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When a nurse becomes involved in a legal action, the first step to occur is that a document is filed in an appropriate court. What is this document called?
When a nurse becomes involved in a legal action, the first step to occur is that a document is filed in an appropriate court. What is this document called?
The nurse caring for a patient in the acute care setting assumes responsibility for a patient’s care. What is this legally binding situation?
The nurse caring for a patient in the acute care setting assumes responsibility for a patient’s care. What is this legally binding situation?
What are the universal guidelines that define appropriate measures for all nursing interventions?
What are the universal guidelines that define appropriate measures for all nursing interventions?
An LPN/LVN is asked by the RN to administer an IV chemotherapeutic agent to a patient in the acute care setting. What law should this nurse refer to before initiating this intervention?
An LPN/LVN is asked by the RN to administer an IV chemotherapeutic agent to a patient in the acute care setting. What law should this nurse refer to before initiating this intervention?
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A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This nurse could be found guilty of:
A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This nurse could be found guilty of:
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Patients have expectations regarding the health care services they receive. To protect these expectations, which of the following has become law?
Patients have expectations regarding the health care services they receive. To protect these expectations, which of the following has become law?
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The nurse is preparing the patient for a thoracentesis. What must be completed before the procedure may be performed?
The nurse is preparing the patient for a thoracentesis. What must be completed before the procedure may be performed?
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When a nurse protects the information in a patient’s record, what ethical responsibility is the nurse fulfilling?
When a nurse protects the information in a patient’s record, what ethical responsibility is the nurse fulfilling?
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An older adult is admitted to the hospital with numerous bodily bruises, and the nurse suspects elder abuse. What is the best nursing action?
An older adult is admitted to the hospital with numerous bodily bruises, and the nurse suspects elder abuse. What is the best nursing action?
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What is the best way for a nurse to avoid a lawsuit?
What is the best way for a nurse to avoid a lawsuit?
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The nurse is caring for a patient with a do-not-resuscitate (DNR) order. Although the nurse may disagree with this order, what is his or her legal obligation?
The nurse is caring for a patient with a do-not-resuscitate (DNR) order. Although the nurse may disagree with this order, what is his or her legal obligation?
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The nurse has strong moral convictions that abortions are wrong. When assigned to assist with an abortion, what is the most appropriate action for the nurse to take?
The nurse has strong moral convictions that abortions are wrong. When assigned to assist with an abortion, what is the most appropriate action for the nurse to take?
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The new LPN/LVN is concerned regarding what should or should not be done for patients. What resource will best provide this information?
The new LPN/LVN is concerned regarding what should or should not be done for patients. What resource will best provide this information?
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What role is the nurse who diligently works for the protection of patients’ interests playing?
What role is the nurse who diligently works for the protection of patients’ interests playing?
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When asked to perform a procedure that the nurse has never done before, what should the nurse do to legally protect himself or herself?
When asked to perform a procedure that the nurse has never done before, what should the nurse do to legally protect himself or herself?
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The nurse is assisting a patient to clarify values by encouraging the expression of feelings and thoughts related to the situation. What is the most appropriate action for the nurse?
The nurse is assisting a patient to clarify values by encouraging the expression of feelings and thoughts related to the situation. What is the most appropriate action for the nurse?
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What fundamental principle must the nurse first observe when confronted with an ethical decision?
What fundamental principle must the nurse first observe when confronted with an ethical decision?
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A nurse working on an acute care medical surgical unit is aware that his or her first duty is to the patient’s health, safety, and well-being. Given this knowledge, which of the following is most necessary for the nurse to report?
A nurse working on an acute care medical surgical unit is aware that his or her first duty is to the patient’s health, safety, and well-being. Given this knowledge, which of the following is most necessary for the nurse to report?
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A nurse is considering purchasing malpractice insurance. What should the nurse be aware of regarding malpractice insurance provided by the hospital?
A nurse is considering purchasing malpractice insurance. What should the nurse be aware of regarding malpractice insurance provided by the hospital?
