Podcast
Questions and Answers
Which of the following are NOT synonymous terms?
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?
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?
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?
Which of the following is NOT mentioned as a key characteristic of a practical nurse leader?
What is a primary reason why practical nurses need to be knowledgeable in leadership and management concepts?
What is a primary reason why practical nurses need to be knowledgeable in leadership and management concepts?
Which of the following is NOT considered an essential characteristic of a practical nurse leader?
Which of the following is NOT considered an essential characteristic of a practical nurse leader?
What is a key factor that drives the need for leadership and management skills in practical nursing?
What is a key factor that drives the need for leadership and management skills in practical nursing?
What is the primary reason why nurses prefer to be led rather than managed?
What is the primary reason why nurses prefer to be led rather than managed?
Which of the following tasks would be considered outside of the scope of practice for a UAP?
Which of the following tasks would be considered outside of the scope of practice for a UAP?
Which of the following examples demonstrates a violation of the 'Five Rights of Delegation'?
Which of the following examples demonstrates a violation of the 'Five Rights of Delegation'?
Which of the following is NOT a component of negligence?
Which of the following is NOT a component of negligence?
What is the fundamental difference between negligence and malpractice?
What is the fundamental difference between negligence and malpractice?
What is the essential legal principle that governs a nurse's duty to care for a patient?
What is the essential legal principle that governs a nurse's duty to care for a patient?
Which aspect of the nursing process is primarily associated with the PN's responsibility in delegating tasks?
Which aspect of the nursing process is primarily associated with the PN's responsibility in delegating tasks?
Which of the following is NOT considered an essential aspect of maintaining a safe and effective work environment?
Which of the following is NOT considered an essential aspect of maintaining a safe and effective work environment?
Which of these actions would be considered 'incivility' within a nursing work environment?
Which of these actions would be considered 'incivility' within a nursing work environment?
Which of the following situations would be considered a 'breach of duty' in nursing practice?
Which of the following situations would be considered a 'breach of duty' in nursing practice?
Select the two elements that must be proven to establish 'malpractice' against a nurse.
Select the two elements that must be proven to establish 'malpractice' against a nurse.
Which of the following illustrates the concept of 'duty' in relation to nursing practice?
Which of the following illustrates the concept of 'duty' in relation to nursing practice?
Identify an example of a 'delegated activity' that falls within the implementation phase of the nursing process.
Identify an example of a 'delegated activity' that falls within the implementation phase of the nursing process.
Which of the following scenarios would NOT be an appropriate delegation to a UAP?
Which of the following scenarios would NOT be an appropriate delegation to a UAP?
What is the primary purpose of the 'Five Rights of Delegation'?
What is the primary purpose of the 'Five Rights of Delegation'?
Why is accurate and up-to-date documentation of patient care crucial for PNs?
Why is accurate and up-to-date documentation of patient care crucial for PNs?
Which of the following statements is TRUE regarding the PN's role in maintaining a safe practice environment?
Which of the following statements is TRUE regarding the PN's role in maintaining a safe practice environment?
Which potential condition is most likely associated with suspicion of child abuse?
Which potential condition is most likely associated with suspicion of child abuse?
What are two actions a nurse should take to address the situation effectively?
What are two actions a nurse should take to address the situation effectively?
Which parameters should be monitored to assess the client’s progress?
Which parameters should be monitored to assess the client’s progress?
Which action could indicate a potential safety issue while caring for the child?
Which action could indicate a potential safety issue while caring for the child?
What is a crucial reason to monitor the child's oximeter readings?
What is a crucial reason to monitor the child's oximeter readings?
What should a nurse do if they question a health care provider's prescription due to concerns about the dosage?
What should a nurse do if they question a health care provider's prescription due to concerns about the dosage?
Under which condition can a nurse apply physical restraints to a patient?
Under which condition can a nurse apply physical restraints to a patient?
