Practical Nursing Leadership Quiz

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following are NOT synonymous terms?

  • Nurse and health care provider
  • Leadership and management (correct)
  • Leader and inspirer
  • Manager and supervisor

What is a primary responsibility of a leader?

  • Directing routine tasks and procedures
  • Ensuring compliance with established protocols
  • Maintaining operational efficiency
  • Establishing a vision and guiding its implementation (correct)

What is a key characteristic of a good leader that promotes worker satisfaction?

  • Strict adherence to established policies and procedures
  • Prioritizing individual performance over team cohesion
  • Strong disciplinary actions for any deviations
  • Respecting individual dignity, autonomy, and self-esteem (correct)

Which of the following is NOT mentioned as a key characteristic of a practical nurse leader?

<p>Maintaining efficient documentation systems (B)</p> Signup and view all the answers

What is a primary reason why practical nurses need to be knowledgeable in leadership and management concepts?

<p>To effectively contribute to safe patient outcomes in a changing healthcare system (B)</p> Signup and view all the answers

Which of the following is NOT considered an essential characteristic of a practical nurse leader?

<p>Prioritizing individual performance over team collaboration (B)</p> Signup and view all the answers

What is a key factor that drives the need for leadership and management skills in practical nursing?

<p>The continually evolving healthcare environment and changing patient needs (A)</p> Signup and view all the answers

What is the primary reason why nurses prefer to be led rather than managed?

<p>They believe leadership promotes a more supportive and motivating work environment (D)</p> Signup and view all the answers

Which of the following tasks would be considered outside of the scope of practice for a UAP?

<p>Assessing for symptoms of a urinary tract infection (UTI) (C)</p> Signup and view all the answers

Which of the following examples demonstrates a violation of the 'Five Rights of Delegation'?

<p>A PN delegates the task of administering medications to a UAP, who has not been trained in medication administration. (B)</p> Signup and view all the answers

Which of the following is NOT a component of negligence?

<p>Performing an act that a reasonable and prudent person would perform (A)</p> Signup and view all the answers

What is the fundamental difference between negligence and malpractice?

<p>Negligence is a general legal term, while malpractice is a specific legal term only applicable to healthcare professionals. (A)</p> Signup and view all the answers

What is the essential legal principle that governs a nurse's duty to care for a patient?

<p>Justice: the principle of fairness and equity. (D)</p> Signup and view all the answers

Which aspect of the nursing process is primarily associated with the PN's responsibility in delegating tasks?

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

Which of the following is NOT considered an essential aspect of maintaining a safe and effective work environment?

<p>Addressing ethical dilemmas involving client care. (B)</p> Signup and view all the answers

Which of these actions would be considered 'incivility' within a nursing work environment?

<p>A nurse intentionally spreading false information about a colleague's competence. (D)</p> Signup and view all the answers

Which of the following situations would be considered a 'breach of duty' in nursing practice?

<p>A nurse fails to assess a patient's vital signs at the prescribed intervals. (B)</p> Signup and view all the answers

Select the two elements that must be proven to establish 'malpractice' against a nurse.

<p>Breach of Duty: Failure to maintain the nursing standard. (B), Injury/Damages: Actual injury or damage to the client. (D)</p> Signup and view all the answers

Which of the following illustrates the concept of 'duty' in relation to nursing practice?

<p>A nurse identifying unsafe conditions in a patient's room and taking corrective action. (C)</p> Signup and view all the answers

Identify an example of a 'delegated activity' that falls within the implementation phase of the nursing process.

<p>Monitoring a patient's blood sugar levels after administering insulin. (D)</p> Signup and view all the answers

Which of the following scenarios would NOT be an appropriate delegation to a UAP?

<p>Teaching a patient about their new medication regimen. (B)</p> Signup and view all the answers

What is the primary purpose of the 'Five Rights of Delegation'?

<p>To ensure that the delegation process is done in a safe and legally sound manner. (C)</p> Signup and view all the answers

Why is accurate and up-to-date documentation of patient care crucial for PNs?

<p>All of the above. (D)</p> Signup and view all the answers

Which of the following statements is TRUE regarding the PN's role in maintaining a safe practice environment?

<p>PNs should always prioritize patient safety over efficiency. (D)</p> Signup and view all the answers

Which potential condition is most likely associated with suspicion of child abuse?

<p>Suspect child abuse (C)</p> Signup and view all the answers

What are two actions a nurse should take to address the situation effectively?

<p>Obtain MRI for suspected head injury and report suspicion of child abuse (B)</p> Signup and view all the answers

Which parameters should be monitored to assess the client’s progress?

<p>Check input and output and observe interaction between mom and child (C)</p> Signup and view all the answers

Which action could indicate a potential safety issue while caring for the child?

<p>Restrain the child for safety (B)</p> Signup and view all the answers

What is a crucial reason to monitor the child's oximeter readings?

<p>Assess for cardiac distress (A)</p> Signup and view all the answers

What should a nurse do if they question a health care provider's prescription due to concerns about the dosage?

<p>Inform the health care provider and record the information. (D)</p> Signup and view all the answers

Under which condition can a nurse apply physical restraints to a patient?

<p>In an emergency situation to protect the client from harm. (A)</p> Signup and view all the answers

Which action is NOT required when a nurse restrains a client?

<p>Allow the client to remain in restraints indefinitely until calm. (D)</p> Signup and view all the answers

What must a nurse do if they lack the necessary education or experience to carry out a prescribed task?

<p>Inform the provider and refuse to carry out the task. (A)</p> Signup and view all the answers

What is a key principle that must be followed regarding the alteration of drug dosages by nurses?

