Nursing Ethics and Accountability Quiz

Questions and Answers

Violation of HIPAA privacy may result in (select all that apply)

Federal Government Charges

Board of Nursing Discipline

Termination

Revoked Nursing License

All of the above (correct)

Which of the following indicates patient understanding of advanced directives?

I'd rather have my brother make decisions for me, but I know it has to be my wife

I will get my regular doctor to approve my plan before I hand it in at the hospital

I plan to write that I don't want them to keep me on a breathing machine (correct)

I know they won't go ahead with the surgery unless I prepare these forms

A way of practicing fidelity to a patient would be to?

Discuss the patient with friends at a social gathering

Categorize the patient as a 'down and out alcoholic'

Document the patient's expression of feelings and wishes (correct)

Develop the care plan without patient input

Which process is the framework for the practice of nursing and critical thinking?

Nursing process Signup and view all the answers

What does accountability in nursing mean?

Personal responsibility for one's nursing actions Signup and view all the answers

To provide justice to patients on the unit, the nurse must

Treat all patients with equal dignity and respect Signup and view all the answers

The Board of Nursing exists to protect?

The public Signup and view all the answers

Who is able to make a referral to the South Dakota Health Professionals Assistance Program?

All of the above Signup and view all the answers

The South Dakota Board of Nursing includes 2 public members.

True Signup and view all the answers

What is SDCL-35-9-4?

South Dakota Codified Law State Nurse Practice Act Signup and view all the answers

In caring for a patient in an emergency room setting, the nurse is about to commit which type of tort when administering medication the patient has not requested?

False Imprisonment Signup and view all the answers

Encouraging a patient to be involved in planning their care supports which ethical principle?

Autonomy Signup and view all the answers

Ignorance is a valid defense in legal issues in nursing.

False Signup and view all the answers

The Nursing Standard of Care for a new graduate LPN is based on?

What an ordinary prudent nurse with similar education and nursing experience would do in similar circumstances Signup and view all the answers

Which action should you take first if you notice another nurse is drowsy?

Report the observations to the nurse manager on the unit Signup and view all the answers

When a nurse is negligent, which principle does he fail to uphold?

Fidelity Signup and view all the answers

If a patient wishes to leave AMA from the emergency department, the nurse's responsibilities include (select all that apply)

All of the above Signup and view all the answers

Which of the following are steps to develop critical thinking skills? (select all that apply)

All of the above Signup and view all the answers

A nursing student demonstrates the best understanding by saying what about assigned readings?

The journal article may give us updated information on one aspect of the assignment Signup and view all the answers

The health professional assistance program can be best described as?

Confidential referral and support of healthcare providers to assist in recovery and return to work following early interventions, evaluation, and treatment Signup and view all the answers

Match the following terms with their definitions:

Malpractice = Nurse committing a medication error Libel = Email indicating a provider is incompetent Negligence = Practice that does not meet standard of care Slander = Telling a coworker over lunch that a provider is incompetent Signup and view all the answers

What does critical thinking in practical nursing involve?

Based on principles of the nursing process and science Signup and view all the answers

'Patient surrogate' best describes?

Power of attorney Signup and view all the answers

A nurse injecting themselves with a narcotic prescribed for a patient is an example of?

Unethical and illegal behavior Signup and view all the answers

Which of the following are responsibilities of the South Dakota Board of Nursing? (select all that apply)

Regulate medical assistants Signup and view all the answers

A nursing student uses the internet to learn about the use of antidepressant medications. Select the domain names that suggest credibility (select all that apply)

.gov Signup and view all the answers

A nursing student states, 'My grades aren't what I'd like. I don't know whether to use a study group or ask for tutoring.' Which statement is true for both?

Active participation by the student is critical to success in raising grades Signup and view all the answers

A nurse is a mandatory reporter only when abuse involves a child under the age of 18.

False Signup and view all the answers

During a performance evaluation, which observations indicate that the nurse uses critical thinking? (Select all that apply)

Your caregiving is guided by identified outcomes Signup and view all the answers

Patients' wishes regarding mechanical ventilation will be listed in which document?

Living will Signup and view all the answers

A nurse offering pain medication to a postoperative patient is an example of?

Beneficence Signup and view all the answers

A nurse suspects abuse in an elderly patient. The nurse is encouraged but not legally obligated to report the suspicion.

False Signup and view all the answers

A newly licensed LPN is preparing to insert an IV catheter. Which source should the nurse use to review the procedure?

Institutional policy and procedure manual Signup and view all the answers

A major reason for LPN/LVN graduates to join nursing organizations is that membership:

Keeps one updated on issues that affect practical nursing Signup and view all the answers

After licensing, the LPN is permitted to perform complex nursing skills as delegated by the registered nurse and allowed by the facility policy and the _________?

Nursing practice act Signup and view all the answers

A nurse failing to give medications accurately, completely, or on time is an example of?

Failure to meet standard of care Signup and view all the answers

The director of a practical nursing program determines that high confidence levels among graduates represent which step in Maslow's Human Needs Theory?

Esteem Signup and view all the answers

A nurse questions a medication prescription due to a patient's advanced age. This is an example of which ethical principle?

Nonmaleficence Signup and view all the answers

Which of the following best describes critical thinking?

Advanced thinking used to solve and improve situations Signup and view all the answers

The ethical principle of 'first do no harm' is?

Nonmaleficence Signup and view all the answers

Which organization developed the 9 provisions of the Nursing Code of Ethics for standard of care?

American Nurses Association Signup and view all the answers

A nurse currently licensed in Minnesota will access which of the following websites to practice in South Dakota?

