問題一覧
1
national exam to obtain nursing license
NCLEX
2
Intentional wrongful physical contact
Battery
3
Slander example
Telling someone that a nurse lost their license when it is not true
4
Obligation to protect safety and avoid causing harm
Nonmalficence
5
Do you place the client chart or state a report that it was filed?
No
6
Internal disaster (within the facility)
Loss of power, explosion, terrorism, damage related to weather or fire
7
Nonmalficence example
Stopping a medication that is known to be harmful
8
External (affect the facility indirectly)
tornado, hurricane, building collapse
9
Non-Urgent, Minimal; can wait hours to days for treatment
Green tag
10
Organ and Tissue Donation
Regulated by state law, Can be in a will or designated on a card, Facilities must provide trained individual to make requests to clients and provide information and answer questions
11
Aimed at people who can’t defend themselves, usually between two employees that are not in the same level in an organization
Bullying
12
duty to tell the truth
Veracity
13
Mental Health Parity Act
prevents barriers for mental health and substance use to receive treatment
14
defines nursing scope of practice in each state, protecting the health, safety, and welfare of the general public
Nurse Practice Act
15
Emergent or immediate; life threatening but high survival probability once stable: AIRWAY COMPROMISE
Red
16
Use information and technology to communicate, manage knowledge, mitigate error, and support decision making—utilizing technology such as infusion pump to provide client care
Informatics
17
Example of fidelity
Saying you will come back and check on a client’s pain in 30 minutes
18
What’s included in the incident report?
Objective Data, Subjective Data, Factual information
19
Minor injuries, significant disruption
Serious Incidents
20
Assault example:
Forcibly administering a medication without a client’s consent
21
ability client to make own decisions
Autonomy
22
Negligence
Practice does not mee the expectations of care placing a client as risk; can be an act of omission
23
Intentional Tort Examples:
Assault, Battery, False imprionment
24
Autonomy example
Client has the right to refuse and/or choose if they want Tylenol or Percocet
25
Most severe — complications lead to death
Failure to rescue
26
What’s the purpose of incident reports documented?
Data used to provide performance improvement studies
27
Prevents cross contamination of organisms
Infection Control
28
protects nurses to use standard and prudent care in emergency situations
Good Samaritan Law
29
Negligence example
Nurse fails to answer a call light in a timely matter and results in injury to the client
30
Defamation
Communication without regard to the truth with intent to injury reputation
31
Libel example
Documenting that nurse was incompetent when the client fell
32
Who’s at risk for injuries?
Elderly, Pediatrics, Clients with mobility and cognitive deficists, Unstable emotional state
33
Do you provide confidentiality to the client of the event?
No
34
Minimizes risk of harm of patients and providers through both system effectiveness and individual performance
Safety
35
Unexpected death or major injury
Sentinel Events
36
Function effectively with nursing fostering open communication, mutual respect, and shared decision-making to achieve quality patient care
Teamwork and Collaboration
37
Integrate best current evidence with clinical expertist and patient/family preferences and values of delivery of optimal health care
Evidenced Based Practice
38
expected behavior of right and wrong
Ethics
39
Recognize the patient or designee as the source of control and full partner in proving compassionate and coordinated care based on respect for patient’s preferences, values, and needs
Patient Centered Care
40
Incivility
Action that is rude, insulting, intimidating which can include joking and teasing
41
What do you do after you assess the patient for a medication error?
Notify the provider
42
Civil
Protect the rights of individual
43
Unintential Torts
Negligence, Malpractice
44
Only nurses with BLS can perform CPR
True
45
Fair treatment
Justice
46
Who identifies the incident report?
The nurse that was affected
47
catatropic event that overwhelms local resources
Mass casualty incident
48
Expectant: not expected to live and allow to die naturally, comfort care can be provided but not restored
Black tag
49
False imprionment example
Use of restraints
50
Veracity example
Reporting a medication error that you made
51
Criminal - Felony and Misdemeanors
Falsifying records, Posession of a controlled substance not prescribed, Practicing nursing without a license
52
Lateral Violence
Verbal abuse, gossip, or hostility that occurs between employees that are on the same level of the organization, Rolling eyes at another nurse
53
Employees have right to refuse to work in unsafe environment if danger to health
Hazardous Materials
54
causes serious damage, destruction, injuries, or death
Disaster
55
Libel
written
56
keeping a promise
Fidelity
57
problem with more than one choice and a choice can be influenced by others
Ethical Dilemma
58
Examples of Incidient Reporting/Event Reporting
Medication Error, Fall, Needlesticks, Visitor/Volunteer injury, Loss of property
59
values and beliefs that guide an individual in behaviors and decisons
Morals
60
Battery example
A healthcare worker surprises a client and pushes from behind
61
Malpractice example
Nurse administers a large dose of medication due to calculation error
62
Malpractice (professional negligence)
failure to act reasonably and prudent
63
Slander
Verbal
64
Cyberbullying
electronic
65
care in the best interest
Beneficence
66
Urgent or Delayed; Major injuries but not life threatening, require treatment within 30 min to 2 hours
Yellow tag
67
Who do you send the incident report to?
Risk management
68
Unsatisfactory Service
Service Occurrences
69
Who is discharged first at relocation discharge of a mass casualty event??
Ambulatory or minimal care
70
Quasi-Intentional Tort examples
Invasion or Privacy, Defamation, Libel, Slander
71
Use data to monitor the outcomes of care processes and use improvement methods design to test changes to continously improve the quality and safety of health care systems
Quality Improvement
72
Invasion of Privacy example
Telling a family member that a client has HIV
73
Event almost occurs
Near misses
74
Invasion of Privacy
releasing information of private matter or breach of confidentiality
75
Treatment of mass casuality is based on doing the greatesst good for the greatest number of people
True
76
conduct that makes another person fearful
Assault
77
competent person held/restrained against their will
False imprionment
78
Justice example
Prioritizing client care regardless of age, gender, and race
79
Beneficence example
Transport a sick or injured client to the hospital