LAW AND LEADERSHIP CONCEPTS
CORRECT 100%
Authorized Consent - ANSWER Parents cannot give informed consent for medical care
of a child, but can give authorized consent instead.
Assault - ANSWER An unjustified attempt or threat to touch someone.
Advance Directive - ANSWER Written documents to state personal wishes regarding
future health care.
Battery - ANSWER Causing acute physical harm to someone.
Breach of Duty - ANSWER One of the elements needed to prove negligence; means
that the nurse did not adhere to standards of care.
Civil Action - ANSWER R/t individual rights. Involves the relationships between
individuals & the violation of those rights.
Criminal Action - ANSWER Involves persons & society as a whole, Ex: murder.
Confidentiality - ANSWER Avoid sharing pt info with anyone not directly involved in
care w/o the pt's permission.
Defamation - ANSWER Damage to someone's reputation through false communication
or communication w/o permission.
Do Not Resuscitate (DNR) - ANSWER Order written by physician. Pt will not recover.
Pt may have signed an advance directive regarding end-of-life care that states personal
wishes.
Durable Medical Power of Attorney - ANSWER Identified who will make decisions
regarding future care, extent of tx & kinds of tx if the person is unable to make his/her
own decision. Written while the person is mentally competent.
Duty - ANSWER ¼ elements needed to prove negligence. Refers to the nurse's
responsibility to provide care in an acceptable way. As used in the text, responsibilities
directly r/t nursing licensure & scope of practice. Usually not delegated to someone with
less education & nursing skill.
End of Life Principles (EOL) - ANSWER Support core principles for end of life cases.
,Felony - ANSWER Serious offense, with a penalty that ranges from 1 yr in prison to
death, removing life support before having an order.
General (Implied) Consent - ANSWER By entering a health facility voluntarily, a pt
gives permission for tx with noninvasive procedures. However, a pt may revoke this
consent verbally & refuse to be tx'd.
Good Samaritan Act - ANSWER Stipulates that a person who provides emergency care
at the scene of an accident is immune from civil liability for actions done in good faith.
There is some variation of the law within states.
Health Insurance Portability & Accountability Act (HIPAA) - ANSWER Federal law
commonly called the Privacy Act. Pt can request medical records through the medical
records department.
Informed Consent - ANSWER Obtained by physician for invasive procedures after
physician has provided pt with facts about effects, side effects, alternative txs, prognosis
& so on. May be revoked verbally at any time up to time of procedure.
Institutional Liability - ANSWER Form of vicarious liability. Health setting sued for
negligence of employee.
Intentional Torts - ANSWER Intent to do a wrongful act.
Law - ANSWER Nursing Law is based on each state's Nurse Practice Act.
Libel - ANSWER Damage to someone's reputation through written communication or
pictures.
Malpractice (Professional Negligence) - ANSWER A part of negligence that r/t lack of
skill or misconduct by professional persons.
Misdemeanor - ANSWER Least serious infraction to the law, except for a summary
offense. Can result in a fine or up to 1 yr in jail.
Multistate Licensure (Nurse Licensure Compact) - ANSWER Legislation in some states
that renders a nursing license obtained in that state valid for practice in other states with
multi state legislation. Each state's individual regulations must still be followed.
Negligence - ANSWER Conduct that falls below the standard of care established by
law for the protection of others.
Nurse Practice Act (NPA) - ANSWER Governs the practice of nursing. Standard of care
differs from state to state.
, Nursing Standard of Care - ANSWER Guideline for good nursing care. Standards are
based on what an ordinary, prudent nurse with similar education & nursing experience
would do in a similar situation.
Oregon Death with Dignity Act Client Competency - ANSWER Allows terminally ill
Oregonians to end their lives through voluntary self-administration of lethal mediation.
Personal Liability - ANSWER Holds a person (nurse) responsible for their own actions.
Slander - ANSWER Damage to someone's reputation by verbalizing untrue/confidential
information.
Unintentional Tort - ANSWER Nurse didn't intend to injure pt. Ex: Negligence &
malpractice.
Vicarious Liability - ANSWER Responsible for actions of another bc of a special
relationship with another person.
Nurse Practice Acts - ANSWER Defines nursing practice & establishes standards for
nurses in your state. Ignorance is not a valid defense against legal proceeding
regarding your license.
Activities of Daily Living - ANSWER Basic self-care acts.
Basic Nursing Care - ANSWER Nursing care to be performed by LVN based on
knowledge & skills.
Basic Client Situation - ANSWER Clients' clinical condition is predictable. Medical &
nursing orders not changing continuously. Chronic stable client condition (Ex:
Tracheostomy).
Complex Nursing Situation - ANSWER Client's clinical condition is not predictable.
Nursing care expectations beyond those learned by LVN during educational programs.
Delegate Medical Act - ANSWER HCP's order is given to an RN, LVN.
Delegated Responsibility - ANSWER Nursing activity that is transferred from licensed
nurse to a delegate. Delegates must be competent to perform the activity & verbally
accept responsibility for the assignment.
Direct Supervision - ANSWER Supervision is continuously present to coordinate, direct
or inspect nursing care. Supervisor is in the building.
Developing Programs for Impaired Nurses - ANSWER Programs aimed at supporting
nurses with substance abuse issues.