Nursing Law and Ethics

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Questions and Answers

A new graduate nurse is unsure whether inserting a central line is within their legal scope of practice. What is the most appropriate action for the nurse to take?

  • Proceed with the procedure under the assumption that it is covered by their nursing license.
  • Decline to perform the procedure without further investigation, potentially delaying patient care.
  • Ask a more experienced nurse for informal training and then perform the procedure.
  • Consult the state's Nurse Practice Act to confirm whether the procedure is within their scope of practice. (correct)

A patient is scheduled for surgery. Which nursing action best exemplifies the principle of informed consent?

  • Informing the patient that the surgery is necessary and scheduling it without delay.
  • Ensuring the patient understands the risks, benefits, and alternatives to the surgery before signing the consent form. (correct)
  • Obtaining the patient's signature on the consent form after the surgeon explains the procedure.
  • Assuring the patient that the surgery is routine and there is nothing to worry about.

A nurse administers the wrong medication dosage to a patient, resulting in harm. Under what legal concept could the nurse be held liable?

  • False Imprisonment
  • Battery
  • Assault
  • Negligence (correct)

A nurse posts a picture of a patient's interesting X-ray on social media without the patient's consent, but does not include the patient's name. Which law or act has the nurse violated?

<p>HIPAA (A)</p> Signup and view all the answers

A patient with limited financial resources requires a specific medication that is costly. The nurse ensures that the patient receives the medication, regardless of their ability to pay immediately. Which ethical principle is the nurse demonstrating?

<p>Justice (C)</p> Signup and view all the answers

A nurse provides emergency care to an accident victim at the scene of the accident, before emergency services arrive. Under what conditions would the Good Samaritan Law NOT protect the nurse?

<p>The nurse received compensation for providing care. (B)</p> Signup and view all the answers

A patient refuses to take their medication, and the nurse says, 'If you don't take this pill, I'm going to give you an injection whether you like it or not.' Which legal tort is the nurse committing?

<p>Assault (D)</p> Signup and view all the answers

Which document provides guidance to nurses in ethical decision-making and professional conduct?

<p>Code of Ethics for Nurses (D)</p> Signup and view all the answers

A patient who is alert and oriented refuses a blood transfusion due to religious beliefs. Which ethical principle should guide the nurse's actions?

<p>Autonomy (D)</p> Signup and view all the answers

A nurse suspects that a colleague is diverting narcotics for personal use. What is the most appropriate initial action for the nurse?

<p>Report the suspicion to the appropriate nursing supervisor or authority. (C)</p> Signup and view all the answers

Flashcards

Nurse Practice Act

Legal scope of nursing practice, varying by state.

Informed Consent

Ensuring patients understand procedures, risks, and alternatives before treatment.

Negligence

Failure to provide the standard of care, resulting in harm.

HIPAA

Protects patient privacy by controlling health information sharing.

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Justice

Providing fair and equal treatment to all patients.

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Good Samaritan Laws

Protects unpaid emergency care providers; accepting payment may void protection.

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Assault

Threatening unauthorized touch or harm.

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Code of Ethics for Nurses

Ethical guidelines for nursing practice and decision-making.

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Scope of Practice

Procedures, actions, and processes nurses are legally allowed to perform.

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False Imprisonment

Restricting a patient's freedom without authorization.

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Study Notes

  • Each state's Nurse Practice Act defines what a nurse is legally allowed to do, ensuring they stay within their skills and follow standards.
  • Informed consent is when patients know all about a procedure, including risks, benefits, and other options, before they agree to it.
  • Negligence is when a nurse doesn't give the expected level of care, which leads to a patient being harmed.
  • HIPAA is a law that protects patient privacy by controlling how personal health information is shared.
  • Justice means giving all patients fair and equal treatment.
  • Good Samaritan Laws protect people who give emergency care for free, but if they get paid, they might not be protected.
  • Assault is threatening to touch or hurt someone without their permission.
  • The Code of Ethics for Nurses gives nurses a guide for making ethical decisions and acting ethically.
  • Scope of practice includes the things a nurse is legally allowed to do.
  • Autonomy is respecting a patient's right to make their own choices about their health care.
  • Upholding autonomy includes honoring the patient's refusal of a blood transfusion based on religious beliefs
  • False imprisonment can occur if a nurse uses restraints on a patient without the right permission or a good reason, as it limits the patient's freedom without consent or a real medical need.
  • Sharing patient information or pictures without permission breaks confidentiality, even if you don't say who the patient is.
  • Nonmaleficence means "do no harm."
  • Refusing to help someone commit suicide is an example of nonmaleficence, as it avoids actions that intentionally cause harm.
  • Reporting the suspicion of a colleague ensures that appropriate measures are taken to protect patients and address the colleague's behavior.
  • Nurses must make sure that anyone they delegate tasks to is capable and allowed to do those tasks.
  • A nurse is responsible if they delegate a task to someone who isn't qualified, and that causes harm.

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