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When asked to perform a procedure that the nurse has never done before what should the nurse do to legally protect himself or herself?
- A. Go ahead and do it.
- B. Refuse to perform it citing lack of knowledge.
- C. Discuss it with the charge nurse asking for direction.
- D. Ask another nurse who has performed the procedure.
Correct Answer: C
Rationale: The nurse cannot use ignorance as an excuse for nonperformance. The nurse should ask for direction from the charge nurse, explaining she has never performed the procedure independently.
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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.
During a lunch break an emergency department (ED) nurse truthfully tells another nurse about the condition of a patient who came to the ED last night. What is the ED nurse guilty of?
- A. HIPAA violation
- B. Slander
- C. Libel
- D. Invasion of privacy
- E. Defamation
Correct Answer: A,D
Rationale: The disclosure is an invasion of privacy and a violation of HIPAA. Because the information is true and verbal, it cannot be considered slander or libel.
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.
When a nurse protects the information in a patient's record what ethical responsibility is the nurse fulfilling?
- A. Privacy
- B. Disclosure
- C. Confidentiality
- D. Absolute secrecy
Correct Answer: C
Rationale: The nurse has an ethical and legal duty to protect information about a patient and preserve confidentiality. Some disclosures are legal and anticipated, and may not be subject to the rules of confidentiality. None of the information in a chart is considered secret.
The nurse is preparing the patient for a thoracentesis. What must be completed before the procedure may be performed?
- A. Physical assessment
- B. Interview
- C. Informed consent
- D. Surgical checklist
Correct Answer: C
Rationale: The doctrine of informed consent refers to full disclosure of the facts the patient needs to make an intelligent (informed) decision before any invasive treatment or procedure is performed. A physical assessment, interview, and surgical checklist are not required before this procedure.