<p>Nurses must first consult the health care provider before altering dosages. (A)</p> Signup and view all the answers

What does HIPAA primarily protect regarding patient information?

<p>Patient privacy and data confidentiality. (C)</p> Signup and view all the answers

What is required for a health care provider to disclose a patient's health information under HIPAA regulations?

<p>Written approval from the patient. (B)</p> Signup and view all the answers

Which of the following is a responsibility of a nurse when using restraints?

<p>To notify the health care provider post restraint application. (D)</p> Signup and view all the answers

What is a crucial aspect of documenting restraints according to nursing responsibilities?

<p>Document the reason for restraint and removal times. (B)</p> Signup and view all the answers

Which of the following constitutes negligence in nursing practice?

<p>Failing to document medication administration correctly. (A)</p> Signup and view all the answers

What should a nurse do if they suspect that a health care provider has prescribed too many tranquilizers?

<p>Record that they questioned the prescription and notify the supervisor. (C)</p> Signup and view all the answers

What is considered a basic human right that relates to the use of restraints in healthcare?

<p>The right to be free from unlawful restraint. (C)</p> Signup and view all the answers

What must patients be allowed to do according to HIPAA regulations regarding their medical records?

<p>Request changes to inaccuracies in their medical records. (B)</p> Signup and view all the answers

Which of the following is NOT one of the four elements necessary to prove malpractice?

<p>Good faith effort by the healthcare provider (D)</p> Signup and view all the answers

Which of the following best defines an intentional tort?

<p>Deliberate act causing harm to another (D)</p> Signup and view all the answers

What distinguishes voluntary admission from involuntary admission?

<p>Voluntary admission is made by the individual themselves (C)</p> Signup and view all the answers

Which activity cannot be performed by a person declared incompetent?

<p>Signing legal documents (D)</p> Signup and view all the answers

Which of the following is a legal requirement for a surgical permit?

<p>Description of the procedure (D)</p> Signup and view all the answers

Who is generally able to give consent for medical treatment?

<p>Only the patient themselves (A), An appointed legal guardian (B)</p> Signup and view all the answers

What law offers protection to nurses providing care in emergencies?

<p>Good Samaritan law (C)</p> Signup and view all the answers

What action should a nurse take if they doubt the correctness of a healthcare provider’s prescription?

<p>Discuss the concerns with the provider (A)</p> Signup and view all the answers

Which of the following describes a key aspect of caring for a restrained client?

<p>Providing frequent opportunities for independence (D)</p> Signup and view all the answers

Which of the following best defines malpractice in nursing?

<p>Failing to provide the standard of care resulting in injury. (A)</p> Signup and view all the answers

Which of the following is NOT a patient right guaranteed under HIPAA regulations?

<p>Right to receive medical treatment of their choice (A)</p> Signup and view all the answers

In which circumstance does battery occur?

<p>A patient is given medication against their will. (A), A doctor performs a procedure without consent. (D)</p> Signup and view all the answers

What is considered a breach of privacy in nursing?

<p>Sharing patient information with family members. (C), Discussing a patient’s case with colleagues. (D)</p> Signup and view all the answers

What is the primary goal of the triage process in emergency settings?

<p>To determine the order of treatment based on severity (D)</p> Signup and view all the answers

In which stage of disaster management does training rescue workers in basic first aid fall?

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

Which of the following actions could be considered fraud in nursing?

<p>Providing false information on a job application. (D)</p> Signup and view all the answers

Which example illustrates the concept of negligence rather than malpractice?

<p>Forgetting to turn off a heating pad on a patient. (C)</p> Signup and view all the answers

What is meant by tertiary prevention in disaster management?

<p>Ongoing support and rehabilitation after a disaster (D)</p> Signup and view all the answers

What action is part of the shelter supervision role during a disaster?

<p>Promoting effective group interactions among victims (C)</p> Signup and view all the answers

What is the primary purpose of involuntary admission in psychiatric nursing?

<p>To ensure safety when a patient is a danger to themselves or others. (B)</p> Signup and view all the answers

Which statement is true regarding false imprisonment in a healthcare setting?

<p>Restricting movement of a patient without proper authorization is false imprisonment. (C)</p> Signup and view all the answers

What is the primary focus when triaging patients during a disaster?

<p>Sorting patients based on potential for survival (D)</p> Signup and view all the answers

What legal responsibility does a nurse have regarding suspected child abuse?

<p>To report the suspicion to the authorities. (D)</p> Signup and view all the answers

Which of the following represents a criminal act by a nurse?

<p>Administering narcotics without a prescription. (C)</p> Signup and view all the answers

Which example best represents intentional tort in nursing?

<p>Threatening to withhold medication from a patient. (A)</p> Signup and view all the answers

Which of the following demonstrates the principle of causation in malpractice?

<p>A nurse provides incorrect patient education which results in complications. (C), A doctor misdiagnoses a condition that leads to a worse outcome. (D)</p> Signup and view all the answers

Which scenario best illustrates invasion of privacy?

<p>Accessing a patient’s records without consent. (B)</p> Signup and view all the answers

What does it imply if a nurse performs a procedure without patient consent?

<p>Battery. (B)</p> Signup and view all the answers

What is a key difference between nursing negligence and nursing malpractice?

<p>Negligence is unintentional, while malpractice results from a breach of duty. (B)</p> Signup and view all the answers

What is the primary purpose of a writ of habeas corpus?

<p>To challenge the legality of an individual's detention. (A)</p> Signup and view all the answers

Which of the following is NOT a legal right typically granted to hospitalized clients?