Which action is NOT required when a nurse restrains a client?
Which action is NOT required when a nurse restrains a client?
What must a nurse do if they lack the necessary education or experience to carry out a prescribed task?
What must a nurse do if they lack the necessary education or experience to carry out a prescribed task?
What is a key principle that must be followed regarding the alteration of drug dosages by nurses?
What is a key principle that must be followed regarding the alteration of drug dosages by nurses?
What does HIPAA primarily protect regarding patient information?
What does HIPAA primarily protect regarding patient information?
What is required for a health care provider to disclose a patient's health information under HIPAA regulations?
What is required for a health care provider to disclose a patient's health information under HIPAA regulations?
Which of the following is a responsibility of a nurse when using restraints?
Which of the following is a responsibility of a nurse when using restraints?
What is a crucial aspect of documenting restraints according to nursing responsibilities?
What is a crucial aspect of documenting restraints according to nursing responsibilities?
Which of the following constitutes negligence in nursing practice?
Which of the following constitutes negligence in nursing practice?
What should a nurse do if they suspect that a health care provider has prescribed too many tranquilizers?
What should a nurse do if they suspect that a health care provider has prescribed too many tranquilizers?
What is considered a basic human right that relates to the use of restraints in healthcare?
What is considered a basic human right that relates to the use of restraints in healthcare?
What must patients be allowed to do according to HIPAA regulations regarding their medical records?
What must patients be allowed to do according to HIPAA regulations regarding their medical records?
Which of the following is NOT one of the four elements necessary to prove malpractice?
Which of the following is NOT one of the four elements necessary to prove malpractice?
Which of the following best defines an intentional tort?
Which of the following best defines an intentional tort?
What distinguishes voluntary admission from involuntary admission?
What distinguishes voluntary admission from involuntary admission?
Which activity cannot be performed by a person declared incompetent?
Which activity cannot be performed by a person declared incompetent?
Which of the following is a legal requirement for a surgical permit?
Which of the following is a legal requirement for a surgical permit?
Who is generally able to give consent for medical treatment?
Who is generally able to give consent for medical treatment?
What law offers protection to nurses providing care in emergencies?
What law offers protection to nurses providing care in emergencies?
What action should a nurse take if they doubt the correctness of a healthcare provider’s prescription?
What action should a nurse take if they doubt the correctness of a healthcare provider’s prescription?
Which of the following describes a key aspect of caring for a restrained client?
Which of the following describes a key aspect of caring for a restrained client?
Which of the following best defines malpractice in nursing?
Which of the following best defines malpractice in nursing?
Which of the following is NOT a patient right guaranteed under HIPAA regulations?
Which of the following is NOT a patient right guaranteed under HIPAA regulations?
In which circumstance does battery occur?
In which circumstance does battery occur?
What is considered a breach of privacy in nursing?
What is considered a breach of privacy in nursing?
What is the primary goal of the triage process in emergency settings?
What is the primary goal of the triage process in emergency settings?
In which stage of disaster management does training rescue workers in basic first aid fall?
In which stage of disaster management does training rescue workers in basic first aid fall?
Which of the following actions could be considered fraud in nursing?
Which of the following actions could be considered fraud in nursing?
Which example illustrates the concept of negligence rather than malpractice?
Which example illustrates the concept of negligence rather than malpractice?
What is meant by tertiary prevention in disaster management?
What is meant by tertiary prevention in disaster management?
What action is part of the shelter supervision role during a disaster?
What action is part of the shelter supervision role during a disaster?
What is the primary purpose of involuntary admission in psychiatric nursing?
What is the primary purpose of involuntary admission in psychiatric nursing?
Which statement is true regarding false imprisonment in a healthcare setting?
Which statement is true regarding false imprisonment in a healthcare setting?
What is the primary focus when triaging patients during a disaster?
What is the primary focus when triaging patients during a disaster?
What legal responsibility does a nurse have regarding suspected child abuse?
