Nokea
Acts whose performance is required permitted or prohibited are defined by ____ of care.
Correct Answer: standards
Rationale: Standards of care define acts whose performance is required, permitted, or prohibited.
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Patients have expectations regarding the health care services they receive. To protect these expectations which of the following has become law?
- A. American Hospital Association's Patient's Bill of Rights
- B. Self-Determination Act
- C. American Hospital Association's Standards of Care
- D. The Joint Commission's rights and responsibilities of patients
Correct Answer: A
Rationale: Patients have expectations regarding the health care services they receive. In 1972, the American Hospital Association (AHA) developed the Patient's Bill of Rights. The Self-Determination Act, American Hospital Association's Standards of Care, and The Joint Commission's rights and responsibilities do not address patients' expectations regarding health care.
When a nurse becomes involved in a legal action the first step to occur is that a document is filed in an appropriate court. What is this document called?
- A. Deposition
- B. Appeal
- C. Complaint
- D. Summons
Correct Answer: C
Rationale: A document called a complaint is filed in an appropriate court as the first step in litigation. A deposition is when witnesses are required to undergo questioning by the attorneys. An appeal is a request for a review of a decision by a higher court. A summons is a court order that notifies the defendant of the legal action.
Which of the following could cause a nurse to be cited for malpractice?
- A. Refusing to give 60 mg of morphine as ordered
- B. Giving prochlorperazine (Compazine) to a patient allergic to phenothiazines
- C. Dragging an injured motorist off the highway and causing further injury
- D. Informing a visitor about a patient's condition
Correct Answer: B
Rationale: Standards of care dictate that a nurse must be aware of all the properties of drugs administered. Prochlorperazine (Compazine) is a phenothiazine. Providing confidential information or refusing to give an excessively large narcotic dose is not considered malpractice. Good Samaritan laws generally protect a person giving aid to an injured motorist.
The nurse is assisting a patient to clarify values by encouraging the expression of feelings and thoughts related to the situation. What is the most appropriate action for the nurse?
- A. Compare values with those of the patient.
- B. Make a judgment.
- C. Withhold an opinion.
- D. Give advice.
Correct Answer: C
Rationale: The nurse can assist the patient in values clarification without giving an opinion.
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.