitor was in cafeteria & was turned into the front desk. the N | has violated the Health Insurance Portability and Accountability Act of 1996 (HIPAA). |
| The newly licensed nurse is assigned a patient who needs catheterization. The nurse has not performed the procedure before. What would be the best action for the nurse? | Review the agency procedure for catheterization in the unit's resource area and see the assistance of another experienced nurse for help during the procedure. |
| A N who has recently been promoted to unit manager questions her immediate supervisor if there is any potential liability for her as a result of the actions of her N'ing staff member. What info included in the supervisor's response would be appropriate? | As a supervisor there is some liability if measures are not followed to ensure staff understand how to utilize the care equipment; A supervisor is required to assess the performance of their staff to ensure competency. |
| Social media use can have positive benefits including which outcomes? | Networking between professionals; Provides readily available education opportunities; Access to mentoring answer |
| A nurse reported that she did post on a social media site about her clinical experiences. The nurse reports she did not use the patient's name. Which information should be given to the nurse? | Any patient information that can aid in the identification of the patient's identity can be problematic and a violation; Any distribution of information regarding the patient or clinical assignment is a violation of confidentiality. |
Created by:
afowler2012