<p>The right to refuse all medication. (D)</p> Signup and view all the answers

What legal status is assigned to a person declared incompetent?

<p>They are treated as minors. (C)</p> Signup and view all the answers

Which of the following actions is NOT a typical consequence of being declared incompetent?

<p>Inability to consent to medical treatment. (A)</p> Signup and view all the answers

What is meant by the legal term 'insanity'?

<p>A legal defense used to excuse criminal behavior. (C)</p> Signup and view all the answers

Which of the following is NOT a criterion for a person to be deemed unfit to stand trial?

<p>Inability to communicate effectively with their lawyer. (B)</p> Signup and view all the answers

According to The Joint Commission guidelines, what minimum number of patient identifiers should be used to ensure patient safety?

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

Which of the following is NOT an acceptable form of patient identification?

<p>Patient room number. (D)</p> Signup and view all the answers

What is the legal requirement for a surgical permit?

<p>It must be obtained in writing and voluntarily. (D)</p> Signup and view all the answers

Who is typically responsible for explaining the details of a surgical procedure, potential risks, and benefits to a client?

<p>The primary health care provider. (C)</p> Signup and view all the answers

Who may legally grant permission for a surgical procedure on a minor child or an incapacitated adult?

<p>A legally responsible parent or guardian. (B)</p> Signup and view all the answers

What is the legal requirement for obtaining consent for medical treatment?

<p>Verbal consent is sufficient if documented. (D)</p> Signup and view all the answers

Who can legally provide informed consent for medical treatment?

<p>A person in loco parentis for minors or incompetent adults. (B)</p> Signup and view all the answers

Which of the following scenarios is NOT an example of a situation where the Good Samaritan Act might apply?

<p>A nurse providing care to a patient at their regular place of employment. (D)</p> Signup and view all the answers

What is the legal requirement for a nurse to administer a medication?

<p>The medication must be ordered by a licensed health care provider. (B)</p> Signup and view all the answers

Which of the following is the most appropriate action for a nurse to take if they receive a verbal telephone prescription?

<p>Follow agency policy and procedures regarding verbal orders. (C)</p> Signup and view all the answers

Which of the following is NOT a symptom of Ebola?

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

Which of the following is NOT a risk factor for contracting Ebola?

<p>Contact with a person who has recovered from Ebola (D)</p> Signup and view all the answers

What is the incubation period for Ebola?

<p>Up to 21 days (C)</p> Signup and view all the answers

Which of the following is NOT a recommended practice for healthcare providers caring for a patient suspected of having Ebola?

<p>Performing aerosol-generating procedures without respiratory protection (B)</p> Signup and view all the answers

What is the most common way that COVID-19 is spread?

<p>Through the air in droplets produced when an infected person coughs or sneezes (D)</p> Signup and view all the answers

Which of the following is NOT a symptom of COVID-19?

<p>Swollen lymph nodes (A)</p> Signup and view all the answers

What is the recommended duration of isolation and precautions for people who have recovered from COVID-19 but are still testing positive for SARS-CoV-2 RNA?

<p>10 days (B)</p> Signup and view all the answers

Which of the following is a recommended intervention for a patient suspected of having Ebola?

<p>Placing the patient in strict isolation (A)</p> Signup and view all the answers

Which of the following is a key element of disaster management?

<p>Planning and preparing for potential disasters (A)</p> Signup and view all the answers

What is the purpose of triage in disaster management?

<p>To determine the severity of injuries and allocate resources accordingly (A)</p> Signup and view all the answers

Which of the following is NOT a bioterrorism agent?

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

What is the most appropriate action for the nurse to take when assessing the young child described in the nurse's notes?

<p>Continue to assess the child's respiratory status and observe for any other concerning signs. (D)</p> Signup and view all the answers

Which of the following is the most important piece of information for the nurse to gather from Mrs. Lenard?

<p>What the child ingested while playing. (B)</p> Signup and view all the answers

What is the most appropriate nursing action to take after assessing the child?

<p>Contact the child's pediatrician for further instructions. (B)</p> Signup and view all the answers

Which of the following is a possible reason for the child's change in behavior?

<p>The child is feeling anxious and unsure of his surroundings. (A)</p> Signup and view all the answers

What is the primary concern for the nurse in this scenario?

<p>Ensuring the child's safety and providing appropriate care for him. (B)</p> Signup and view all the answers

What is the primary legal document that outlines the scope of practice for a Practical Nurse (PN)?

<p>The State Nurse Practice Act (C)</p> Signup and view all the answers

Which of the following is NOT a key component of delegation according to the text?

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

Which of the following individuals would be MOST appropriate for a PN to delegate a task to for a stable patient?

<p>A certified nursing assistant (CNA) (D)</p> Signup and view all the answers

What is the primary concern regarding delegating tasks to Unlicensed Assistive Personnel (UAP)?

<p>UAPs may not be authorized to perform certain procedures by state law. (D)</p> Signup and view all the answers

What is the most significant outcome of effective delegation by a PN?

<p>Increased efficiency of the healthcare team. (B)</p> Signup and view all the answers

Which of the following BEST describes the role of the PN in delegation?

<p>The PN is responsible for ensuring the delegatee is competent and qualified to perform the task. (A)</p> Signup and view all the answers

Which of the following is NOT considered a “right” of delegation according to the National Council of State Boards of Nursing (NCSBN)?

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

Which of the following is a sign that a task should NOT be delegated by a PN?

<p>The task requires complex assessment and critical decision-making. (B)</p> Signup and view all the answers

What is the MAIN reason for ensuring all five rights of delegation are followed?