What legal responsibility does a nurse have regarding suspected child abuse?
Which of the following represents a criminal act by a nurse?
Which of the following represents a criminal act by a nurse?
Which example best represents intentional tort in nursing?
Which example best represents intentional tort in nursing?
Which of the following demonstrates the principle of causation in malpractice?
Which of the following demonstrates the principle of causation in malpractice?
Which scenario best illustrates invasion of privacy?
Which scenario best illustrates invasion of privacy?
What does it imply if a nurse performs a procedure without patient consent?
What does it imply if a nurse performs a procedure without patient consent?
What is a key difference between nursing negligence and nursing malpractice?
What is a key difference between nursing negligence and nursing malpractice?
What is the primary purpose of a writ of habeas corpus?
What is the primary purpose of a writ of habeas corpus?
Which of the following is NOT a legal right typically granted to hospitalized clients?
Which of the following is NOT a legal right typically granted to hospitalized clients?
What legal status is assigned to a person declared incompetent?
What legal status is assigned to a person declared incompetent?
Which of the following actions is NOT a typical consequence of being declared incompetent?
Which of the following actions is NOT a typical consequence of being declared incompetent?
What is meant by the legal term 'insanity'?
What is meant by the legal term 'insanity'?
Which of the following is NOT a criterion for a person to be deemed unfit to stand trial?
Which of the following is NOT a criterion for a person to be deemed unfit to stand trial?
According to The Joint Commission guidelines, what minimum number of patient identifiers should be used to ensure patient safety?
According to The Joint Commission guidelines, what minimum number of patient identifiers should be used to ensure patient safety?
Which of the following is NOT an acceptable form of patient identification?
Which of the following is NOT an acceptable form of patient identification?
What is the legal requirement for a surgical permit?
What is the legal requirement for a surgical permit?
Who is typically responsible for explaining the details of a surgical procedure, potential risks, and benefits to a client?
Who is typically responsible for explaining the details of a surgical procedure, potential risks, and benefits to a client?
Who may legally grant permission for a surgical procedure on a minor child or an incapacitated adult?
Who may legally grant permission for a surgical procedure on a minor child or an incapacitated adult?
What is the legal requirement for obtaining consent for medical treatment?
What is the legal requirement for obtaining consent for medical treatment?
Who can legally provide informed consent for medical treatment?
Who can legally provide informed consent for medical treatment?
Which of the following scenarios is NOT an example of a situation where the Good Samaritan Act might apply?
Which of the following scenarios is NOT an example of a situation where the Good Samaritan Act might apply?
What is the legal requirement for a nurse to administer a medication?
What is the legal requirement for a nurse to administer a medication?
Which of the following is the most appropriate action for a nurse to take if they receive a verbal telephone prescription?
Which of the following is the most appropriate action for a nurse to take if they receive a verbal telephone prescription?
Which of the following is NOT a symptom of Ebola?
Which of the following is NOT a symptom of Ebola?
Which of the following is NOT a risk factor for contracting Ebola?
Which of the following is NOT a risk factor for contracting Ebola?
What is the incubation period for Ebola?
What is the incubation period for Ebola?
Which of the following is NOT a recommended practice for healthcare providers caring for a patient suspected of having Ebola?
Which of the following is NOT a recommended practice for healthcare providers caring for a patient suspected of having Ebola?
What is the most common way that COVID-19 is spread?
What is the most common way that COVID-19 is spread?
Which of the following is NOT a symptom of COVID-19?
Which of the following is NOT a symptom of COVID-19?
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?
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?
Which of the following is a recommended intervention for a patient suspected of having Ebola?
Which of the following is a recommended intervention for a patient suspected of having Ebola?
Which of the following is a key element of disaster management?
Which of the following is a key element of disaster management?
What is the purpose of triage in disaster management?
What is the purpose of triage in disaster management?
