Nokea
A nurse is considering purchasing malpractice insurance. What should the nurse be aware of regarding malpractice insurance provided by the hospital?
- A. Only offers protection while on duty.
- B. Is limited in the amount of coverage.
- C. Is difficult to renew.
- D. Can be terminated at any time.
Correct Answer: A
Rationale: Most institutional insurance only provides liability coverage if the nurse is on duty at that facility.
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An older adult is admitted to the hospital with numerous bodily bruises and the nurse suspects elder abuse. What is the best nursing action?
- A. Cover the bruises with bandages.
- B. Take photographs of the bruises.
- C. Ask the patient if anyone has hit her.
- D. Report the bruises to the charge nurse.
Correct Answer: D
Rationale: The law stipulates that the health care professional is required to report certain information to the appropriate authorities. The report should be given to a supervisor or directly to the police, according to agency policy. When acting in good faith to report mandated information (e.g., certain communicable diseases or gunshot wounds), the health care professional is protected from liability.
The nurse caring for a patient in the acute care setting assumes responsibility for a patient's care. What is this legally binding situation?
- A. Nurse-patient relationship
- B. Accountability
- C. Advocacy
- D. Standard of care
Correct Answer: A
Rationale: When the nurse assumes responsibility for a patient's care, the nurse-patient relationship is formed. This is a legally binding 'contract' for which the nurse must take responsibility. Accountability is being responsible for one's own actions. An advocate is one who defends or pleads a cause or issue on behalf of another. Standards of care define acts whose performance is required, permitted, or prohibited.
Personal beliefs about the worth of an object idea custom or attitude that influence a person's behavior in a given situation are referred to as
Correct Answer: values
Rationale: Values are personal beliefs about the worth of an object, an idea, a custom, or an attitude. Values vary among people and cultures; they develop over time and undergo change in response to changing circumstances and necessity. Each of us adopts a value system that will govern what we feel is right or wrong (or good and bad) and will influence our behavior in a given situation.
What are the universal guidelines that define appropriate measures for all nursing interventions?
- A. Scope of practice
- B. Advocacy
- C. Standard of care
- D. Prudent practice
Correct Answer: C
Rationale: Standards of care define actions that are permitted or prohibited in most nursing interventions. These standards are accepted as legal guidelines for appropriateness of performance. The laws that formally define and limit the scope of nursing practice are called nurse practice acts. An advocate is one who defends or pleads a cause or issue on behalf of another. Prudent is a term that refers to careful and/or wise practice.
What fundamental principle must the nurse first observe when confronted with an ethical decision?
- A. Autonomy
- B. Beneficence
- C. Respect for people
- D. Nonmaleficence
Correct Answer: C
Rationale: The first fundamental principle is respect for people. Autonomy, beneficence, and nonmaleficence are not the first fundamental principles to observe when confronted with an ethical decision.