ADN Policy
15%
While on shift, a nurse accidentally gives the wrong medication to a patient. Is this considered a tort?
Yes, medication errors are torts.
A newly graduated nurse gets her first job in an OB/GYN clinic, however she is having some internal dilemma because she is supposed to help provide birth control methods, which is against her religion. What right protects the nurse from being fired from this clinic?
Rights of conscience
Explain the difference in the terms: nonmaleficence and beneficence
Nonmaleficence means "to do no harm", outweigh the risks vs benefits.
Beneficence means "to promote good", promote positive
Is medicaid under a federal or state healthcare policy? What about medicare and the VA?
Medicaid: state and nationally
Medicare: federal
VA: federal
Name the different groups each level of nurse may care for, LPN, ADN, BSN.
LPN: individuals
ADN: individuals and families
BSN: individuals, families, and communities
Sarah's best friend becomes suspicious of her husband because he has been going to the doctors more and more and having to take antibiotics for random reasons recently. Sarah works in the ER, but has direct access to charts. Sarah's best friend asks Sarah to look in her husband's chart to see what he keeps going to the doctors. Sarah says that she cannot do that because it is what?
An invasion of privacy
A patient comes in stating she is now having suicidal ideations after being on Lexapro 5mg for 2 months. When discussing the options, the patient states she is worried about stopping because her doctor said that the medication is good and that the ideations will go away and to give it time. What ethical principle is happening in this case?
This ethical principle is known as Paternalism.
Explain the difference between confidentiality and advocacy
Confidentiality is an obligation to protect someone's personal health information.
Advocacy is to speak up for someone when they are unable speak for themselves
What are the four regulatory agencies? What are the two accrediting bodies?
Regulatory agencies: OSHA, CMS, DHRS, DHHS
Accrediting bodies: TJC, DNV
What are the four "End of Program" Student Outcomes?
1. Human Flourishing
2. Nursing Judgement
3. Professional Identity
4. Spirit of Inquiry
A phlebotomist calls the next patient into her office in order to get an A1C. The client sits down and holds out their arm, but before the begin the student that is with the phlebotomist asks why we are not signing a consent form since we are drawing blood. The phlebotomist informs the student that we don't need an informed consent because we have what kind of consent?
Implied
A nurse is assigned a new pediatric patient during her shift. After reviewing the patients chart, the nurse talks to the parents and asks them to fill out the menu card so she can make sure the patient gets what they prefer for lunch. Later when the nurse checks on the patient, the patient asks for strawberries instead of blueberries. The nurse is able to get the patient a different snack, however the patient goes into anaphylactic shock shortly after eating the strawberries. There is no allergy alerts in the patient's chart. What is going to protect the nurse in this scenario?
Deontology, the nurse's intention was to get a snack that the patient preferred and has no ill intent of hurting the patient, especially with no allergies being noted in the chart.
Define: tort
A civil or wrongful act or omission of care made against a person or property.
What are the four concepts of patient and family centered care?
1.Dignity and respect: care given based on pt/family knowledge, values and culture
2.Information sharing: among providers to ensure appropriate, safe care
3.Participation: encourage patients to be part of their own care
4.Collaboration: patient engagement as well as collaboration among team members
True or False for test taking:
1. Longest Answers are usually incorrect.
2. Two opposites, one is usually correct.
3. Answers with "probably, sometimes, often" are usually correct.
4. Answers with "never, always, only" are always correct.
1. False
2. True
3. True
4. False
A nurse starts working at a home health care facility and when she goes to visit a patient she is charge of assisting them with a bath. During the bath the nurse notices bruises along the elder's upper arms and wrists. The nurse asks what happened and the elder does not say anything in response. What is the nurses next step?
A. Ignore it, everyone gets hurt sometimes.
B. Call the police directly.
C. Speak to her supervisor in order to properly report possible elder abuse.
D. Wait to see if more bruises appear.
A nurse is working night shift in the pediatric unit, however one nurse called out due to being sick and another was sent home early for flu-like symptoms. She now has to take care of 9 beds herself, but as she is taking care of one patient the patient asks the nurse if she can come back and braid her hair when she isn't busy because it makes her feel better. The nurse knows that she still has to check on 8 different beds, but states she will do her best to come back and braid her hair. After a couple hours, the nurse is able to find time to follow through on the patient's request. What is the nurse displaying?
Fidelity, the nurse is keeping her word to the patient.
Explain the difference between: battery, assault, and false imprisonment
Battery: touching someone without their permission
Assault: threatening someone, verbal only
False imprisonment: when someone's movement is intentionally restricted
Name the three levels of care and what they do?
Primary: health promotion and preventative care
Secondary: activities that promote early diagnosis and treatment
Tertiary: specialized care to treat a medical problem
List these test taking steps in the best order:
Analyze cues, Evaluate outcomes, Generate solutions, Take action, Prioritize hypothesis, Recognize cues
Recognize cues, Analyze cues, Prioritize cues, Generate solutions, Take action, Evaluate Outcomes
True or False:
Nursing students can get away with providing less quality care or making more careless mistakes because they are not held up to the same standard of care as non-nursing students.
False
A nurse is working at the desk when she notices one room's light is flickering on and off. The nurse goes to check it out and the patient informs her that the light is bothering her. The nurse then simply turns out the light and tells the patient that she just won't have anymore lights then. The nurse is not having any what?
A. Accountability
B. Responsibility
C. Justice
D. Both A and B
D. Both A and B
The nurse is in charge of caring for the patient, however leaving them in a dark room all the time is not providing proper care. The nurse is also accountable for not writing a maintenance request for the light, since she was the one who noticed it.
Define delegation, and what word in the definition should be emphasized?
Giving a qualified team member the responsibility to perform a specific task/activity in a certain situation.
"Qualified"
What are the five rights of delegation?
-Right Task
-Right Circumstance
-Right Person
-Right Directions and communication
-Right supervision and evaluation