Nursing Practice Laws and Ethics Quiz

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Questions and Answers

Which of the following laws is NOT a federal law guiding nursing practice?

Emergency Medical Treatment and Active Labor Act (EMTALA)

Health Information Technology for Economic and Clinical Health (HITECH)

Health Insurance Portability and Accountability Act (HIPAA)

Good Samaritan laws (correct)

What is the primary purpose of Nurse Practice Acts?

To regulate the use of electronic health records

To define the scope of practice for nurses in a state (correct)

To provide insurance for nurses who make medical errors

To ensure all nurses have equal wages and benefits

Which of the following actions is typically performed by a state board of nursing?

Determining the funding allocation for medical research projects

Developing new medical technologies for use in hospitals

Creating national policies related to healthcare access

Approving nursing education programs within the state (correct)

The Patient Self-Determination Act (PSDA) is a federal law that primarily addresses which issue?

Ensuring patients' right to make decisions about their own healthcare (D) Signup and view all the answers

What is the legal term for a professional failing to act in a reasonable and prudent manner, potentially leading to harm?

Malpractice (C) Signup and view all the answers

Which of the following is NOT a characteristic of nursing practice as outlined in the content?

Nurses prioritize patient autonomy over all other considerations. (D) Signup and view all the answers

Which of the following is NOT a core competency of the Quality and Safety Education for Nurses (QSEN)?

Financial Management (D) Signup and view all the answers

Which professional organization is responsible for establishing and maintaining a universal standard of nursing education?

National League for Nursing (NLN) (C) Signup and view all the answers

Which of the following is NOT a characteristic of nursing as a profession?

Nursing involves performing tasks and providing a service in exchange for payment. (C) Signup and view all the answers

Which aspect of the nursing profession is characterized by the use of theory and practice to guide ethical care?

Nursing as a discipline (C) Signup and view all the answers

What is the primary focus of the Safe Effective Nursing Care (SENC) initiative?

Providing goal-directed patient care and achieving optimal outcomes (D) Signup and view all the answers

Which of the following is NOT a key component of the nursing profession as a discipline?

Developing and implementing policies for healthcare institutions (D) Signup and view all the answers

Which professional organization is responsible for advocating for the interests of registered nurses at the national level?

American Nurses Association (ANA) (C) Signup and view all the answers

Which of the following is considered a tertiary level of healthcare?

Long-term rehabilitation and end-of-life care (C) Signup and view all the answers

What is a major hazard associated with the home environment?

Poisoning (D) Signup and view all the answers

What is essential to check before administering any medication or performing a procedure?

The patient's allergies (B) Signup and view all the answers

Which of the following health professionals is NOT typically part of an interprofessional healthcare team?

Librarians (B) Signup and view all the answers

What response might indicate a serious allergic reaction?

Swelling of the throat and anaphylaxis (D) Signup and view all the answers

What type of hazards are present in the healthcare environment?

Equipment related accidents (A) Signup and view all the answers

Which of the following is an example of a 'Never Event' in healthcare?

Administering the wrong blood type (D) Signup and view all the answers

What is a primary cause of 'Never Events' in healthcare?

Inadequate staffing (B) Signup and view all the answers

Which part of the hand is primarily used for tactile discrimination during palpation?

Fingertips (A) Signup and view all the answers

In which order should the components of a head-to-toe assessment be performed?

Inspect, auscultate, palpate (C) Signup and view all the answers

Which of the following is a tool that enhances the inspection process?

Penlight (B) Signup and view all the answers

What is the main purpose of the FDA regarding medications?

To regulate and ensure the safety and effectiveness of medications (C) Signup and view all the answers

What characterizes controlled substances compared to uncontrolled substances?

Carry a risk for misuse and dependence (C) Signup and view all the answers

Which part of the body does the neurological component of the head-to-toe assessment focus on?

Brain and reflexes (D) Signup and view all the answers

What is the first step when conducting a focused assessment at the bedside?

Include heart, lungs, and abdomen assessment (B) Signup and view all the answers

Which method of auscultation involves listening without an instrument?

Direct auscultation (B) Signup and view all the answers

What is the primary focus of critical thinking in nursing?

To recognize and challenge assumptions (A) Signup and view all the answers

Which type of data is derived from what the patient reports during an assessment?

Primary data (D) Signup and view all the answers

What does NANDA-I define as a nursing diagnosis?

A clinical judgment about health responses (D) Signup and view all the answers

When planning care, goals should primarily be based on which of the following?

Nursing Diagnoses (B) Signup and view all the answers

Which of the following statements is true regarding collaborative problems in nursing?

They become medical diagnoses when actualized (A) Signup and view all the answers

In which way does informatics contribute to nursing practice?

It facilitates evidence-based decision making (D) Signup and view all the answers

Which of the following is NOT a variable that can affect the effectiveness of an intervention?

Patient demographic information (D) Signup and view all the answers

Why is involving the patient in setting goals important?

It improves compliance and motivation (D) Signup and view all the answers

What is an example of subjective data in a nursing assessment?

Patient reports feeling anxious (B) Signup and view all the answers

Which nursing diagnosis indicate a response to a physical health problem?

Impaired gas exchange (A) Signup and view all the answers

Which schedule of controlled substances includes drugs with no current medical use and a high abuse potential?

Schedule I (A) Signup and view all the answers

What is the primary objective of medication reconciliation?

To create a complete list of a patient's medications (B) Signup and view all the answers

Which factor does NOT affect the absorption of a drug?

Patient's cognitive ability (A) Signup and view all the answers

How does the blood-brain barrier affect drug distribution?

