Term
| What types of procedures should be assigned to progessional nurses? |
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Definition
| Sterile or invasive procedures |
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Term
| Negligences is measured by reasonableness. What question might the nurse ask when determining such reasonableness? |
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Definition
| Would a reasonable and prudent nurse act in the same manner under the same circumstances? |
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Term
| List the four elements that are necessary to prove negligence. |
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Definition
| Duty: failure to protect client aganist unreasonable risk. Breach of Duty: Failure to perform according to established standard. Casusation: a connect exists btwn conduct of the nurse and the resulting damage. Damages: damage is done to the client physical or mental |
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Term
| Define an intentional tort, and give one example. |
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Definition
| Conduct causing damage to another person in a willful or intentional way without just cause. Example: hitting a client out of anger, not in a manner of self-protection |
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Term
| Differentiate btwn voluntary and involuntary admission |
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Definition
Voluntary: client admits self to an institution for treatment and retains his or her civil rights; he or she may leave at any time.
Involuntary: someone other than client applies for the clients admission to an institution (a relative, friend, or the state); requires certification by one or two HCP or physicians that the person is a danger to self or others, the person has a right to a legal hearing (habeas corpus) to try to be released, and the court determines the justification for holding the person |
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Term
| List five activities a person who is declared incompetent cannot perform |
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Definition
| Vote, make contracts or wills, drives a car, sue or be sued, hold a professional license |
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Term
| Name three legal requirements of a surgical permit |
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Definition
| Voluntary informed written |
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Term
| Who may give consent for medical treatment |
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Definition
| Alert, coherent, or otherwise competent adults; a parent or legal guardian; a person in loco parentis or minors or incompetent adults |
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Term
| What law protects the nurse who provides care or gives aid in an emergency situation? |
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Definition
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Term
| What actions should the nurse take if he or she questions a health care providers or physicians prescription, EX: believes the prescription is wrong? |
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Definition
| Infor the HCP or physician; record that the hcp or physician was informed and HCP or physicians response to such information; inform the nursing supervisor; refuse to carry out the prescription |
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Term
| Describe the nurses legal responsibility when asked to perform a task for which he or she is unprepared. |
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Definition
| Inform the HCP or physician or person asking the nurse to perform the task that he or she is unprepared to carry out the task; refuse to perform the task |
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Term
| Describe nursing care of the restrained client. |
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Definition
| Apply restraints properly; check restraints frequently to see that they are not causing injury and record such monitoring; remove restraints as soon as possible; use restraints only as a last resort |
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Term
| Describe six pt rights guaranteed under HIPPA regulations that nurses must be aware of in practice. |
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Definition
| A pt must given written consent before HCP can use or disclose personal health info; HCP and physciansw must give pts notice about providers responsibilities regarding pt confidentiality; pts must have access to their medical records; providers who restrict access must explain why and must offer pts description of the complaint process; pts have the right to request that changes be made in their medical records to correct inaccuracies; hcp must follow specific tracking procedures for any disclosures made that ensure accountablity for maintenance of pt confidentiality; pts have the right to request that hcp and physicians restrict the use and disclosure of their personal health info, though the provider may decline to do so. |
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Term
| By what authority may RN delegate nursing care to others? |
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Definition
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Term
| A UAP may perform care that falls within which component of the nursing process? |
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Definition
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Term
| Which type of communication skills is necessary to implement a demorcratic leadership style? |
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Definition
| Assertive communication skills |
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Term
| What are the five rights of delegation |
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Definition
| Right task, right circumstance, right person, right direction or communication, and right supervision |
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Term
What tasks can be delegated to a UAP?
A. inserting a foley cath
B. mesuring and recording the clients output through a foley cath
C. Teaching a client how to care for a cath after discharge?
D. Assessing for symptoms of a UTI. |
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Definition
A. Insert foley: is a sterile invasice procedure and should not be delegated to a UAP.
B. Falls within the implementation phase of nursing process and does not require nursing judgment. evaluation of the I&O must be done by nurse.
C. Client teaching requires the abilities of a nurse and should not be delegated. the UAP may be instructed to report anyuthign unusual that is observed and any symptoms reported by the client, but this does not replace assessment by the nurse.
D. Assessment must be performed by the nurse, and should not be delegated, The UAP may be instructed to report anythign unusual that is observed, or any symptoms reported by the client, but this does not replace assessment by the nurse |
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Term
| What are the essential steps of effective supervision? |
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Definition
| Direction, Evaluation and Follow-Up |
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Term
Which of the following is an example of effective supervision?
A. "You need to improve the way you spend your time so that all of your care gets performed." OR
B. "I've noticed that many of your clients did not get their care today." |
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Definition
EXAMPLES:
A. This is an aggressive communication, which causes anger, hostility, and a defensive attitude.
B. Assertive communication begins with "I" rather than "you" and clearly states the problem. |
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Term
| List the three levels of diaster management. |
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Definition
| Disaster preparedness, disaster response, disaster recovery |
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Term
| List examples of the three levels of prevention in disaster management. |
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Definition
Primary: develop plan, train and educate personnel and public
Secondary: triage, treatment-shelter supervision
Tertiary: follow up, recovery assistance, prevention of future disasters |
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Term
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Definition
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Term
| Identify three bioterrorism agents. |
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Definition
| Anthrax, pneumonic plague, botulism, smallpox, inhalation tularemia, viral hemorrhage fever, ricin, sarin, radiation |
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