NURS 3000 Exam 2 study guide UPDATED ACTUAL
Questions and CORRECT Answers
Can a nurse legally participate in assisted suicide or Yes (only on passive)
passive euthanasia?
Who or what governs legal regulation of nursing in USA? Nurse practice Act
nurse's action if physician's/practitioner's order needs communicate with the physician/practitioner!! you can't make changes to the
changing order w/o permission!!
responsibilities of state board of nursing -Nurse practice act with scope of practice
-credentialing
-licensing (privilege)
-mutual recognition model/ns licensure agreement
-standards of care
Libel example -falsely labeling pt in nurse's notes (alcoholic, drug seeker, etc)
-Charting false entries in a medical record
slander example -false accusations abt pt where others can hear; labeling pt (gossiping abt pt,
making negative statements abt coworkers)
battery example giving injection without consent
forcing to ambulate
forcing them to do anything w/o consent
assault example -threaten with injection if pt refuses/doesn't swallow oral med
-a nurse threatens to place an NG tube in a client who is refusing to eat
false imprisonment example -restraining without order
-not allowing pt to leave room/go home
-confine to psych unit without order
-Keeping patients hospitalized against their will (unlawful restraint or detention
against person's wishes; physical & chemical)
invasion of privacy example allowing unauthorized persons to read pt's medical records, observe procedure,
photo without consent
what is informed consent? -pt's agreement to accept tx/procedure after complete info provided by
physician
-explain risks, benefits, alternatives
-pt able to understand & make decision (legal age >18)
who can give informed consent?? -married
-self supporting
-active in military
-minor parent of child (in some states)/ teen parent
, who cannot give consent -minor
-unconscious
-mentally incompetent
most common reason for malpractice with nurses is MEDICATIONS
what?? (incorrect meds & dosages or injury from injections)
nurse's action with client with a DNR/AND order -follow the wishes of the client (follow the doctor's instructions & order)
negligence -failure of individual to provide care reasonable person would ordinary use in
similar circumstance, resulting in harm
-failure to act in reasonable & prudent manner
ex: not doing something that should've been done, not checking temp of water
b4 giving bath
malpractice applies only to professionals such as Ns & physicians
-failure of professional person to act in reasonable & prudent manner
unintentional torts (negligence examples) -leaving foreign objects inside pt post op
--failing to observe ICU pt as prescriber ordered
-failing to ensure pt's informed consent
-failing to report change in pt's v/s
-failing to report staff member's negligence you witnessed (incl u as student) you
would notify your instructor
conditions to be met in malpractice -duty
-breach of duty
-foreseeability
-causation
-harm/injury
-damages
duty -ns/pt relationship is legal obligation
-begins when pt seeks treatment or ns assigned to care for pt
breach of duty -failure to meet standards of care (ns practice act, agency policies, protocols)
-failure to execute and document use of appropriate safety measures
foreseeability -link between nurses action & injury that occured
causation breach of not following standard of care directly (expert witnesses) causes
injury/death of pt
harm/injury pain & suffering, lengthened hospital stay, need for rehab; pt must
document/provide evidence
damages nurse held liable for damages; must compensate
reasonable prudent nurse using good judgement
-Does for the patient what the patient cannot do for himself: covers the patient's
body, protects him from public exposure, and preserves his dignity.
Questions and CORRECT Answers
Can a nurse legally participate in assisted suicide or Yes (only on passive)
passive euthanasia?
Who or what governs legal regulation of nursing in USA? Nurse practice Act
nurse's action if physician's/practitioner's order needs communicate with the physician/practitioner!! you can't make changes to the
changing order w/o permission!!
responsibilities of state board of nursing -Nurse practice act with scope of practice
-credentialing
-licensing (privilege)
-mutual recognition model/ns licensure agreement
-standards of care
Libel example -falsely labeling pt in nurse's notes (alcoholic, drug seeker, etc)
-Charting false entries in a medical record
slander example -false accusations abt pt where others can hear; labeling pt (gossiping abt pt,
making negative statements abt coworkers)
battery example giving injection without consent
forcing to ambulate
forcing them to do anything w/o consent
assault example -threaten with injection if pt refuses/doesn't swallow oral med
-a nurse threatens to place an NG tube in a client who is refusing to eat
false imprisonment example -restraining without order
-not allowing pt to leave room/go home
-confine to psych unit without order
-Keeping patients hospitalized against their will (unlawful restraint or detention
against person's wishes; physical & chemical)
invasion of privacy example allowing unauthorized persons to read pt's medical records, observe procedure,
photo without consent
what is informed consent? -pt's agreement to accept tx/procedure after complete info provided by
physician
-explain risks, benefits, alternatives
-pt able to understand & make decision (legal age >18)
who can give informed consent?? -married
-self supporting
-active in military
-minor parent of child (in some states)/ teen parent
, who cannot give consent -minor
-unconscious
-mentally incompetent
most common reason for malpractice with nurses is MEDICATIONS
what?? (incorrect meds & dosages or injury from injections)
nurse's action with client with a DNR/AND order -follow the wishes of the client (follow the doctor's instructions & order)
negligence -failure of individual to provide care reasonable person would ordinary use in
similar circumstance, resulting in harm
-failure to act in reasonable & prudent manner
ex: not doing something that should've been done, not checking temp of water
b4 giving bath
malpractice applies only to professionals such as Ns & physicians
-failure of professional person to act in reasonable & prudent manner
unintentional torts (negligence examples) -leaving foreign objects inside pt post op
--failing to observe ICU pt as prescriber ordered
-failing to ensure pt's informed consent
-failing to report change in pt's v/s
-failing to report staff member's negligence you witnessed (incl u as student) you
would notify your instructor
conditions to be met in malpractice -duty
-breach of duty
-foreseeability
-causation
-harm/injury
-damages
duty -ns/pt relationship is legal obligation
-begins when pt seeks treatment or ns assigned to care for pt
breach of duty -failure to meet standards of care (ns practice act, agency policies, protocols)
-failure to execute and document use of appropriate safety measures
foreseeability -link between nurses action & injury that occured
causation breach of not following standard of care directly (expert witnesses) causes
injury/death of pt
harm/injury pain & suffering, lengthened hospital stay, need for rehab; pt must
document/provide evidence
damages nurse held liable for damages; must compensate
reasonable prudent nurse using good judgement
-Does for the patient what the patient cannot do for himself: covers the patient's
body, protects him from public exposure, and preserves his dignity.