Which of the following is NOT a bioterrorism agent?
Which of the following is NOT a bioterrorism agent?
What is the most appropriate action for the nurse to take when assessing the young child described in the nurse's notes?
What is the most appropriate action for the nurse to take when assessing the young child described in the nurse's notes?
Which of the following is the most important piece of information for the nurse to gather from Mrs. Lenard?
Which of the following is the most important piece of information for the nurse to gather from Mrs. Lenard?
What is the most appropriate nursing action to take after assessing the child?
What is the most appropriate nursing action to take after assessing the child?
Which of the following is a possible reason for the child's change in behavior?
Which of the following is a possible reason for the child's change in behavior?
What is the primary concern for the nurse in this scenario?
What is the primary concern for the nurse in this scenario?
What is the primary legal document that outlines the scope of practice for a Practical Nurse (PN)?
What is the primary legal document that outlines the scope of practice for a Practical Nurse (PN)?
Which of the following is NOT a key component of delegation according to the text?
Which of the following is NOT a key component of delegation according to the text?
Which of the following individuals would be MOST appropriate for a PN to delegate a task to for a stable patient?
Which of the following individuals would be MOST appropriate for a PN to delegate a task to for a stable patient?
What is the primary concern regarding delegating tasks to Unlicensed Assistive Personnel (UAP)?
What is the primary concern regarding delegating tasks to Unlicensed Assistive Personnel (UAP)?
What is the most significant outcome of effective delegation by a PN?
What is the most significant outcome of effective delegation by a PN?
Which of the following BEST describes the role of the PN in delegation?
Which of the following BEST describes the role of the PN in delegation?
Which of the following is NOT considered a “right” of delegation according to the National Council of State Boards of Nursing (NCSBN)?
Which of the following is NOT considered a “right” of delegation according to the National Council of State Boards of Nursing (NCSBN)?
Which of the following is a sign that a task should NOT be delegated by a PN?
Which of the following is a sign that a task should NOT be delegated by a PN?
What is the MAIN reason for ensuring all five rights of delegation are followed?
What is the MAIN reason for ensuring all five rights of delegation are followed?
Which of the following is the BEST description of “accountability” in delegation?
Which of the following is the BEST description of “accountability” in delegation?
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?
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?
Which of the following is an example of a task that might be delegated by a PN to a UAP?
Which of the following is an example of a task that might be delegated by a PN to a UAP?
Which of the following is MOST important when providing directions and communication about a delegated task?
Which of the following is MOST important when providing directions and communication about a delegated task?
What is the primary purpose of the “Right Supervision” component of delegation?
What is the primary purpose of the “Right Supervision” component of delegation?
Which of the following represents a key characteristic of a nurse manager who is effective at delegation?
Which of the following represents a key characteristic of a nurse manager who is effective at delegation?
Why is it essential for practical nurses to have a solid understanding of the “five rights of delegation”?
Why is it essential for practical nurses to have a solid understanding of the “five rights of delegation”?
What is a key responsibility of a Registered Nurse (RN) manager in a health care facility, as outlined in the provided text?
What is a key responsibility of a Registered Nurse (RN) manager in a health care facility, as outlined in the provided text?
Which of the following actions is NOT a core responsibility of a Registered Nurse (RN)?
Which of the following actions is NOT a core responsibility of a Registered Nurse (RN)?
What is a key difference between the roles of a Practical Nurse (PN) and a Registered Nurse (RN) in terms of patient assessment?
What is a key difference between the roles of a Practical Nurse (PN) and a Registered Nurse (RN) in terms of patient assessment?
Based on the text, which of the following statements accurately describes the delegation of tasks from an RN to a PN?
Based on the text, which of the following statements accurately describes the delegation of tasks from an RN to a PN?
Which of the following actions demonstrates a proactive step by an RN to prevent a hostile work environment?
Which of the following actions demonstrates a proactive step by an RN to prevent a hostile work environment?