<p>To ensure optimal patient safety and quality of care. (A)</p> Signup and view all the answers

Which of the following is the BEST description of “accountability” in delegation?

<p>The nurse’s responsibility for the outcome of a delegated task. (C)</p> Signup and view all the answers

A PN is asked by the RN to delegate the task of collecting vital signs for a stable patient. The PN should consider which of the following FIRST?

<p>The qualifications and competency of the delegatee. (B)</p> Signup and view all the answers

Which of the following is an example of a task that might be delegated by a PN to a UAP?

<p>Assisting a patient with ambulation (B)</p> Signup and view all the answers

Which of the following is MOST important when providing directions and communication about a delegated task?

<p>Being clear and concise about expectations and limits. (D)</p> Signup and view all the answers

What is the primary purpose of the “Right Supervision” component of delegation?

<p>To monitor the patient’s response to the delegated task. (B)</p> Signup and view all the answers

Which of the following represents a key characteristic of a nurse manager who is effective at delegation?

<p>A nurse manager who focuses on developing the competencies of their staff. (C)</p> Signup and view all the answers

Why is it essential for practical nurses to have a solid understanding of the “five rights of delegation”?

<p>To promote patient safety and quality of care. (B)</p> Signup and view all the answers

What is a key responsibility of a Registered Nurse (RN) manager in a health care facility, as outlined in the provided text?

<p>Supervising Practical Nurses (PNs) and ensuring they work within the scope of their practice (A)</p> Signup and view all the answers

Which of the following actions is NOT a core responsibility of a Registered Nurse (RN)?

<p>Creating and implementing a nursing plan of care without input from the patient (A)</p> Signup and view all the answers

What is a key difference between the roles of a Practical Nurse (PN) and a Registered Nurse (RN) in terms of patient assessment?

<p>RNs are able to perform initial assessments, while PNs can only participate in the planning of nursing care needs (C)</p> Signup and view all the answers

Based on the text, which of the following statements accurately describes the delegation of tasks from an RN to a PN?

<p>Delegation should be based on state laws, standards of practice, and ethical considerations. (B)</p> Signup and view all the answers

Which of the following actions demonstrates a proactive step by an RN to prevent a hostile work environment?

<p>Reporting incidents of incivility to the charge nurse or supervisor. (C)</p> Signup and view all the answers

How do Practical Nurses (PNs) contribute to the coordination of care for their assigned patients?

<p>PNs collaborate with patients and the healthcare team to provide direct care and manage resources. (A)</p> Signup and view all the answers

What is an indication that a Registered Nurse (RN) is demonstrating critical thinking in their practice?

<p>Analyzing clinical data and current literature to inform nursing decisions. (A)</p> Signup and view all the answers

In the context of the text, what is the most important factor for Jamie, the new graduate PN, to consider when working on the medical surgical unit?

<p>Advocating for safe patient care, even if it means speaking up to senior staff. (C)</p> Signup and view all the answers

What is the primary purpose of the Nurse Practice Act in defining the roles of PNs and RNs?

<p>To ensure that nurses are properly trained and competent in their respective roles. (C)</p> Signup and view all the answers

What is the significance of Jamie discussing the short-staffing issue with the charge nurse on duty?

<p>It allows for early intervention and potential solutions to prevent adverse patient outcomes. (D)</p> Signup and view all the answers

What principle of nursing practice does the text highlight as being important for both PNs and RNs?

<p>Using a problem-solving approach to make decisions about patient care. (B)</p> Signup and view all the answers

What is a potential consequence of a PN exceeding the scope of their practice?

<p>The PN may face disciplinary action from the Board of Nursing. (A)</p> Signup and view all the answers

What is a crucial aspect of professional nursing practice that is emphasized in the text?

<p>Advocating for the rights and interests of patients and their families. (A)</p> Signup and view all the answers

Jamie, the new graduate PN, is facing a challenging situation with the increased patient load. What might be a potential solution for addressing this issue?

<p>Jamie should proactively seek guidance from experienced nurses to ensure safe patient care. (B)</p> Signup and view all the answers

What is the primary role of a manager in the context of a health care facility?

<p>To develop strategies and initiatives to improve the quality of patient care. (C)</p> Signup and view all the answers

What is a key implication of the text regarding the relationship between PNs and RNs?

<p>PNs and RNs each have distinct roles but work collaboratively to achieve positive patient outcomes. (B)</p> Signup and view all the answers

Flashcards

Leadership

The ability to guide and motivate others towards shared goals. Leaders inspire, empower, and create a vision for the future.

Management

The process of overseeing and directing the operations of a unit or organization. Managers focus on efficiency, organization, and achieving goals.

Characteristics of a Practical Nurse Leader

A leader embodies characteristics like respect for individuals, open communication, conflict resolution, and promoting a positive work environment.

Leadership Impact in Nursing

A leader's influence extends beyond direct reports. They inspire and empower others to strive for excellence in patient care.

Signup and view all the flashcards

Maintaining a Safe Work Environment

Ensuring a safe and effective work environment involves minimizing risks, promoting patient safety, and adhering to legal and ethical guidelines.

Signup and view all the flashcards

Legal and Ethical Issues

Practical nurses must be knowledgeable about legal and ethical principles, including informed consent, patient confidentiality, and reporting obligations.

Signup and view all the flashcards

Disaster Nursing and Crisis Intervention

This involves understanding the role of the PN in disaster response, crisis intervention, and providing care during emergencies.

Signup and view all the flashcards

Improving Patient Care Through Leadership

Practical nurses should embrace opportunities to enhance their leadership and management skills to better serve their patients and colleagues.