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Which is a nursing care error that violates the Health Insurance Portability and Accountability Act (HIPAA)?
Which is a nursing care error that violates the Health Insurance Portability and Accountability Act (HIPAA)?
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Which of the following could cause a nurse to be cited for malpractice?
Which of the following could cause a nurse to be cited for malpractice?
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A lumbar puncture was performed on a patient without a signed informed consent form. This patient might sue for:
A lumbar puncture was performed on a patient without a signed informed consent form. This patient might sue for:
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A health care provider instructs the nurse to bladder train a patient. The nurse clamps the patient’s indwelling urinary catheter but forgets to unclamp it. The patient develops a urinary tract infection. What do the nurse’s actions exemplify?
A health care provider instructs the nurse to bladder train a patient. The nurse clamps the patient’s indwelling urinary catheter but forgets to unclamp it. The patient develops a urinary tract infection. What do the nurse’s actions exemplify?
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What is true about nurse practice acts?
What is true about nurse practice acts?
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What does documentation of type of care, time of care, and signature of the person prove?
What does documentation of type of care, time of care, and signature of the person prove?
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Why is documentation especially significant in managed care?
Why is documentation especially significant in managed care?
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The nurse charts only additional treatments done, changes in patient condition, and new concerns. What is this system of documentation?
The nurse charts only additional treatments done, changes in patient condition, and new concerns. What is this system of documentation?
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What type of charting involves a chronological record of assessments, interventions, and the patient’s responses?
What type of charting involves a chronological record of assessments, interventions, and the patient’s responses?
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Which charting method is an organized way to record the patient’s progress toward achieving the goals outlined in the plan of care?
Which charting method is an organized way to record the patient’s progress toward achieving the goals outlined in the plan of care?
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Which charting system uses problem-oriented medical records (POMR) to document the patient’s care?
Which charting system uses problem-oriented medical records (POMR) to document the patient’s care?
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The nurse discovers a discrepancy in the patient's medication record. What should the nurse do first?
The nurse discovers a discrepancy in the patient's medication record. What should the nurse do first?
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Which charting format is often used for nurses working in acute care settings?
Which charting format is often used for nurses working in acute care settings?
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What should the nurse do when documenting patient care?
What should the nurse do when documenting patient care?
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Why is it important for the nurse to correctly document the time of an event?
Why is it important for the nurse to correctly document the time of an event?
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What type of charting involves documenting only the exception to the norm or the unusual occurrences?
What type of charting involves documenting only the exception to the norm or the unusual occurrences?
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When using the SOAP charting method, what does the ‘S’ represent?
When using the SOAP charting method, what does the ‘S’ represent?
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Which charting method uses a structured format for recording patient data and progresses based on their problems?
Which charting method uses a structured format for recording patient data and progresses based on their problems?
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What type of documentation, often used for nurses working in community settings, uses a problem-oriented format combined with a flow sheet that documents specific data points?
What type of documentation, often used for nurses working in community settings, uses a problem-oriented format combined with a flow sheet that documents specific data points?
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What type of documentation system focuses on providing a brief, specific account of the patient’s care using a checklist or a standardized form?
What type of documentation system focuses on providing a brief, specific account of the patient’s care using a checklist or a standardized form?
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When documenting patient care the nurse should use medical terminology for all entries.
When documenting patient care the nurse should use medical terminology for all entries.
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It is acceptable to document patient care at the end of the shift if a nurse is very busy.
It is acceptable to document patient care at the end of the shift if a nurse is very busy.
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If the nurse made an error in the patient's chart, they should erase it and make the correct entry.
If the nurse made an error in the patient's chart, they should erase it and make the correct entry.
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The nurse is responsible for ensuring that all entries in a patient’s chart are accurate and complete.
The nurse is responsible for ensuring that all entries in a patient’s chart are accurate and complete.
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The nursing process is a systematic approach to patient care that is not necessary when documenting patient care.
