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419 unit 11 & 12 Flashcards | StudBud
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419 unit 11 & 12
419 unit 11 & 12
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Answers
1
The pt self determination requires pts to be given what when they come to the hospital?
info about insurance plans
pt rights
info about advanced directives
info about hospital policies and procedures
2
What serves as a guide for ethical decision making in the nursing profession?
Code of Ethics for Nurses
LSBN
Nurse Practice Act
American nurses association
3
If a decision is made by the manager based on making sure a pt's rights arent violated, what ethical framework is it?
utilitarian
duty-based
rights-based
intuitionist
4
If money is chosen to go towards an HIV program for the city instead of chemo tx of one pt, what principle is that?
nonmaleficience
justice
utility
veracity
5
All of the following are tasks usually not delegated to LPNs except:
blood
IV chemo
TPN
giving fluids through a central line
6
all of the following put a nurse at risk for losing their license status except:
breach of confidentiality
improper delegation
failure to report workplace violence
failure to accurately document
7
RNs maintain accountability for the pt when delegating even though they have transfered authority.
True
False
8
In order for malpractice to be proven, which of the following needs to occur?
causal relationship exists between care and harm
actual pt injury does not need to occur
foreseeability of harm must exist
standard of care outlines minimal requirements
9
If you file an incident report after an event occurs, you don't have to worry about mandatory reporting.
False
True
10
An RN can delegate a patient to an LPN as long as changes in pt condition are:
complex
predictable
not going to occur
RNs can only delegate tasks to LPNs
11
Which pt out of these will be a priority for you to see after getting report?
pt with daily metoprolol due at 9am
pt with DM complaining of restless leg
pt post PCI 12 hours ago complaining of chest pain
COPD exacerbation 3 days ago and o2 sat 90
12
If you left all four siderails up in your pts bed, they could make a case that you committed what crime?
assault
invasion of privacy
intentional tort
unintentional tort
13
Which delegation issues results in the subordinate being over-burdened with tasks?
under-delegating
over-delegating
improper delegation
14
What do you need to do first when choosing an individual to delegate tasks to?
teach them your preferred way of completing the task
assess skills and knowledge
ask them if they are busy
look at policies to see if they can do it
15
If a nurse is required to terminate care on a child whose parents are withdrawing care and she disagrees, what issue?
ethical dilemma
moral conflict
moral distress
moral outrage
16
All of the following are ways to establish priorities for your patient except:
reviewing labs
SBAR
pt assessment
timing of PRN medications
17
When looking at "right circumstance" for delegation, what needs to be considered?
timing of the task
available resources
pt condition
need for critical decision making
18
In what situations is liability a concern when delegating to a UAP?
following up about an abnormal BP reading
negligence in supervision of UAP
not being aware of UAP's job description
improper delegation of a task
19
If a task's results will vary based on the current status of the patient, the nurse should delegate this task to:
no one
UAP
manager
LPN
20
What priority setting issue will you see if the RN doesnt ever ask for any help?
path of least resistance
default
squeaky wheel
whatever hits first
21
Which of the following functions as a code of conduct?
ethics
discernment
morals
values
22
The manager needs to consider that use of touch in delegation communication may go over differently based on what factor
time
environmental control
space
communication
23
Which of the following falls under unintentional tort?
false imprisonment
assault
fraud
professional negligence
24
What are some ways a nurse can reduce her risk for liability?
document accurately
delegate IV meds to LPN
follow HIPAA guidelines
be nice to your pt
25
If a manager doesn't delegate because she is scared that the staff isn't going to like her for it, what issue is this?
over-delegating
resistance to delegation
improper delegation
under-delegating
26
All of the following is true regarding good samaritan laws except:
must stay with victim until another provider comes
protects from negligence in certain situations
care must be free of charge
can do things not in scope in emergency situations
27
The difference between assignments and delegation is with delegation no transfer of authority occurs.
False
True
28
Which legal mechanism qualifies someone to perform skills to the public following appropriate education?
statutes
sanctions
licensure
nurse practice act
29
Which legal doctrine cannot be altered after coming to a decision by a competent court?
res judicata
stare decisis
respondeat superior
30
Which virtues are the most important for a nurse to have?
trustworthiness
integrity
compassion
discernment
31
In what letter of the MORAL model will you implement on the decisions made?
A
L
O
M
32
Saying that you were only following physician's order will hold up as a defense in court.
True
False
33
All of the following need to be explained to get informed consent except:
type of procedure
alternative treatments
expected outcomes
cost of treatment