How do Practical Nurses (PNs) contribute to the coordination of care for their assigned patients?
How do Practical Nurses (PNs) contribute to the coordination of care for their assigned patients?
What is an indication that a Registered Nurse (RN) is demonstrating critical thinking in their practice?
What is an indication that a Registered Nurse (RN) is demonstrating critical thinking in their practice?
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?
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?
What is the primary purpose of the Nurse Practice Act in defining the roles of PNs and RNs?
What is the primary purpose of the Nurse Practice Act in defining the roles of PNs and RNs?
What is the significance of Jamie discussing the short-staffing issue with the charge nurse on duty?
What is the significance of Jamie discussing the short-staffing issue with the charge nurse on duty?
What principle of nursing practice does the text highlight as being important for both PNs and RNs?
What principle of nursing practice does the text highlight as being important for both PNs and RNs?
What is a potential consequence of a PN exceeding the scope of their practice?
What is a potential consequence of a PN exceeding the scope of their practice?
What is a crucial aspect of professional nursing practice that is emphasized in the text?
What is a crucial aspect of professional nursing practice that is emphasized in the text?
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?
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?
What is the primary role of a manager in the context of a health care facility?
What is the primary role of a manager in the context of a health care facility?
What is a key implication of the text regarding the relationship between PNs and RNs?
What is a key implication of the text regarding the relationship between PNs and RNs?
Flashcards
Leadership
Leadership
The ability to guide and motivate others towards shared goals. Leaders inspire, empower, and create a vision for the future.
Management
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
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
Leadership Impact in Nursing
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Maintaining a Safe Work Environment
Maintaining a Safe Work Environment
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Legal and Ethical Issues
Legal and Ethical Issues
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Disaster Nursing and Crisis Intervention
Disaster Nursing and Crisis Intervention
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Improving Patient Care Through Leadership
Improving Patient Care Through Leadership
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Delegation (PN)
Delegation (PN)
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Provider of Care (PN)
Provider of Care (PN)
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Coordinator of Care (RN)
Coordinator of Care (RN)
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Coordinator of Care (PN)
Coordinator of Care (PN)
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Provider of Care (RN)
Provider of Care (RN)
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Nurse Manager
Nurse Manager
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Accountability (PN)
Accountability (PN)
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Hostile Work Environment
Hostile Work Environment
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Mentoring (PN)
Mentoring (PN)
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Patient Advocate (PN)
Patient Advocate (PN)
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State Nurse Practice Act (PN)
State Nurse Practice Act (PN)
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Professional Development (PN)
Professional Development (PN)
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Evidence-Based Problem Solving
Evidence-Based Problem Solving
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Near Miss
Near Miss
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Safe Work Environment
Safe Work Environment
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Delegation
Delegation
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Responsibility
Responsibility
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Authority
Authority
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Accountability
Accountability
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Five Rights of Delegation
Five Rights of Delegation
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Right Task
Right Task
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Right Circumstance
Right Circumstance
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Right Person
Right Person
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Right Direction/Communication
Right Direction/Communication
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Right Supervision
Right Supervision
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Individual Accountability
Individual Accountability
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Delegation Process
Delegation Process
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Critical Thinking in Delegation
Critical Thinking in Delegation
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Delegation to UAPs
Delegation to UAPs
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Nursing Process
Nursing Process
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Non-Delegable Nursing Task
Non-Delegable Nursing Task
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Nursing Process
Nursing Process
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Malpractice
Malpractice
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Duty of Care
Duty of Care
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Breach of Duty
Breach of Duty
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Damages
Damages
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Incivility and Bullying
Incivility and Bullying
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Patient Safety
Patient Safety
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Scope of Practice for PNs
Scope of Practice for PNs
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Agency Policies and Procedures
Agency Policies and Procedures
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Assessment of Delegatee Competence
Assessment of Delegatee Competence
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Delegation Supervision
Delegation Supervision
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Causation - Malpractice
Causation - Malpractice
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Assault
Assault
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Battery
Battery
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Invasion of Privacy
Invasion of Privacy
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False Imprisonment