The nursing process is a systematic approach to patient care that is not necessary when documenting patient care.
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The patient’s medical record is a legal document that can be used as evidence in a court of law.
The patient’s medical record is a legal document that can be used as evidence in a court of law.
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Study Notes
Chapter 01: The Evolution of Nursing
- Nursing program approval is certification by a state agency, meeting minimum standards
- Nursing program accreditation is by the NLN, meeting more complex standards
- Health care delivery systems aim for optimal health care levels
- Emphasis on wellness in healthcare stems from education on preventive medicine, including issues like smoking, heart disease, and weight control
- Individualized care plans are used by all healthcare team members, outlining patient-specific care
- Effective care plan evaluation relies on communication amongst the healthcare team
- Interdisciplinary approaches to patient care prevent fragmentation
- LPN/LVNs practice under supervision of a healthcare provider or RN
- Florence Nightingale championed sanitary conditions and improved patient environments
- Understanding the Nurse Practice Act is crucial for LPN/LVNs
- Cost-effective care delivery, like case management, lets LPN/LVNs work with RNs
- Patient's Bill of Rights is the AHA document outlining patient expectations
- Nursing models are theories related to nursing, patients, health, and environment
- Cross-training reduces staffing while maintaining care quality
- Nurse licensing laws protect the public from unqualified providers
- Maslow's Hierarchy of Needs prioritizes basic needs before higher-level needs
- Environmental factors (physical and social) mutually affect health and illness
- Cadet Nurse Corps provided nursing education and training during WWII
- Articulation programs advance LPN/LVN education to RN standing
- Florence Nightingale trained at Kaiserswerth School
- Holistic health care considers physical, emotional, social, and spiritual needs
- National Federation of Licensed Practical Nurses (NFLPN) is the LPN/LVN membership organization
- A "pass" score on a computerized exam allows licensed vocational nurses to be licensed
- The 1965 ANA position paper defined registered and technical nurses
Chapter 02: Legal and Ethical Aspects of Nursing
- Legal action begins with a complaint filed in court
- The nurse-patient relationship is a legally binding responsibility assumed by the nurse
- Universal nursing intervention guidelines are called standards of care
- Before administering IV chemotherapeutic agents, LPN/LVNs must refer to the nurse practice act
- Malpractice arises from failing to meet a legal duty and causing harm
- The American Hospital Association's Patient's Bill of Rights protects patient expectations
- Informed consent is needed before invasive procedures
- Confidentiality in patient records is an ethical responsibility
- Reporting suspected elder abuse is a legal obligation
- Providing compassionate and competent care avoids potential lawsuits
- Following a DNR order is a legal obligation for the nurse
- It's appropriate for a nurse to request reassignment if morally conflicted with a procedure
- Knowing the standards of care guides nursing decisions
- A nurse functions as an advocate to protect patient interests
- Discussing procedures with the charge nurse is appropriate when unsure
- A nurse can assist in values clarification without offering personal opinions
- Respect for people is the first principle to consider in ethical decisions
- Nurses are expected to report unethical behaviors by other staff
- Hospital malpractice insurance generally only covers on-duty liability
- HIPAA violations occur when patient information is improperly disclosed
- Malpractice arises from administering an inappropriate medication or procedure
- Performing an invasive procedure without informed consent leads to potential civil battery charges
- Nurses are liable for actions taken while fulfilling their professional duties
- Nurse practice acts define the scope of nursing practice and are adopted by all US/Canadian states.
Chapter 03: Documentation
- Documentation of care (type, time, signature) demonstrates care provision
- Documentation is crucial in managed care because reimbursement depends on it
- Charting by exception (CBE) details only changes, not usual care
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Description
This quiz explores the foundational concepts presented in Chapter 01 of nursing education. Key topics include nursing program accreditation, health care delivery systems, individualized care plans, and the historical contributions of Florence Nightingale. Understanding these principles is essential for nursing students and professionals.
