<Quiz 1> Q26 Worth 30 points

1. private information can also be considered Nonmaleficent

2. Because a needle stick injury is a source of infection transmission. What should you do first if you get one? wash
hands
3. Who does nurse manager share passport with? Nobody
4. Agree/Disagree: You have a patient who is dying of Lung cancer. Morphine slows the respiration which can
cause respiratory distress but also relieve pain. The patient is having severe pain. Would you give Morphine if the
patient is having SOB? Do Not Give Morphine (ATI)
5. Know Ethical Principles
6. When you are signing them Informed consent, you are doing determine the client’s level of understanding about
the procedure.
7. what would the standard that would be use if you were go to court for negligence? Reasonable and Prudent
Circumstances
8. Who explain risk and benefits of procedure to the client? Doctor
9. What do you do with incident report after filling out? Give to risk manager and do not make any copies.
10. Mandatory reporting requirements include what? One thing that you must report regardless of confidentiality?
Abuse (spiral fracture)
11. Depositions is required during which phase of legal process? Discovery phase
12. Privacy, What is the first thing to do? By pulling the curtain
13. Doctor has not written the order for DNR patient even though the family and doctor want to make the patient
again or he just has not gotten enter writing the order. You go in and find the patient pulseless, Nurse action? Call
Resustain Team
14. SBAR, where would the O2 sat go? Assessment
15. Ambulation Alarm? The ambulation alarm signals when the client's leg is in dependent position, such as over
the side rail or on the floor. The signal alerts the staff to check on the client immediately.

Study Guide for Quiz #1 Leadership and Management

Know your Principles of Ethical Reasoning:

Autonomy(self-determination):All people have the right to freedom of choice

Beneficence(doing good): Actions are taken to promote good.
Nonmaleficence(do no harm): Actions are taken to avoid harm.
Paternalism: One individual assumes the right to make decisions for another.
Utility: The good of many outweighs the needs of the individual.
Justice (fairness): In the pursuit of fairness “equals” should be treated equally and “unequals” should be treated
according to their differences.
Veracity: Human beings should always tell the truth.
Fidelity: Everyone has the moral obligation to keep promises.
Confidentiality: Privileged information must be kept private.

Civil Law: One individual sues another for money to compensate for a perceived loss.
 Preponderance of the evidence
 More than likely guilty
 Most malpractice cases
Plaintiff: the injured party
Defendant: The professional who is alleged to have caused the injury.
Negligence: The omission to do something that a reasonable person, guided by the considerations that ordinarily
regulate human affairs would do- OR doing something a reasonable and prudent person would not do.
Reasonable and Prudent: Generally means the average foresight, judgement, intelligence, and skill that would be
expected of a person with similar training and experience.
Malpractice: A failure of a person with professional training to act in a reasonable and prudent manner aka:
professional negligence

Elements of Malpractice:

 Standards of care must have been established, for example, policies and procedures, job descriptions, and
student guidelines
 Breach of Duty: standard was violated
 Foreseeability of harm: Nurse must have had knowledge that harm could have resulted
 A direct relationship between the breach and the injury must be proved. There must be a provable
correlation between improper care and injury to the patient.
 An actual injury must have occurred, and it must be more than transitory.

Incident Reports:

 Do not mention them in your charting

 Do not put them in the patients’ charts
 When completed send them to your (risk) manager

HIPPA (and Medical Records)

 HIPPA established regulations of individually identifiable health information in verbal, electronic and
written form.
 Social security number, address, and phone number are examples of personally identifiable information.
 HIPPA is a federal law.
 Clients have a right to read and obtain a copy of their medical records

Good Samaritan Law

 Must render care as a competent, prudent nurse

 Must be an emergency to be covered
 Are state laws, not federal laws
 Do not leave the scene until another competent person can take over

Informed Consent

 Must be obtained by the physician performing the procedure or treatment.

 Your signature confirms that the patient is competent to provide consent and that they have received
informed consent
 You can further educate the patient after the physician has given informed consent but you cannot ADD
anything to what the physician has already explained
 ONLY the patient, if over the age of 18, can sign the consent

Intentional Torts

 ASSAULT: Conduct that makes a person fearful and produces a reasonable apprehension of harm- a threat
 Battery: an intentional and wrongful physical contact that entails an injury or offensive touching, for
example, performing a treatment without consent
 False imprisonment: when a person intentionally restrains another’s ability to move freely
 Defamation: communicating (written, printed, broadcasted) information that injures a person’s reputation
 Slander: spoken communication that injures a person’s reputation
  Invasion of privacy

Implied Consent

 Used in emergencies only, when patient cannot sign

 Requires two physicians’ signatures

Know mandated reporting requirements.

The state board (51 in the US) of nursing licenses has the power to revoke professional nursing licenses.
Spiral fractures are a sign of abuse.
With a needle stick injury the greatest risk to the nurse is that of infection transmission.
During the discovery phase of a lawsuit both attorneys for the plaintiff and the defendant obtain relevant information
about the case.