Signup and view all the flashcards

Delegation (PN)

A process where the RN gives a PN specific tasks to perform within the PN's scope of practice, ensuring safe and high-quality patient care.

Signup and view all the flashcards

Provider of Care (PN)

The PN's role in providing direct patient care, based on their education, skillset, and state's nurse practice act.

Signup and view all the flashcards

Coordinator of Care (RN)

The RN's role in coordinating patient care, including care assignment, supervision, and delegation to licensed and unlicensed staff.

Signup and view all the flashcards

Coordinator of Care (PN)

The PN's role in organizing resources and tasks to provide patient care.

Signup and view all the flashcards

Provider of Care (RN)

The RN's role in collecting comprehensive patient information, assessing needs, and developing a care plan.

Signup and view all the flashcards

Nurse Manager

A healthcare professional responsible for achieving organizational goals, ensuring safe and effective patient care.

Signup and view all the flashcards

Accountability (PN)

Demonstrating responsibility and accountability for one's nursing actions.

Signup and view all the flashcards

Hostile Work Environment

Promoting a safe and respectful work environment, free from hostility and incivility.

Signup and view all the flashcards

Mentoring (PN)

Sharing knowledge and skills with other healthcare professionals, encouraging teamwork and collaboration.

Signup and view all the flashcards

Patient Advocate (PN)

The PN's role in actively advocating for the health and well-being of patients.

Signup and view all the flashcards

State Nurse Practice Act (PN)

The legal document outlining the scope of practice for PNs in each state.

Signup and view all the flashcards

Professional Development (PN)

The PN's role in promoting and advancing the profession of vocational nursing.

Signup and view all the flashcards

Evidence-Based Problem Solving

An approach that involves using evidence, critical thinking, and problem-solving skills to make informed decisions in nursing practice.

Signup and view all the flashcards

Near Miss

A serious situation that could have potentially resulted in harm to a patient. It's important to learn from these events to prevent future occurrences.

Signup and view all the flashcards

Safe Work Environment

Involves prioritizing patient safety and addressing potential hazards in the workplace.

Signup and view all the flashcards

Delegation

Transferring responsibility for a task to another member of the healthcare team.

Signup and view all the flashcards

Responsibility

The obligation to complete a delegated task or assignment. It's about owning the responsibility.

Signup and view all the flashcards

Authority

The right to act or command the actions of others, especially when it comes to a delegated task.

Signup and view all the flashcards

Accountability

The willingness and ability to be accountable for actions and related outcomes, following Delegation's Five Rights.

Signup and view all the flashcards

Five Rights of Delegation

The five fundamental principles guiding delegation that ensure safe and effective task transfer. These include the right task, circumstance, person, direction/communication, and supervision.

Signup and view all the flashcards

Right Task

A task appropriate for delegation by a PN, considering the PN's scope of practice and legal guidelines.

Signup and view all the flashcards

Right Circumstance

The appropriateness of the delegation considering resources, setting, and patient needs.

Signup and view all the flashcards

Right Person

The delegated task is assigned to a person with the proper skills, training, and legal authorization.

Signup and view all the flashcards

Right Direction/Communication

Clear and concise communication of the delegation, including expectations, boundaries, and any needed information.

Signup and view all the flashcards

Right Supervision

Appropriate monitoring and oversight of the delegated task to ensure its safe and effective completion.

Signup and view all the flashcards

Individual Accountability

The nurse's ability to explain their actions and the outcomes of those actions based on established standards.

Signup and view all the flashcards

Delegation Process

The process of applying critical thinking to delegation, involving assessment, planning, assignment, supervision, and evaluation.

Signup and view all the flashcards

Critical Thinking in Delegation

Using logic and reasoning skills to consider various factors in delegation, like potential risks and outcomes.

Signup and view all the flashcards

Delegation to UAPs

Activities nurses can delegate to unlicensed assistive personnel (UAPs), like taking vital signs or helping with hygiene.

Signup and view all the flashcards

Nursing Process

Involves nurses assessing the patient's status, planning care, implementing nursing actions, and evaluating their effectiveness.

Signup and view all the flashcards

Non-Delegable Nursing Task

A nursing intervention that requires professional judgement and knowledge about patient care.

Signup and view all the flashcards

Nursing Process

A systematic problem-solving method used in nursing to promote critical thinking and make informed decisions.

Signup and view all the flashcards

Malpractice

A type of legal wrong that involves negligence by a professional, causing harm to a patient.

Signup and view all the flashcards

Duty of Care

The obligation of a nurse to provide care consistent with the accepted standards of practice.

Signup and view all the flashcards

Breach of Duty

The failure of a nurse to meet the standard of care, which causes injury to the patient.

Signup and view all the flashcards

Damages

Actions that cause harm or injury to a patient.

Signup and view all the flashcards

Incivility and Bullying

Actions that are taken or not taken that create a hostile or negative work environment.

Signup and view all the flashcards

Patient Safety

The ability of a nurse to recognize and respond to potential risks to patients.

Signup and view all the flashcards

Scope of Practice for PNs

The legal framework governing the actions of nurses.

Signup and view all the flashcards

Agency Policies and Procedures

A set of guidelines that outline appropriate actions for nurses in specific situations.

Signup and view all the flashcards

Assessment of Delegatee Competence

The practice of evaluating the competence and qualifications of others before delegating tasks.

Signup and view all the flashcards

Delegation Supervision

The responsibility of the PN to oversee, monitor, and evaluate the tasks delegated to others.

Signup and view all the flashcards

Causation - Malpractice

To prove malpractice, harm must have been caused by the nurse's actions or lack of actions, establishing a direct connection between the conduct and the resulting injury.

