Nokea
The new LPN/LVN is concerned regarding what should or should not be done for patients. What resource will best provide this information?
- A. Nurse practice act
- B. Standards of care
- C. Scope of nursing practice
- D. Professional organizations
Correct Answer: B
Rationale: Standards of care define what should or should not be done for patients. The nurse practice act, scope of nursing practice, and professional organizations do not provide the best information as to what should or should not be done for patients.
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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.
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.
Which is a nursing care error that violates the Health Insurance Portability and Accountability Act (HIPAA)?
- A. Administering a stronger dose of drug than was ordered
- B. Refusing to give a patient's daughter information over the phone
- C. Informing the patient's medical power of attorney of a medication change
- D. Leaving a copy of the patient's history and physical in the photocopier
Correct Answer: D
Rationale: Leaving the document in the photocopier could expose it to the public. Inappropriate drug administration is possible malpractice. Sharing information with the power of attorney is legal. Refusing to give a patient's daughter information over the phone is appropriate practice.
How can the medical record be used in litigation?
- A. Public record
- B. Proof of adherence to standards
- C. Evidence of omission of care
- D. Documentation of time lapses
- E. Evidence by only the plaintiff
Correct Answer: A,B,C,D
Rationale: The information when used in court becomes a public record. The information can be used as proof of adherence to standards, omission of care, and documentation of time lapses. Both plaintiff and defendant can use the document.
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.