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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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Documentation of type of care, time of care, and signature of the person prove?
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 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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Personal beliefs about the worth of an object, idea, custom, or attitude that influence a person’s behavior in a given situation are referred to as ______.
Personal beliefs about the worth of an object, idea, custom, or attitude that influence a person’s behavior in a given situation are referred to as ______.
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Acts whose performance is required, permitted, or prohibited are defined by ______ of care.
Acts whose performance is required, permitted, or prohibited are defined by ______ of care.
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The Patient’s Bill of Rights is not legally binding.
The Patient’s Bill of Rights is not legally binding.
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A nurse’s personal values should always dictate the care they provide, regardless of the patient’s needs and wishes.
A nurse’s personal values should always dictate the care they provide, regardless of the patient’s needs and wishes.
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It is always acceptable for a nurse to share a patient’s confidential information with their family members, even if the patient has not consented.
It is always acceptable for a nurse to share a patient’s confidential information with their family members, even if the patient has not consented.
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In a managed care setting, documentation is less important compared to other settings because patients are less likely to file lawsuits.
In a managed care setting, documentation is less important compared to other settings because patients are less likely to file lawsuits.
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What is the purpose of nursing documentation?
What is the purpose of nursing documentation?
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Which of the following is an example of objective documentation?
Which of the following is an example of objective documentation?
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What is the role of the LPN/LVN in documentation?
What is the role of the LPN/LVN in documentation?
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Which of the following documentation systems is commonly used in hospitals?
Which of the following documentation systems is commonly used in hospitals?
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What does SOAP stand for in the context of documentation?
What does SOAP stand for in the context of documentation?
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Study Notes
Chapter 01: The Evolution of Nursing
- Nursing programs are considered "approved" when certified by a state agency, meeting minimum standards. "Accredited" means certified by the NLN, with more rigorous standards.
- The main goal of the healthcare delivery system is to achieve optimal levels of health care.
- An individualized care plan, developed by the entire healthcare team, outlines the care needed by an individual patient.
- Increased education about the causes of illness, such as health conditions or habits, has led to an emphasis on wellness over illness.
- Evaluation of care plans involves communication between healthcare team members, to identify and modify as needed.
- An interdisciplinary approach to patient care prevents the fragmentation of care from multiple parties.
- A newly licensed LPN/LVN practices under the supervision of a healthcare provider or RN.
- Florence Nightingale's 19th-century influence focused on improving patient environments for health promotion through sanitary conditions and fresh air.
- The Nurse Practice Act outlines the roles and responsibilities of LPN/LVNs.
- Case management, a cost-effective approach to patient care, allows LPN/LVNs to work with RNs to meet patients' needs.
- The Patient's Bill of Rights, created by the American Hospital Association in 1972, outlines patient expectations for dignified and compassionate treatment.
- Nursing models are theories based on the relationships among nursing, patients, health, and environment.
- The healthcare delivery system, impacting patient health, prioritizes optimum health care.
- Cost reimbursements for care are dependent on documented interventions.
- There are various methods of documentation, including SOAP and charting by exception (CBE).
- Health conditions, behaviors, and social factors are all aspects of the wellness / illness continuum.
- State licensing boards regularly assess and update the scope of practice for LPN/LVNs.
- The Cadet Nurse Corps provided nursing training during World War II.
Chapter 02: Legal and Ethical Aspects of Nursing
- In legal actions involving nurses, the first document filed in court is the complaint.
- The nurse-patient relationship is legally binding where a nurse takes responsibility for a patient's care.
- Standards of care are universal guidelines defining appropriate nursing interventions.
- The Nurse Practice Act is the law nurses should refer to when asked to administer a particular procedure involving a patient.
- Malpractice is when a nurse fails to meet legal duties, causing patient harm.
- The American Hospital Association's Patient's Bill of Rights protects patients' expectations in healthcare.
- Informed consent is required before performing invasive procedures.
- Confidentiality is an ethical and legal responsibility of nurses, protecting patient information, and is subject to legal disclosures.
- Reporting suspected elder abuse is a legal requirement for healthcare professionals.
- Providing competent and compassionate care is the best way to avoid legal issues.
- Nurses have a legal obligation to follow DNR orders, even if they disagree with them.
- The most appropriate course of action when assigned a procedure a nurse is unfamiliar with is to discuss it with the charge nurse and ask for direction.
- Values clarification involves assisting patients in expressing feelings and thoughts related to situations without giving an opinion.
- Respect for people is the first principle to consider when faced with ethical decisions.
- Reporting unethical behavior of staff members is a necessary action for nurses for the safety and well-being of patients.
- Some hospitals offer malpractice insurance; however, hospital insurance typically only covers nurses when they are actively on duty.
- HIPAA violations could result from disclosing patient medical information to an inappropriate party.
- Performing a procedure without a patient's informed consent can create legal issues.
- The purpose of licensing laws for LPN/LVNs is to protect the public from unqualified health care providers.
- The early nursing education of Florence Nightingale focused on practical skills, records keeping, and sanitary practices.
- The nurse's responsibilities in documenting care, as well as the role documentation plays in managed care, are vital.
- Nurses must be legally and ethically aware of the care they provide.
- Protecting patients' rights by adhering to standards of care and informed consent is crucial.
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Description
Explore the foundational concepts of nursing in Chapter 01, focusing on the evolution and significance of nursing education and patient care. Understand the differences between approved and accredited nursing programs, the emphasis on wellness, and the interdisciplinary approach to healthcare delivery. This chapter introduces key historical influences, such as Florence Nightingale's contributions to nursing practice.