Signup and view all the flashcards

Assault

A mental or physical threat that doesn't involve actual touching. Forcing a patient to take medication they refuse, without any physical contact.

Signup and view all the flashcards

Battery

The intentional act of touching another person without their consent, with or without the intent to cause harm. Forcing a treatment on a competent adult who refuses.

Signup and view all the flashcards

Invasion of Privacy

Intruding upon another's personal space, including their body and personal information. This can be done by exposing a patient's body, discussing their case without consent, or revealing their identity.

Signup and view all the flashcards

False Imprisonment

The unlawful confinement of a person without proper authorization. Keeping a patient against their wishes.

Signup and view all the flashcards

Defamation

Divulging confidential information about a patient, such as through charts, conversations, or observations. Sharing private information.

Signup and view all the flashcards

Fraud

An illegal act involving willful and purposeful misrepresentation that causes harm to a person or property. This can include falsifying credentials or misrepresenting a treatment.

Signup and view all the flashcards

Crime

An act against the law punishable by the state. It involves intent and can be an action taken or an omission of a required action.

Signup and view all the flashcards

Civil Procedures - Mental Health

Procedures used to protect the rights of psychiatric patients. Includes voluntary and involuntary admission.

Signup and view all the flashcards

Voluntary Admission

The patient freely chooses to enter a mental health institution for treatment and maintains their civil rights.

Signup and view all the flashcards

Involuntary Admission

Someone other than the patient applies for their admission to a mental health institution. This requires certification from a healthcare provider that the person is a danger to self or others.

Signup and view all the flashcards

Emergency Admission

Any adult can apply for emergency detention of another, but medical or judicial approval is required to detain anyone beyond 24 hours.

Signup and view all the flashcards

Reporting Child Abuse

A nurse has a legal responsibility to report any suspected child abuse. Failure to report can have legal consequences.

Signup and view all the flashcards

Informed Consent

The legal principle that dictates a patient must be informed of the risks, benefits, and alternatives of a procedure before consenting to it. It ensures informed decision-making about medical treatment.

Signup and view all the flashcards

Patient Confidentiality

The legal and ethical principle that healthcare providers must keep patient information confidential, preventing unauthorized disclosure.

Signup and view all the flashcards

Chest X-ray

A type of physical exam used to diagnose potential medical conditions, often employed in emergency situations to quickly assess a patient's health.

Signup and view all the flashcards

Pediatric Safety Measures

A series of actions taken in a healthcare setting to ensure the safety and well-being of children, especially in situations where there is a suspicion of abuse.

Signup and view all the flashcards

Vital signs q.30 minute

Regular checks of a patient's vital signs, such as heart rate, temperature, and blood pressure, usually done at specific intervals.

Signup and view all the flashcards

Social Work

A specialized team of healthcare professionals trained to assess and address potential child abuse situations.

Signup and view all the flashcards

Separate Mom and Child

The potential separation of a mother and child in a healthcare setting, often a temporary measure implemented while an investigation into suspected child abuse unfolds.

Signup and view all the flashcards

Verbal Orders

A process that requires a read-back of critical values to ensure accurate communication and prevent errors.

Signup and view all the flashcards

Questioning a Prescription

When a nurse believes a prescribed medication is wrong, they must inform the healthcare provider, document the conversation, and notify their supervisor. If the provider refuses to change the order, the nurse should refuse to administer the medication.

Signup and view all the flashcards

Questioning Dosage

The nurse must notify the supervisor and document the situation, but cannot override the healthcare provider's judgment in prescribing medications.

Signup and view all the flashcards

Lack of Preparation

If a nurse is asked to perform a task for which they lack the necessary education or experience, they should inform the healthcare provider and refuse to carry out the task.

Signup and view all the flashcards

Altering Dosage

A nurse cannot alter a prescribed medication dosage without a healthcare provider's permission, even if they believe the dosage is too high or too low.

Signup and view all the flashcards

Restraint Use

Restraints can only be used in emergencies, for a limited time, and to protect the client from harm. Alternatives must be exhausted first.

Signup and view all the flashcards

Restraint Responsibilities

The nurse must notify the healthcare provider immediately when a client is restrained, document the facts and behavior leading to restraint, and apply restraints correctly.

Signup and view all the flashcards

Restraint Guidelines

Restraints should be used as a last resort, applied correctly, monitored closely, and removed as soon as possible. Nutrition, hydration, and stimulation should be provided frequently.

Signup and view all the flashcards

HIPAA

The Health Insurance Portability and Accountability Act (HIPAA) sets national standards for patient privacy.

Signup and view all the flashcards

HIPAA Applicability

HIPAA applies to healthcare providers, health plans, and health clearinghouses who handle personal health information, electronically, in writing, or verbally.

Signup and view all the flashcards

Patient Privacy Rights

Patients have the right to privacy, must give written consent for health information disclosure, have access to their medical records, and can request changes to inaccurate information.

Signup and view all the flashcards

HIPAA Violations

Healthcare providers who violate HIPAA regulations face civil and criminal liability.

Signup and view all the flashcards

Reasonableness in Negligence

The nurse should consider what a reasonable nurse would have done in the same situation.

Signup and view all the flashcards

Refusing Tasks

The nurse should refuse to carry out tasks for which they are not prepared educationally or lack the necessary experience.

Signup and view all the flashcards

Prioritizing Patient Safety

The nurse should always prioritize patient safety and use their judgment to determine if a task can be completed safely and effectively.

Signup and view all the flashcards

Intentional tort

A civil wrong that results in harm to another person and is committed intentionally.

