Exam (elaborations)
NUR 256 Mental Health Exa1
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NUR 256 Mental Health Exa1
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NUR 256 Mental Health Examstatutory law - ANSWER The type of law that creates a nurse practice act is
malpractice - ANSWER A professional's negligent conduct is
licensure - ANSWER A legal permit that serves as a means to protect public safety
is
maintain a good relationship with patients and families - ANSWER A strategy to
prevent being named in a lawsuit is to
The state board of nursing - ANSWER ________ has the authority to license
nurses
gross negligence - ANSWER is a reckless act that reflects a conscious disregard
for the patient's welfare.
HIPPA - ANSWER The intent of _____ is to ensure confidentiality of the patient's
health record
Good Sumaritan Immunity - ANSWER _______ limits a nurse's liability or shields
the nurse from malpractice for rendering emergency assistance outside the
employment setting.
The Patient Self-Determination Act - ANSWER requires that federally funded
hospitals (Medicare, Medicaid) inform adult patients in writing about their right to
make treatment choices and to ask patients whether they have a living will or a
durable power of attorney for health care.
The Nurse Practice Act - ANSWER defines nursing within the state
federal law - ANSWER The public's right to expect to receive treatment that meets
the standards of nursing care is protected by:
Federal laws - ANSWER ________ have a major effect on nursing practice,
mandating a minimal standard of care in all health care settings that receive federal
funds. Nursing practice is governed by state laws that delineate the conduct of
licensed nurses and define behaviors of all health care professionals in promoting
public health and welfare.
C. - ANSWER Which nursing action best complies with the expectations for nursing
care defined by the "never events" identified by the 2012 Rules of Participation for
Hospitals?
A. Requiring all unlicensed nursing personal to attend shift reports
B. Providing care when convenient for the client whenever possible
C. Attending an in-service on evidence-based practice on urinary catheter care
D. Reporting suspected elder abuse to the nursing manager immediately
,"never events." - ANSWER Nurses are required to develop greater expertise in the
provision of evidence-based patient care, case management, and discharge
planning in order to avoid _____
C - ANSWER Which of the following situations fails to meet the criteria for
establishing nursing negligence or malpractice?
a. A nurse comes to work under the influence of alcohol.
b. The nurse leaves a client's bed in the raised position, resulting in a fall.
c. The nurse fails repeatedly to document a client's response to pain medication.
d. A nurse assigns first-time ambulation of a postop client to an aide and the client
falls.
C - ANSWER In what situation may a nurse deliver care that is not considered at
the level of required standard of care?
a. When directly ordered to do so by a physician
b. When the nursing area is considered understaffed
c. When the situation is determined to be an emergency
d. When the client refuses care that would meet the standard of care.
a - ANSWER A client who insists on leaving the hospital against medical advice
(AMA) after being properly advised signs the necessary form. In order to avoid legal
consequences regarding the client's decision, the nurse should:
a. objectively document all the details of the situation thoroughly but concisely in the
client's medical record. Correct
b. notify the nursing supervisor of the client's decision and that all reasonable efforts
were made to dissuade the client from leaving.
c. have a member of the security staff escort the client off the facility's property and
into their private vehicle or public transportation
d. with the client's permission notify a contact person that the client is leaving the
hospital against medical advice.
autonomy - ANSWER right to self-determination
altruism - ANSWER concern for others' welface
nonmaleficence - ANSWER duty to inflict no harm
veracity - ANSWER truth telling
justice - ANSWER concern for right and wrong
paternalism - ANSWER provider believes his actions are best
beneficence - ANSWER promote goodness
utilitarianism - ANSWER the greatest good for the greatest number of individuals
, deontology - ANSWER conforms to overriding moral duty
Hastings Center Report - ANSWER A nursing journal
c. - ANSWER Which of the following scenarios demonstrates a nurse engaging in
value clarification?
a. A client is reassured by the nurse who states, "I will stay with you as long as you
want."
b. A novice nurse regularly asks a veteran nurse, "What would you do if you were in
my place?"
c. A nurse reflects on the question, "What would be important to me if I was told my
cancer was terminal?"
d. When a client asks for advice, the nurse responds, "What can I do to help you
make this decision?"
values clarification - ANSWER The process of ______ attempts to examine the
values one holds and how each of those values functions as part of a whole. Nurses
must acknowledge their own values by considering how they would act in a particular
situation.
emotional support. - ANSWER Reassuring the client is a means of providing
role modeling. - ANSWER Asking the advice of a more experienced nurse is an
example of
autonomy and independence. - ANSWER Asking clients what they need to achieve
their goals is a way to encourage
school age - ANSWER Normally, by what developmental milestone is a person
expected to have learned there are consequences for making bad decisions?
a - ANSWER Which scenario demonstrates the preconventional level of moral
development?
a. Driving within the speed limit in order to avoid getting a speeding ticket
b. Opening the door for an elderly woman to show her respect
c. Anonymously providing money to a homeless shelter
d. Cleaning up the kitchen to make your mother happy
conventional - ANSWER Acting out of respect or a desire to please demonstrates
the _____ level, where behavior is less self-centered.
postconventional - ANSWER Anonymously doing good is an example of the
______ level, where motives are beyond issues of authority or reverence.
d - ANSWER A nurse demonstrates client-centered altruism when:
a. reporting a nurse who has reported to work impaired by alcohol or drugs.
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