LPN Test 1 Questions & Answers Latest Updated

Malpractice - Answer Failure by a health professional to meet LEGAL duty Elements of Malpractice - Answer Duty Breach Harm Proximate Cause Negligence - Answer failure to demonstrate proper care or knowledge Civil Litigation - Answer -lawsuit in a civil court -begins when the plaintiff contacts an attorney if malpractice is believed to be committed Nurse-Patient Relationship - Answer when the nurse assumes responsibility for the patient's care, resulting in legal liability if not done correctly legal issues in healthcare - Answer failure to- prevent falls properly give medicine properly monitor document properly use proper judgement standards of care - Answer defines what can and cannot be done to patients, states minimum care to be given by nurse May result in legal liability if nurse does not know or follow HIPAA - Answer a federal law protecting the privacy of patient-specific health care information and providing the patient with control over how this information is used and distributed Penalties such as license removal if not followed informed consent - Answer Full disclosure of the facts the patients needs to make an itelligient division before any treatment or procedure Reporting Abuse - Answer Health Care prefessionals are required bu law to do so -the health care professional is protected from liability when acting in good faith -failure to do so can result in fines and imprisonment How to avoid a lawsuit - Answer provide compassionate, competent nursing care good communication nurse-patient relationship must be based on trust and respect proper documentation advance directives - Answer A legal document designed to indicate a person's wishes regarding care in case of a terminal illness or during the dying process living will power of attorney ethical principles of nursing - Answer 1. Autonomy- right to be independent 2. Non-maleficence- do no harm 3. Beneficence- doing for ones good 4. Justice- concept of what is fair RESPECT FOR PEOPLE code of ethics - Answer NFLPN developed code to know and function within the scope of practice provide healthcare high degree of professionalism Reporting unethical behavior - Answer follow chain of command explain facts clearly document objectively DNR - Answer do not resuscitate order signed by patient or family when patient has little hope to recovery Refusal to treat - Answer The nurse cannot refuse to care for a patient because she disagrees with the decisions the patient makes or has infectious disease 5 purposes for patient records - Answer Documented Communication Permanent record for accountability Legal record of care Teaching Research and data collection Electronic Health Record (EHR) - Answer a computerized lifelong health care record for an individual that incorporates data from providers who treat the individual POC- bedside documentation personal health record (PHR) - Answer Extension of E HR that allows patient to input info ex: patient portal SBAR - Answer Situation Background Assessment (observation) Recommendation When communication with the health care provider guidelines of documentation - Answer should have correct client info use only approved abbreviations chart after care is given be timely sign each entry follow institutions policy and procedures Narrative form of documentation - Answer Care given is descriptive Written in abbreviated story form problem-oriented medical record (POMR) - Answer A system developed to organize a medical record that uses a common list of patient problems as its base SOAPIER - Answer Subjective Objective Assessment Plan Implementation Evaluation Revision Focus charting (DARE) - Answer focus on clients needs rather than diagnoses and problem Data Action Response Effectiveness Charting by exception - Answer complete physical assessment and vital signs are charted at the beginning of the shift and then as the day goes on only changes are charted APIE - Answer Assessment Plan Intervention Evaluation Safeguards of Documention - Answer Do not share password follow correct protocol Do Not leave computer without logging off be sure records have backup files do not leave info displayed for others to see interdisciplinary healthcare team - Answer a group of professionals from different health science training backgrounds working in coordination toward a common goal for the patient independently - Answer The RN intiates and carries out nursing activities interdependently - Answer we are working collaboratively with members of the healthcare team and we are carrying out the orders LPN vs RN - Answer LPN- functions interdependtly under supervision of RN RN-functions independently and initiates and carries out the care of patients Role of the Student Nurse - Answer To give safe care and function responsibly under the supervision of your instructor 2 types of nursing care delivery - Answer team method primary care method Asepsis - Answer absence of pathogenic microorganisms