Signup and view all the flashcards

Surgical permit

A legal document that gives permission for a medical procedure.

Signup and view all the flashcards

Good Samaritan Law

A legal protection for nurses who provide care in emergencies.

Signup and view all the flashcards

Triage

The process of sorting patients based on their injuries and the likelihood of survival.

Signup and view all the flashcards

Red tag

The most urgent category in triage, indicating life-threatening injuries.

Signup and view all the flashcards

Yellow tag

The second urgent category in triage, indicating injuries with systemic effects.

Signup and view all the flashcards

Green tag

The least urgent category in triage, indicating minimal injuries.

Signup and view all the flashcards

Black tag

The least urgent category in triage, indicating death or severe injuries with no hope of survival.

Signup and view all the flashcards

Ebola

A disease caused by a virus that can cause severe bleeding.

Signup and view all the flashcards

Clinical judgment

The ability to use critical thinking to assess a situation, make decisions, and act appropriately.

Signup and view all the flashcards

Disaster preparedness

The process of identifying and minimizing risks that could lead to a disaster.

Signup and view all the flashcards

Disaster response

The process of responding to a disaster and providing immediate care to those affected.

Signup and view all the flashcards

Disaster recovery

The process of recovering from a disaster and rebuilding what was lost.

Signup and view all the flashcards

Writ of Habeas Corpus

A legal process used to request a court to examine the legality of a person's detention. This writ can be filed when someone believes they are being held against their will without proper legal justification.

Signup and view all the flashcards

Competency Hearing

A legal hearing to determine a person's capacity to make responsible decisions about themselves, dependents, or property. If found incompetent, the court appoints a guardian to make these decisions for them.

Signup and view all the flashcards

Insanity

A legal term used to indicate that a person is not criminally responsible for their actions because they are mentally ill. It can be used as a defense strategy to justify an acquittal.

Signup and view all the flashcards

Inability to Stand Trial

A situation where an accused individual is deemed mentally unfit to stand trial. They may not understand the charges or participate in their defense.

Signup and view all the flashcards

Two Patient Identifiers

The Joint Commission's requirement to use at least two patient identifiers to prevent medical errors. This is crucial for ensuring accurate identification when administering medications, drawing blood, or providing other medical care.

Signup and view all the flashcards

Good Samaritan Act

A legal concept that protects health care providers from liability for negligence in emergency situations. This applies when a health care provider is aiding a person in need with reasonable and prudent care.

Signup and view all the flashcards

Prescriptions and Health Care Providers

A nurse's requirement to obtain a prescription or order from a health care provider before performing any medical procedure. Verbal telephone prescriptions generally are not accepted, and nurses must follow agency policies.

Signup and view all the flashcards

Emergency Care

A legal principle stating that healthcare providers can provide immediate treatment to unconscious patients without explicit consent when necessary to save life or limb. Emergency laws allow for these actions.

Signup and view all the flashcards

Verbal Consent Documentation

A note made in a client's medical record documenting why and how verbal consent was obtained. This is necessary when written consent is not possible.

Signup and view all the flashcards

Consent for Minors and Incompetents

Permission to operate on a minor or an incompetent adult must be obtained from a legally responsible parent or guardian. Legal guardians are appointed by the court if the adult is unable to make decisions themselves.

Signup and view all the flashcards

Durable Power of Attorney or Advance Health Directive

A legal document that designates a person to make medical decisions for someone who lacks capacity to do so themselves, often due to illness or unconsciousness.

Signup and view all the flashcards

Legal and Civil Rights of Hospitalized Clients

A method to ensure the legal and ethical rights of hospitalized clients are upheld. These rights include things like personal belongings, visitor access, privacy, and informed consent.

Signup and view all the flashcards

Consent (General Definition)

This applies when a client is fully informed about a particular medical procedure and voluntarily agrees to it. This is a cornerstone of patient autonomy and respect.

Signup and view all the flashcards

Ebola Virus Disease

A serious health condition caused by the Ebola virus, characterized by fever, headache, muscle pain, vomiting, diarrhea, and bleeding. Transmission occurs through direct contact with infected bodily fluids.

Signup and view all the flashcards

Incubation Period of Ebola

The period between exposure to the Ebola virus and the onset of symptoms, typically ranging from 2 to 21 days.

Signup and view all the flashcards

COVID-19

A disease caused by the SARS-CoV-2 virus, characterized by fever, cough, shortness of breath, and other respiratory symptoms. It is highly contagious and can be spread through droplets in the air.

Signup and view all the flashcards

Infection Control Measures

Measures taken to prevent or reduce the transmission of infectious diseases, including isolation, quarantine, and personal protective equipment (PPE).

Signup and view all the flashcards

Risk Management

A process that involves identifying potential hazards, assessing risks, and implementing control measures to prevent incidents or adverse events. It aims to create a safe environment for patients, staff, and visitors.

Signup and view all the flashcards

Emergency Response Plan

A plan to address a specific event or emergency, including the steps to be taken, roles and responsibilities, and resources required. It is essential for coordinating a quick and effective response to disaster situations.

Signup and view all the flashcards

Prevention of Infectious Diseases

The use of various strategies to reduce the spread of diseases, including hand hygiene, isolation, and vaccination. It aims to break the chain of transmission and protect individuals and communities.

Signup and view all the flashcards

Personal Protective Equipment (PPE)

A set of procedures used to protect healthcare providers from exposure to infectious agents during patient care, involving the use of protective clothing, masks, gloves, and other equipment.

