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NUR 256 Final Exam: Comprehensive Questions and Verified Solutions (2025/2026 Edition)

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This essential study guide provides complete solutions for the NUR 256 Final Exam, covering the critical intersection of nursing law, ethics, and quality management . It includes detailed explanations of statutory and common law, specifically focusing on the Nurse Practice Act, malpractice vs. negligence, and federal mandates like HIPAA, EMTALA, and the Patient Self-Determination Act . Master Nursing Ethics with in-depth coverage of core principles: autonomy, beneficence, nonmaleficence, veracity, and social justice . The material also prepares you for clinical excellence by detailing the QSEN competencies (Patient-Centered Care, Teamwork, EBP, Quality Improvement, Safety, and Informatics) and the STEEEP guiding principles for healthcare . Additionally, this guide features a comprehensive section on Quality Improvement (QI) tools like root cause analysis, Pareto charts, and flowcharts, alongside critical communication strategies such as SBAR and TeamSTEPPS . You will also find a robust overview of Complementary and Alternative Medicine (CAM), including Ayurveda, acupuncture, homeopathy, and more

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Nur 256 Final Exam with Complete Solutions.


statutory law - ANSWER-The type of law that creates a nurse practice
act is

malpractice - ANSWER-A professional's negligent conduct is

licensure - ANSWER-A legal permit that serves as a means to protect
public safety is

maintain a good relationship with patients and families - ANSWER-A
strategy to prevent being named in a lawsuit is to

The state board of nursing - ANSWER-________ has the authority to
license nurses

gross negligence - ANSWER-is a reckless act that reflects a conscious
disregard for the patient's welfare.

HIPPA - ANSWER-The intent of _____ is to ensure confidentiality of
the patient's health record

Good Sumaritan Immunity - ANSWER-_______ limits a nurse's liability
or shields the nurse from malpractice for rendering emergency assistance
outside the employment setting.

The Patient Self-Determination Act - ANSWER-requires that federally
funded hospitals (Medicare, Medicaid) inform adult patients in writing
about their right to make treatment choices and to ask patients whether
they have a living will or a durable power of attorney for health care.

The Nurse Practice Act - ANSWER-defines nursing within the state

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federal law - ANSWER-The public's right to expect to receive treatment
that meets the standards of nursing care is protected by:

Federal laws - ANSWER-________ have a major effect on nursing
practice, mandating a minimal standard of care in all health care settings
that receive federal funds. Nursing practice is governed by state laws
that delineate the conduct of licensed nurses and define behaviors of all
health care professionals in promoting public health and welfare.

C. - ANSWER-Which nursing action best complies with the
expectations for nursing care defined by the "never events" identified by
the 2012 Rules of Participation for Hospitals?

A. Requiring all unlicensed nursing personal to attend shift reports
B. Providing care when convenient for the client whenever possible
C. Attending an in-service on evidence-based practice on urinary
catheter care
D. Reporting suspected elder abuse to the nursing manager immediately

"never events." - ANSWER-Nurses are required to develop greater
expertise in the provision of evidence-based patient care, case
management, and discharge planning in order to avoid _____

C - ANSWER-Which of the following situations fails to meet the criteria
for establishing nursing negligence or malpractice?

a. A nurse comes to work under the influence of alcohol.
b. The nurse leaves a client's bed in the raised position, resulting in a
fall.
c. The nurse fails repeatedly to document a client's response to pain
medication.
d. A nurse assigns first-time ambulation of a postop client to an aide and
the client falls.

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C - ANSWER-In what situation may a nurse deliver care that is not
considered at the level of required standard of care?

a. When directly ordered to do so by a physician
b. When the nursing area is considered understaffed
c. When the situation is determined to be an emergency
d. When the client refuses care that would meet the standard of care.

a - ANSWER-A client who insists on leaving the hospital against
medical advice (AMA) after being properly advised signs the necessary
form. In order to avoid legal consequences regarding the client's
decision, the nurse should:

a. objectively document all the details of the situation thoroughly but
concisely in the client's medical record. Correct
b. notify the nursing supervisor of the client's decision and that all
reasonable efforts were made to dissuade the client from leaving.
c. have a member of the security staff escort the client off the facility's
property and into their private vehicle or public transportation
d. with the client's permission notify a contact person that the client is
leaving the hospital against medical advice.

autonomy - ANSWER-right to self-determination

altruism - ANSWER-concern for others' welface

nonmaleficence - ANSWER-duty to inflict no harm

veracity - ANSWER-truth telling

justice - ANSWER-concern for right and wrong

paternalism - ANSWER-provider believes his actions are best

beneficence - ANSWER-promote goodness

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utilitarianism - ANSWER-the greatest good for the greatest number of
individuals

deontology - ANSWER-conforms to overriding moral duty

Hastings Center Report - ANSWER-A nursing journal

c. - ANSWER-Which of the following scenarios demonstrates a nurse
engaging in value clarification?

a. A client is reassured by the nurse who states, "I will stay with you as
long as you want."
b. A novice nurse regularly asks a veteran nurse, "What would you do if
you were in my place?"
c. A nurse reflects on the question, "What would be important to me if I
was told my cancer was terminal?"
d. When a client asks for advice, the nurse responds, "What can I do to
help you make this decision?"

values clarification - ANSWER-The process of ______ attempts to
examine the values one holds and how each of those values functions as
part of a whole. Nurses must acknowledge their own values by
considering how they would act in a particular situation.

emotional support. - ANSWER-Reassuring the client is a means of
providing

role modeling. - ANSWER-Asking the advice of a more experienced
nurse is an example of

autonomy and independence. - ANSWER-Asking clients what they need
to achieve their goals is a way to encourage

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