It restricts the passage of most substances into the brain. (C) Signup and view all the answers

Which of the following is most likely to lead to toxic drug levels during metabolism?

Poor liver function (C) Signup and view all the answers

What is the correct order of the steps in the medication reconciliation process?

Generate lists, develop treatment plan, compare lists, make decisions, communicate changes (D) Signup and view all the answers

Which parenteral route allows for instant absorption of medications?

Intravenous (C) Signup and view all the answers

Which component of pharmacokinetics describes the chemical conversion of a drug into an inactive form?

Metabolism (C) Signup and view all the answers

Which of the following represents the 'Six Rights of Med Administration'?

Right drug, right patient, right time, right route, right documentation, right reason (D) Signup and view all the answers

Study Notes

Nursing Practice Characteristics

Nursing practice is individualized
Nurses coordinate care through partnerships
Caring is key to registered nurse practice
Registered nurses use the nursing process for care
A strong link exists between the work environment and the nurse's ability to provide care effectively

SENC (Safe Effective Nursing Care)

Patient care is goal-directed
Collaboration with interprofessional teams is provided
Evidence-based practice is validated and incorporated
Safe and quality client care is provided
Technological advances are embraced

Nursing as a Profession, Discipline, and Occupation

Nursing knowledge is based on technical and scientific knowledge
Peer evaluation is essential for competency
Service orientation is a key element
A code of ethics is necessary
Nursing is a scientifically based and self-governed profession
Theoretical knowledge and clinical mastery are needed
Nursing provides a service in exchange for payment

Professional Organizations

ANA (American Nursing Association): National professional organization
NLN (National League for Nursing): Establishes and maintains national standards for nursing education
ICN (International Council of Nurses): A federation of national nursing organizations

Quality and Safety Education for Nurses (QSEN)

Formed by nursing leaders in 2005 to improve the quality of nursing education
Six competencies
- Patient-centered care
- Teamwork and collaboration
- Evidence-based practice
- Quality improvement
- Safety
- Informatics

Federal Laws Guiding Nursing Practice

Bill of Rights
HIPAA (Health Insurance Portability and Accountability Act)
Emergency Medical Treatment and Active Labor Act
HITECH (Health Information Technology for Economic and Clinical Health)
Patient Self-Determination Act (PSDA)
Americans with Disabilities Act (ADA)

State Laws Guiding Nursing Practice

Mandatory reporting laws (e.g., TB, Meningitis, Hep B)
Communicable diseases
Abuse
Good Samaritan laws
Nurse practice acts
- Govern nursing practice
- Protect public health, safety, and welfare
- Define credentialing, licensing, and discipline
State boards of nursing approve programs

Malpractice and Torts

Malpractice involves failing to act reasonably
- Four elements must be proven: duty, breach, causation, damages
Quasi-intentional torts
- Defamation of character (slander, libel)
Intentional torts
- Assault, battery, false imprisonment, invasion of privacy, fraud

Healthcare Delivery System

Acute care: Goal is to prevent deterioration and restore health (trauma, urgent care, short-term, prehospital)
Long-term support: Nonhospital settings (extended care, ambulatory centers, home health)

Interprofessional Healthcare Team

Physicians (MDs or DOs)
Advanced practice nurses (APNs)/nurse practitioners (NPs)
Physician assistants (PAs)
Registered nurses (RNs)/licensed practical nurses (LPNs)
Unlicensed assistive personnel (UAPs)
Pharmacists
Therapists (e.g., respiratory, physical)
Technologists (e.g., radiology, lab)

Patient Safety

Hospital goals (Joint Commission): identification of patients, safe use of medications and alarms, infection prevention, safety risks, equity improvements, prevent surgery mistakes
Developmental level, lifestyles, cognitive/sensory issues, communication, mobility are factors affecting patient safety
Hazards in patient environments (home, community, healthcare)

Infection Control

Stages of infection: incubation, prodromal, illness, decline, convalescence
Lines of defense (primary, secondary, tertiary)
Microorganisms that cause disease, sources, modes of transmission, susceptible hosts
Standard precautions and special situations
Six Links in the Spread of Infection (infectious agent, reservoir, portal of exit, means of transmission, portal of entry, susceptible host)
- Factors influencing infection transmission

Vital Signs

Temperature, pulse, respiration
Factors influencing vital sign readings

Variations in Assessment Findings

Hemoglobin, rate, depth of respiration, blood pressure
Factors influencing blood pressure readings

Physical Assessment

Establishing baseline data
Identifying nursing diagnoses, collaborative problems, or wellness diagnoses
Monitoring the status of an identified problem
Screening for health problems
Promoting client comfort (verbal, nonverbal communication, rapport, cultural differences, proper positioning)
Three major assessment skills (inspection, auscultation, palpation)

Pharmacological Considerations

Pharmacokinetics (absorption, distribution, metabolism, excretion)
Pharmacodynamics (drug impacts on the body)

Medication Administration

Six rights of medication administration
Medication reconciliation process
Parenteral medication categories (intradermal, subcutaneous, intramuscular, intravenous)

Charting

Problem-focused charting, SOAP, DAR, PIE
Charting guidelines (accurate, valid, complete, authenticated, time-stamped, legible)
Avoiding vague descriptions, using correct spelling, grammar, only approved abbreviations

Nursing Process

Assessment (collecting data)
Nursing diagnoses
Planning
Implementation (performing interventions)
Evaluation

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Description

Test your knowledge of the laws and ethical standards guiding nursing practice with this quiz. You'll explore the Nurse Practice Acts, core competencies for nurses, and the role of professional organizations. Perfect for nursing students and professionals looking to refresh their understanding of nursing regulations.