Signup and view all the flashcards

Environmental Cleaning and Disinfection

The process of cleaning and disinfecting surfaces, equipment, and the environment to prevent the spread of microorganisms. It is a crucial element of infection control in healthcare settings.

Signup and view all the flashcards

Preparedness Phase of Disaster Management

The phase of disaster management that focuses on preparing for potential events, including developing plans, training personnel, and acquiring necessary resources. It aims to minimize the impact of a disaster and enhance preparedness.

Signup and view all the flashcards

Response Phase of Disaster Management

The phase of disaster management that focuses on responding to the immediate needs of those affected by a disaster, providing emergency medical care, shelter, and other essential services. It aims to mitigate the negative consequences of the event.

Signup and view all the flashcards

Recovery Phase of Disaster Management

The phase of disaster management that focuses on restoring normalcy after a disaster, rebuilding infrastructure, supporting communities, and addressing long-term health consequences. It aims to help individuals and communities recover and rebuild.

Signup and view all the flashcards

Bioterrorism

The use of biological agents as weapons, intending to harm or kill people. Examples include anthrax, botulism, and smallpox.

Signup and view all the flashcards

Delegation in Nursing

The process where a skilled person (the delegator) assigns specific tasks to another qualified person (the delegatee) within their scope of practice. The delegator retains accountability for the overall outcome.

Signup and view all the flashcards

Study Notes

Leadership and Management

  • Leadership and management are distinct: Managers maintain operations, while leaders set direction and motivate.
  • Leaders inspire through respect for dignity, autonomy, and self-esteem.
  • Practical nurses (PNs) need leadership skills, even if not formal leaders.
  • PNs should understand leadership/management, maintaining a safe workplace, legal/ethical issues, and disaster nursing.
  • Essential characteristics of a PN leader include positive relationships, open communication, conflict resolution, coaching, and mentoring via problem-solving.
  • PNs are responsible for patient care: assessing status, planning/implementing care, and evaluating outcomes.

Roles of Practical Nurses

  • PNs assist in determining health status, formulating goals/plans, and implementing care.
  • PNs implement teaching plans for common health issues.
  • PNs provide direct basic care and use problem-solving.
  • Coordination of care involves resource allocation and collaboration.

PNs vs. Registered Nurses (RNs) - Roles

  • PNs focus on data collection, assessments, participating in care planning, and implementation within scope of practice.
  • RNs perform comprehensive assessments, determine nursing diagnoses, formulate care plans, implement nursing care, develop/implement teaching plans, and evaluate care outcomes.

Delegation

  • Delegation requires legal, ethical, and organizational considerations.
  • Delegation is transferring task responsibility (not asking for help).
  • PNs may delegate to other PNs, ancillary staff, and unlicensed assistive personnel (UAP), based on competency, legality, and accountability. Includes the 5 Rights of Delegation. -RN maintains ultimate responsibility.
  • UAPs cannot perform tasks requiring nursing judgment.

Maintaining a Safe Work Environment

  • Nurse managers address workplace violence, substance abuse, and incivility.
  • PNs must maintain a safe practice environment through assessment, monitoring, implementing care, and evaluating patient responses.
  • PNs should work within their scope of practice.
  • Laws affecting PNs are categorized as criminal (public) and civil (private).
  • Negligence= Failure to act as a reasonably prudent nurse. Malpractice is negligence in a professional role causing harm.
  • Malpractice proof requires duty, breach of duty, injury/damage, and causation.
  • Intentional torts include assault (threat) and battery (physical harm).
  • Fraud involves misrepresentation, causing harm.
  • Criminal acts include deeds against the state, omissions of legal obligations, and conspiracy.
  • The Good Samaritan Act protects nurses in emergency care situations.

Prescriptions & Patient Care

  • Nurses must obtain prescriptions from healthcare providers.
  • If a nurse questions a prescription, proper channels (notification, refusal) must be followed.
  • Nurses cannot substitute professional judgment for medical judgment.

Restraints

  • Restraints are used only in emergencies, for limited times, and for client protection.
  • Nurses must notify providers immediately, document reasons, apply restraints correctly, and monitor safety.

Protecting Patient Privacy (HIPAA)

  • HIPAA protects patient privacy rights.
  • Nurses must ensure patient consent before disclosing health information.

Disaster Nursing

  • Nurses have roles in disaster preparedness, response, and recovery.
  • Disaster prevention and management have primary (preparation), secondary (response/stabilization), and tertiary prevention (recovery and prevention).
  • Triage is sorting injured based on survival potential and resource availability.
  • Use the START method for triage (flowchart included).

Patient Identification

  • The Joint Commission mandates using at least two patient identifiers. Room numbers should never be a primary identifier.

Surgical Permits

  • A written, voluntary, and explained consent (informed consent) is needed for any surgery.
  • Adults (with competence) and emancipated minors can consent themselves; others need consent of a legal guardian.
  • Healthcare providers explain procedures to the patient, not nurses.
  • Consent must be witnessed and documented.

Bioterrorism

  • Understand likely agents (biological, chemical, and radiation) and symptoms; first responders include nurses
  • Ebola transmission, symptoms, and screening are to be followed strictly
  • COVID-19, symptoms, and precautions need to be known and followed

Application: Leadership Case

  • Mrs. Lenard and her 2-year-old son are in the ER. The child was crying, screaming, had redness/bruises on back and arms.
  • Suspect Child Abuse
  • Actions: Report to RN and Social Worker, complete assessment, take temperature.
  • Monitor parameters: Interaction between mom/child, vital signs every 30 minutes.

Studying That Suits You

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

Quiz Team

More Like This

Use Quizgecko on...
Browser
Browser