N444: LEADERSHIP - FINAL EXAM STUDY GUIDE SET UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

N444: LEADERSHIP - FINAL EXAM STUDY GUIDE SET
UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS

Question:
1. connection between Nursing Code of Ethics and Autonomy
Answer:
Autonomy in Practice:
- Including patients in care decisions
- Informed consent
- Explaining procedures
- Support patient questions
- Help patients articulate values and goals

Question:
2. Autonomy related to patients making fully formed decisions
Answer:
INFORMED CONSENT - ensuring patients understand risks and benefits of treatment options

Question:
3. NEGLIGENCE in patient care (at the bedside)
Answer:
conduct that falls below the generally accepted standard of care. In nursing, negligence occurs when:
- a nurse has a DUTY OF CARE to a patient
- that duty is BREACHED (not done properly)
- the pt. suffers PHYSICAL HARM as a result
- a reasonable nurse under similar circumstances would have provided care differently **ANYONE can be
liable for negligence - not just healthcare professionals**

Question:
4. examples of NEGLIGENCE in nursing
Answer:
- hanging the wrong IV solution
- applying a warm compress that causes a burn
- failure to properly assess and monitor a patient

Question:
5. MALPRACTICE in patient care (at the bedside)
Answer:
a specific type of negligence that applies only to professionals

Question:
6. defintion of NURSING MALPRACTICE (by courts)

, Answer:
the failure to use a degree of skill or learning ordinarily used under the same or similar circumstances by
members of the nursing profession

Question:
7. 4 criteria for NURSING MALPRACTICE to be established
Answer:
1. the nurse OWED A DUTY OF CARE to the patient
2. the nurse BREACHED THAT DUTY (failed to carry out responsibilities)
3. the patient was INJURED as a result of the breach
4. DAMAGES OR REMEDIES are allowed under state law

Question:
8. common causes of MALPRACTICE at the bedside (nursing)
Answer:
- failure to follow standard of care (ex: not implementing fall prevention protocols)
- failure to document appropriately
- failure to check patient identification before administering blood
- inappropriate delegation of nursing tasks

Question:
9. State Nurse Practice Act (NPA) - definition
Answer:
The Nurse Practice Act is a STATE LAW that defines and regulates nursing practice within each state.
Each State Board of Nursing oversees its own NPA.

Question:
10. State Nurse Practice Act (NPA) - key components
Answer:
- scope of practice
- state board of nursing
- licensure (legally considered a privilege, not a right)

Question:
11. State Nurse Practice Act (NPA) - 3 main protective functions
Answer:
- PROTECT CITIZENS from unqualified and unsafe nurses
- MAKES NURSES ACCOUNTABLE for their practice
- ENSURES CARE IS CONSISTENT with best practices within the scope and standards of nursing

Question:
12. NONMALEFICENCE