Nursing Practice Act - Answer -exist in every state
-define the scope of practice of professional nursing
-blueprint of what nurses can and cannot do
What are the three branches of government? - Answer (1) the executive branch: charged to implement law and which includes the office of th...
NURS 2602 CHAPTER 5,6, 7 Midterm
Exam Questions And Verified Answers.
Nursing Practice Act - Answer -exist in every state
-define the scope of practice of professional nursing
-blueprint of what nurses can and cannot do
What are the three branches of government? - Answer (1) the executive branch: charged to implement
law and which includes the office of the president at its highest level
(2) the legislative branch= charged to create law and which includes the U.S. Congress and other
regulatory agencies that set law
(3) the judicial branch= charged to interpret law and which includes the Supreme Court and federal court
system
Three major types of laws that govern American society: - Answer common law, statutory law, and
administrative law
Common law: - Answer -is decisional
judges' rulings become law
-every time a judge makes a legal decision, the body of common law expands
Statutory laws (statutes): - Answer -those established through formal legislative processes
-every time the U.S. Congress or a state legislature or assembly passes legislation, the body expands
Administrative laws: - Answer -result when a person violates the regulations and rules established by
administrative law.
-EXAMPLE: nurse practices without a valid license or beyond the scope of nursing practice
Objectives of the Nursing Practice Act: - Answer 1. Defines the standards and scope of professional
nursing
,2. Describes the authority, power, and composition of the board of nursing
3. Defines educational program standards
4. Sets the minimum educational qualifications and other requirements for licensure
5. Determines and protects the legal titles and abbreviations nurses may use
6. Provides for disciplinary action of licensees for certain causes
State boards of nursing (SBNs) - Answer -regulatory bodies by which nursing practice acts are
administered and enforced
-does not have the authority to enlarge the law
Three functions of SBNs: - Answer . Executive - with the authority to administer the nursing practice act
2. Legislative- with authority to adopt rules necessary to implement the act (note that rules are different
from laws, which are made by the state's legislative body)
3. Judicial- with authority to deny, suspend, or revoke a license or to otherwise discipline a licensee or to
deny an application for licensure
Certified nursing assistants (CNAs) may not refer to themselves as nurses. True of false - Answer TRUE
What is the most common reasons that nurses are disciplined by SBNs? - Answer for practicing while
under the influence of alcohol or other substance (narcotic)
Nurses are estimated to misuse drugs and alcohol at approx. the same rate (10 to 15%) as the general
population. True or false? - Answer TRUE
NCLEX-RN: - Answer -updated regularly
-tests critical thinking and nursing competence in all phases of the NURSING PROCESS
-computerized adaptive testing
What is the minimum and maximum # of questions on the NCLEX-RN? - Answer min:75
max:265
,Licensure by endorsement: - Answer -endorsement-means that RNs may practice in different states
w/out having to take another licensing examination. Valley nurses used this program to Help after
Hurricane Katrina
Nurse Licensure Compact (NLC) - Answer -eNLC allows an RN to have one license (in the state of
residency) yet practice in other compact member states w/out an additional license in the state of
employment
-the nurse is subject to the nursing practice act in the state where she or he is practicing,
Malpractice: - Answer
Negligence: - Answer -tthe central issue in malpractice
-the failure to act as a reasonably prudent person would have acted in the same circumstances.
What are the two ways malpractice can occur? - Answer 1. by commission (doing something that
should not have been done)
2. by omission( failing to do things that should have been done)
Plaintiff: - Answer -patient or someone acting on behalf of the patient who brings a claim of
malpractice against a nurse (or other professional)
Defendant: - Answer the nurse
_______________________ are hired by both the plaintiff and the defendant and will testify as to
whether the nurse met the prevailing standard of care. - Answer Nurse expert witnesses
Elements of a malpractice action: - Answer 1. The professional (nurse) has assumed the duty of care
(responsibility for the patient's care).
2. The professional (nurse) breached the duty of care by failing to meet the standard of care.
3. The failure of the professional (nurse) to meet the standard of care was the proximate cause of the
injury.
, 4. The injury is proved.
"captain of the ship" doctrine.: - Answer -implied that the physician is ultimately in charge of all patient
care and thus should be responsible financially.
6 Major Categories of Negligence That Result in Malpractice Lawsuits: - Answer 1. Failure to follow
standards of care
2. Failure to use equipment in a responsible manner
3. Failure to communicate
4. Failure to document,
5. Failure to assess and monitor
6. Failure to act as a patient advocate
1. Failure to follow standards of care, including failure to: - Answer • Perform a complete admission
assessment or design a plan of care
• Adhere to standardized protocols or institutional policies and procedures (for example, using an
improper injection site)
• Follow a physician's verbal or written orders
. Failure to use equipment in a responsible manner, including failure to: - Answer • Follow the
manufacturer's recommendations for operating equipment
• Check equipment for safety before use
• Place equipment properly during treatment
• Learn how equipment functions
3. Failure to communicate, including failure to: - Answer • Notify a physician in a timely manner when
conditions warrant it
• Listen to a patient's complaints and act on them
• Communicate effectively with a patient (for example, inadequate or ineffective communication of
discharge instructions)
• Seek higher medical authorization for a treatment
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