NURS 256 FINAL EXAM STUDY GUIDE LATEST
UPDATED RATED A.
Use of information and technology to communicate, manage knowledge,
mitigate error, and support decision making
Correct Answer -informatics
leading causes of sentinel events
Correct Answer -delay in treatment
wrong-patient, wrong-site, wrong procedure
unintended retention of foreign body
suicide
fall
Laws written and enacted by legislative bodies
Violations are criminal offenses and are punishable by fines or
imprisonment
Correct Answer -statutory law
makes it an offense to submit a false claim to the government for payment
of health care services
Correct Answer -The Federal False Claims Act—
Prohibits refusal of care for indigent and uninsured patients seeking
medical assistance in emergency departments
,Prohibits transfer of unstable patients, including women in active labor,
from one facility to another
Applicable to nonemergency facilities (i.e., urgent care clinics)
Correct Answer -Emergency Medical Treatment and Active Labor Law
(EMTALA)
prohibits discrimination against persons with disabilities by removing
barriers that might prevent the same opportunities available to persons
without disabilities
Correct Answer -Americans with Disabilities Act of 1990 (ADA):
requires federally funded hospitals (Medicare, Medicaid) to inform adult
patients in writing about their right to make treatment choices and to ask
patients if they have a living will or durable power of attorney
Correct Answer -Patient Self-Determination Act of 1990:
ensures confidentiality of a patient's medical records; sets guidelines for
maintaining the privacy of health data
Correct Answer -Health Insurance Portability and Accountability Act of
1996 (Public Law No. 104-191) (HIPAA):
allows certain disclosures of patient safety data
Correct Answer -The Patient Safety and Quality Improvement Act:
Define scope and limitations of nursing practice
Vary from state to state, but common elements include:
Definition of the term registered nurse
,Description of professional nursing functions
Standards of competent performance
Behaviors that represent misconduct or prohibited practices
Grounds for disciplinary action
Fines and penalties for violations
Each nurse should own a copy and should understand the content
Correct Answer -State statutes
Nurse practice act and board of nursing rules and regulations
A nurse is checking orders at the front desk when a visitor asks the room
number of his father. The nurse leaves the chart open while looking up the
room number on the computer, allowing the visitor to read the patient's
recent x-ray film report. Which law would protect this client from others
having access to his or her medical information?
A. Health Insurance Portability and Accountability Act of 1996
B. Patient Self-Determination Act of 1990
C. Emergency Medical Treatment and Active Labor Law
D. Americans With Disabilities Act of 1990
Correct Answer -a
Created through cases heard and decided in federal and state appellate
courts—also known as decisional or judge-made law
Correct Answer -common law
civil law is these two things
Correct Answer -malpractice and negligence
, failure to act in a reasonable and prudent manner
Correct Answer -negligence
special type of negligence; that is, the failure of a professional, a person
with specialized education and training, to act in a reasonable and prudent
manner
Correct Answer -malpractice
Applies when the negligent act clearly lies within the range of a jury's
common knowledge and experience to determine the standard of care—
"the thing that speaks for itself"
Expert nurse witness not required to help establish the standard of care
Correct Answer -Negligence and the doctrine of res ipsa loquitur
Reckless act that reflects a conscious disregard for the patient's welfare
Court may award special damages meant to punish the nurse for the
outrageous conduct; these are referred to as punitive damages
Correct Answer -Gross negligence
While assisting in the labor room, a nurse is helping to stimulate a
newborn infant who has a low Apgar score. The nurse stumbles, allowing
the baby to fall to the floor, resulting in the infant's death. This situation is
referred to as:
A. Criminal negligence
B. Sentinel event
C. res ipsa loquitur
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