False Imprisonment
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Defamation
Defamation
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Fraud
Fraud
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Crime
Crime
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Civil Procedures - Mental Health
Civil Procedures - Mental Health
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Voluntary Admission
Voluntary Admission
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Involuntary Admission
Involuntary Admission
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Emergency Admission
Emergency Admission
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Reporting Child Abuse
Reporting Child Abuse
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Informed Consent
Informed Consent
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Patient Confidentiality
Patient Confidentiality
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Chest X-ray
Chest X-ray
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Pediatric Safety Measures
Pediatric Safety Measures
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Vital signs q.30 minute
Vital signs q.30 minute
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Social Work
Social Work
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Separate Mom and Child
Separate Mom and Child
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Verbal Orders
Verbal Orders
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Questioning a Prescription
Questioning a Prescription
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Questioning Dosage
Questioning Dosage
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Lack of Preparation
Lack of Preparation
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Altering Dosage
Altering Dosage
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Restraint Use
Restraint Use
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Restraint Responsibilities
Restraint Responsibilities
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Restraint Guidelines
Restraint Guidelines
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HIPAA
HIPAA
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HIPAA Applicability
HIPAA Applicability
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Patient Privacy Rights
Patient Privacy Rights
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HIPAA Violations
HIPAA Violations
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Reasonableness in Negligence
Reasonableness in Negligence
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Refusing Tasks
Refusing Tasks
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Prioritizing Patient Safety
Prioritizing Patient Safety
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Intentional tort
Intentional tort
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Surgical permit
Surgical permit
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Good Samaritan Law
Good Samaritan Law
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Triage
Triage
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Red tag
Red tag
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Yellow tag
Yellow tag
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Green tag
Green tag
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Black tag
Black tag
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Ebola
Ebola
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Clinical judgment
Clinical judgment
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Disaster preparedness
Disaster preparedness
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Disaster response
Disaster response
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Disaster recovery
Disaster recovery
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Writ of Habeas Corpus
Writ of Habeas Corpus
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Competency Hearing
Competency Hearing
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Insanity
Insanity
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Inability to Stand Trial
Inability to Stand Trial
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Two Patient Identifiers
Two Patient Identifiers
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Good Samaritan Act
Good Samaritan Act
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Prescriptions and Health Care Providers
Prescriptions and Health Care Providers
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Emergency Care
Emergency Care
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Verbal Consent Documentation
Verbal Consent Documentation
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Consent for Minors and Incompetents
Consent for Minors and Incompetents
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Durable Power of Attorney or Advance Health Directive
Durable Power of Attorney or Advance Health Directive
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Legal and Civil Rights of Hospitalized Clients
Legal and Civil Rights of Hospitalized Clients
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Consent (General Definition)
Consent (General Definition)
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Ebola Virus Disease
Ebola Virus Disease
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Incubation Period of Ebola
Incubation Period of Ebola
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COVID-19
COVID-19
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Infection Control Measures
Infection Control Measures
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Risk Management
Risk Management
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Emergency Response Plan
Emergency Response Plan
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Prevention of Infectious Diseases
Prevention of Infectious Diseases
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Personal Protective Equipment (PPE)
Personal Protective Equipment (PPE)
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Environmental Cleaning and Disinfection
Environmental Cleaning and Disinfection
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Preparedness Phase of Disaster Management
Preparedness Phase of Disaster Management
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Response Phase of Disaster Management
Response Phase of Disaster Management
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Recovery Phase of Disaster Management
Recovery Phase of Disaster Management
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Bioterrorism
Bioterrorism
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Delegation in Nursing
Delegation in Nursing
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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.
Legal and Ethical Issues
- 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.
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