Nurse Compact State Licensure Signup and view all the answers

Which situation can be identified as abandonment of patients by the nurse?

Going off duty without giving report Signup and view all the answers

When a nurse explains that all patients waiting for a kidney transplant have to meet the same qualifications, the student should understand this is an example of:

Justice Signup and view all the answers

Study Notes

HIPAA Violations and Consequences

Violations of HIPAA privacy can lead to federal charges, board discipline, termination, and revoked licenses.
All mentioned outcomes are potential consequences of HIPAA violations.

Patient Understanding of Advance Directives

A patient demonstrating understanding specifies not wanting to be on a breathing machine in advance directives.
Awareness of advance directives is crucial before undergoing surgical procedures.

Fidelity in Nursing Practice

Practicing fidelity involves documenting a patient's feelings and wishes.
Sharing patient details with unauthorized individuals violates fidelity.

Nursing and Critical Thinking Framework

The nursing process is the foundational framework for nursing practice and critical thinking.

Understanding Accountability in Nursing

Accountability refers to personal responsibility for nursing actions.
Nurses should demonstrate accountability in providing patient care.

Justice in Patient Care

Justice in nursing entails treating all patients with equal dignity and respect.

Health Professionals Assistance Program Referrals

Referrals to the South Dakota Health Professionals Assistance Program can be made by employers, licensing boards, colleagues, or through self-referral.

Board of Nursing Composition

The South Dakota Board of Nursing includes two public members.

SDCL-35-9-4

This law refers to the South Dakota Codified Law State Nurse Practice Act.

Potential Tort in Patient Care

Administering sedation against a patient's wishes could be considered false imprisonment.

Ethical Principles in Nursing

Encouraging patient involvement in care honors the ethical principle of autonomy.

Ignorance as a Legal Defense

Ignorance is not a valid legal defense in nursing.

Standard of Care for New Graduates

New graduate LPNs are held to the standard of an ordinary prudent nurse with similar education and experience.

Addressing Concerns about a Colleague

Report observations of a colleague's performance issues to the nurse manager as a first action.

Nursing Negligence and Principles

When a nurse is negligent, they fail to uphold the principle of fidelity among others.

Responsibilities When Patients Leave Against Medical Advice (AMA)

Essential nurse responsibilities include documenting patient information, notifying the physician, informing patients of risks, and obtaining AMA signatures.

Developing Critical Thinking Skills

Steps to enhance critical thinking include reflection, intuition, and focused thinking.

Importance of Authorship in Educational Materials

Understanding the importance of journal articles can aid student learning by providing current information.

Health Professional Assistance Program Objective

The program aims to confidentially support healthcare providers for recovery and return to work.

Definitions of Key Terms

Malpractice occurs with medication errors by nurses.
Libel involves written defamation, while slander involves spoken defamation.
Negligence is the failure to meet the standard of care.

Critical Thinking in Practical Nursing

Critical thinking in nursing is based on nursing process principles and science.

Patient Decision-Making Provisions

A patient’s power of attorney acts as their surrogate decision-maker.

Injecting Medication for Personal Use

Self-injecting a narcotic meant for a patient signifies unethical and illegal behavior.

South Dakota Board of Nursing Responsibilities

Responsibilities include regulating medical assistants, setting educational standards for nurses, and implementing disciplinary processes.

Identifying Credible Medical Information

Domains like .gov and .edu are indicators of credible information sources.

Study Group versus Tutoring Benefits

Active participation is crucial for success in both study groups and tutoring sessions.

Mandatory Reporting Requirements

Nurses are obligated to report suspected abuse regardless of the age of the patient.

Indicators of Critical Thinking in Nursing

Evidence of critical thinking includes basing care on patient needs, guiding interventions by outcomes, and following professional standards.

Documentation of Patient Wishes

A living will includes a patient’s wishes regarding mechanical ventilation.

Beneficence in Patient Care

Offering postoperative pain medication prior to ambulation exemplifies the principle of beneficence.

Mandatory Reporting of Elder Abuse

Nurses must legally report any suspicions of abuse, not just when involving children.

Institutional Resources for Procedure Review

Nurses should refer to the institutional policy and procedure manual for guidance on nursing practices.

Importance of Nursing Organization Membership

Joining nursing organizations helps LPN/LVN graduates stay updated on practical nursing issues.

Licensure and Delegation of Nursing Duties

After licensing, LPNs can perform skills as delegated by registered nurses and according to facility policies governed by the nursing practice act.

Definition of Standard of Care Violations

Failing to administer medications accurately represents a failure to meet the standard of care.

Maslow's Hierarchy of Needs and Confidence

High confidence levels for nursing graduates relate to the esteem level in Maslow's hierarchy.

Critical Thinking in Medication Prescriptions

Questioning prescriptions based on a patient's age is an application of the principle of nonmaleficence.

Advanced Thinking Definition

Critical thinking involves advanced thought processes aimed at improving and solving issues.

Ethical Principle of Nonmaleficence

The ethical principle "first do no harm" corresponds to nonmaleficence.

American Nurses Association and Ethical Standards

The American Nurses Association developed the nine provisions of the Nursing Code of Ethics to set the standard of care.

Multi-State Nursing Licensure

Nurses licensed in their home state can access multi-state licensure websites for practice in other states.

Identifying Nurse Patient Abandonment

Leaving duty without report constitutes abandonment in patient care.

Organ Donation Responsibilities

Ensuring fairness across patients awaiting transplants exemplifies the principle of justice in healthcare.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge on key principles of nursing ethics, including HIPAA violations, patient understanding of advance directives, and accountability in practice. This quiz covers essential concepts that every nursing professional should be familiar with to ensure quality patient care.