NUR 256 TEST 1 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
State Nurse Practice Act
Answer:
- Defines practice of nursing for that state
- Statute/legislative law for nurses
- Defines scope of practice and enforces ethical standards
- Primary purpose is to protect the patient
Question:
State Nurse Practice Act Examples
Answer:
1. Use the title of "nurse"
2. Use ID badges
3. Delegate tasks to unlicensed assistive personnel
4. NLC enacted
Question:
Criminal Law
Answer:
Intentional harm
Question:
Civil Law
Answer:
Malpractice, unintentional harm
Question:
Administrative Law
Answer:
Administrative punishment by state board of nursing
Ex. fine
Question:
Common Causes for Suspension/Revocation of License
Answer:
1. Failure to follow standard of care
2. Failure to use equipment responsibly
3. Failure to communicate
4. Failure to document
5. Failure to assess and monitor
6. Failure to advocate
,Question:
Frequent Claims Against Nurses
Answer:
1. Inadequate charting
2. Inadequate communication with providers about patient condition
3. Leaving potentially harmful items near patient's reach
4. Unattended patient falls
5. Inaccurate counting of operative instruments and supplies
6. Misidentifying patients
Question:
Malpractice
Answer:
- Failure to act in a reasonable and prudent manner
- A person with professional training
- Also called "professional negligence"
Question:
5 Elements of Professional Negligence (Elements of Liability)
Answer:
1. Duty to provide care as defined by standard
2. Failure to meet standard of care
3. Foreseeability of harm
4. Direct relationship between failure to meet the standard and injury can be proven
5. Injury occurs
Question:
Malpractice Insurance
Answer:
Nurses have GREATER likelihood of being sued
Question:
Standards of Care
Answer:
- Guide and define the level of care nurses should give
- Minimum level of expertise that may be delivered to a patient
- Conduct of a reasonably prudent nurse in similar circumstances
- Follow legal guidelines of care (Ex. State Nurse Practice Act, ANA, JCo)
Question:
Incident Reports
Answer:
- Do not go in the patient's chart
- Describes any accident or deviation from policies, procedures, or orders involving a
patient, employer, or any other individual in the facility Should include: facts, an
evaluation, timely completion, and no recommendations
, Question:
System error
Answer:
Due to system failure, not human failure
Ex. Wrong medication in omnicell bin
Question:
Unintentional tort
Answer:
Harm as a result of negligence or carelessness (malpractice or negligence)
Question:
Intentional tort
Answer:
Direct invasion of a person's legal rights
Ex. Assault, battery, false imprisonment, slander, libel, invasion of privacy, etc.
Question:
Responsibilities of Nurse Manager
Answer:
- Report dangerous understaffing
- Checking staff credentials and qualifications
- Carrying out appropriate discipline
- Report inadequate care by physician
- Ensure written, procedures, and protocols are being followed
Question:
Transcribing Verbal Prescriptions
Answer:
- Repeat back every detail
- Ask questions
- Include date and time of prescription
- Include dose, frequency, and route
- Include nurse signature
- Obtain provider's name
Question:
Legal vs. Ethical Obligations
Answer:
- Legal controls are clear and philosophically impartial
- Ethical controls are much more unclear and individualized
CORRECT ANSWERS
Question:
State Nurse Practice Act
Answer:
- Defines practice of nursing for that state
- Statute/legislative law for nurses
- Defines scope of practice and enforces ethical standards
- Primary purpose is to protect the patient
Question:
State Nurse Practice Act Examples
Answer:
1. Use the title of "nurse"
2. Use ID badges
3. Delegate tasks to unlicensed assistive personnel
4. NLC enacted
Question:
Criminal Law
Answer:
Intentional harm
Question:
Civil Law
Answer:
Malpractice, unintentional harm
Question:
Administrative Law
Answer:
Administrative punishment by state board of nursing
Ex. fine
Question:
Common Causes for Suspension/Revocation of License
Answer:
1. Failure to follow standard of care
2. Failure to use equipment responsibly
3. Failure to communicate
4. Failure to document
5. Failure to assess and monitor
6. Failure to advocate
,Question:
Frequent Claims Against Nurses
Answer:
1. Inadequate charting
2. Inadequate communication with providers about patient condition
3. Leaving potentially harmful items near patient's reach
4. Unattended patient falls
5. Inaccurate counting of operative instruments and supplies
6. Misidentifying patients
Question:
Malpractice
Answer:
- Failure to act in a reasonable and prudent manner
- A person with professional training
- Also called "professional negligence"
Question:
5 Elements of Professional Negligence (Elements of Liability)
Answer:
1. Duty to provide care as defined by standard
2. Failure to meet standard of care
3. Foreseeability of harm
4. Direct relationship between failure to meet the standard and injury can be proven
5. Injury occurs
Question:
Malpractice Insurance
Answer:
Nurses have GREATER likelihood of being sued
Question:
Standards of Care
Answer:
- Guide and define the level of care nurses should give
- Minimum level of expertise that may be delivered to a patient
- Conduct of a reasonably prudent nurse in similar circumstances
- Follow legal guidelines of care (Ex. State Nurse Practice Act, ANA, JCo)
Question:
Incident Reports
Answer:
- Do not go in the patient's chart
- Describes any accident or deviation from policies, procedures, or orders involving a
patient, employer, or any other individual in the facility Should include: facts, an
evaluation, timely completion, and no recommendations
, Question:
System error
Answer:
Due to system failure, not human failure
Ex. Wrong medication in omnicell bin
Question:
Unintentional tort
Answer:
Harm as a result of negligence or carelessness (malpractice or negligence)
Question:
Intentional tort
Answer:
Direct invasion of a person's legal rights
Ex. Assault, battery, false imprisonment, slander, libel, invasion of privacy, etc.
Question:
Responsibilities of Nurse Manager
Answer:
- Report dangerous understaffing
- Checking staff credentials and qualifications
- Carrying out appropriate discipline
- Report inadequate care by physician
- Ensure written, procedures, and protocols are being followed
Question:
Transcribing Verbal Prescriptions
Answer:
- Repeat back every detail
- Ask questions
- Include date and time of prescription
- Include dose, frequency, and route
- Include nurse signature
- Obtain provider's name
Question:
Legal vs. Ethical Obligations
Answer:
- Legal controls are clear and philosophically impartial
- Ethical controls are much more unclear and individualized