LEADERSHIP AND MANAGEMENT FINAL SCRIPT
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ Psych nursing Competency Hearing. Answer: Legal hearing held
to determine a persons ability to make responsible decisions about
self, dependents or property.
◉ Psych nursing Persons declared Incompetent Answer: have legal
status of a MINOR---they CANNOT--1. vote, 2. make contracts or
wills, 3. drive a car, 4. sue or be sued, 5. hold a professional license
◉ Psych nursing Insanity Answer: Accused is not criminally
responsible for the unlawful act committed because he/she is
mentally ill
◉ Psych nursing Inability to stand trial Answer: Accused of
committing a crime and is not mentally capable of standing trial--1.
He/she cannot understand the charge against him/herself, 2. Must
be sent to psych unit until legally determined competent for trial, 3.
Once mentally fit, must stand trial and serve sentence if convicted
◉ Joint Commission implemented new patient id requirements?
Answer: ask name, birth date whenever taking blood samples,
,admin meds, admin blood products. **patient room # may not be
used**
◉ Surgical Permit Answer: Must be obtained prior to surgical
procedure, however minor it may be. Legally it must be 1. written, 2.
obtained voluntarily, 3. explained to client(informed consent must
be obtained)
◉ Informed Consent Answer: Operation has been fully explained to
client including 1. complications/disfigurements, 2. removal of
organs or parts of body
◉ Surgery Permit Obtained through? Answer: 1. witness by
authorized personnel(nurse), 2. protect client against unsanctioned
surgery + protect health care provider, surgeon, hospital+staff
against possible claims of unauthorized operations, 3. adults and
emancipated minors may sign their own operative permits--if
mentally competent, 4. Permission to operate on minor
child/incompetent/unconscious adult must be obtained from
leagally responsible family member or guardian.
◉ Consent Answer: does not require written consent to perform
medical treatment**can be performed if patient fully informed,
voluntarily consents, or to save life/limb if patient is unconscious**
,◉ Verbal Consent Answer: notation should be made that describes;
why+how verbal consent was obtained, placed in clients record,
witnessed + signed by 2 persons: given by alert, coherent,
competent adult, legal guardian, parent person in loco
parentis(person standing in for part w/parent's rights)
◉ Consent of minors Answer: Minors 14 years and older must agree
to treatment along w/parent or guardian----Emancipated minors
can consent to treatment themselves (*emancipated minor may
change state to state*)
◉ Emergency Care: Good Samaritan Act Answer: Protects health
practitioners against malpractice claims for care provided in
emergency situations "nurse required to perform in a "reasonable
and prudent manner."
◉ Prescriptions and Health Care Providers Answer: Nurse required
to obtain Rx to carry out medical procedures, although verbal phone
Rx's should be avoided follow agency protocol**failure to do so
considered negligence**--If nurse ??'s health care providers Rx, she
believes wrong dose for med; **inform health care provider, record
health care provider was informed and their response, inform
nursing supervisor and refuse to carry out Rx.**
◉ Joint Commission requires that organizations implement Answer:
process for taking verbal or phone orders including read-back of
, critical values, should be written first in chart/rx and then read
back!
◉ Rx's and Health Care Providers and poor judgment Answer:
Record that health care provider was notified and Rx was ?, carry
out the Rx because nursing judgment cannot be substituted for
Health care provider judgment. (nurse believes client doesn't need
as many tranquilizers as health care provider does)
◉ Rx's, Health Care Providers and inadequate nursing education
Answer: If nurse is asked to perform a task for which he/she has not
been prepared for educationally, 1. inform health care provider 2.
refuse to carry out Rx----**if nurse does solely liable for damages**if
physician informed both are liable**
◉ Rx's and nurses and lowering doses Answer: Nurse cannot w/o
physicians Rx alter amount of drug give to a client(nursing
judgement cant be altered for medical judgement)
◉ Restraints only under following circumstances? Answer: 1. in an
emergency, 2. for a limited time, 3. for the purpose of protecting
client from injury/harm
◉ Restraints NI Answer: 1. notify physician, 2. document facts
regarding rational for restraining, 3. only use after exhausting all
reasonable alternatives, 4. Apply according to facility protocol, 5.
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ Psych nursing Competency Hearing. Answer: Legal hearing held
to determine a persons ability to make responsible decisions about
self, dependents or property.
◉ Psych nursing Persons declared Incompetent Answer: have legal
status of a MINOR---they CANNOT--1. vote, 2. make contracts or
wills, 3. drive a car, 4. sue or be sued, 5. hold a professional license
◉ Psych nursing Insanity Answer: Accused is not criminally
responsible for the unlawful act committed because he/she is
mentally ill
◉ Psych nursing Inability to stand trial Answer: Accused of
committing a crime and is not mentally capable of standing trial--1.
He/she cannot understand the charge against him/herself, 2. Must
be sent to psych unit until legally determined competent for trial, 3.
Once mentally fit, must stand trial and serve sentence if convicted
◉ Joint Commission implemented new patient id requirements?
Answer: ask name, birth date whenever taking blood samples,
,admin meds, admin blood products. **patient room # may not be
used**
◉ Surgical Permit Answer: Must be obtained prior to surgical
procedure, however minor it may be. Legally it must be 1. written, 2.
obtained voluntarily, 3. explained to client(informed consent must
be obtained)
◉ Informed Consent Answer: Operation has been fully explained to
client including 1. complications/disfigurements, 2. removal of
organs or parts of body
◉ Surgery Permit Obtained through? Answer: 1. witness by
authorized personnel(nurse), 2. protect client against unsanctioned
surgery + protect health care provider, surgeon, hospital+staff
against possible claims of unauthorized operations, 3. adults and
emancipated minors may sign their own operative permits--if
mentally competent, 4. Permission to operate on minor
child/incompetent/unconscious adult must be obtained from
leagally responsible family member or guardian.
◉ Consent Answer: does not require written consent to perform
medical treatment**can be performed if patient fully informed,
voluntarily consents, or to save life/limb if patient is unconscious**
,◉ Verbal Consent Answer: notation should be made that describes;
why+how verbal consent was obtained, placed in clients record,
witnessed + signed by 2 persons: given by alert, coherent,
competent adult, legal guardian, parent person in loco
parentis(person standing in for part w/parent's rights)
◉ Consent of minors Answer: Minors 14 years and older must agree
to treatment along w/parent or guardian----Emancipated minors
can consent to treatment themselves (*emancipated minor may
change state to state*)
◉ Emergency Care: Good Samaritan Act Answer: Protects health
practitioners against malpractice claims for care provided in
emergency situations "nurse required to perform in a "reasonable
and prudent manner."
◉ Prescriptions and Health Care Providers Answer: Nurse required
to obtain Rx to carry out medical procedures, although verbal phone
Rx's should be avoided follow agency protocol**failure to do so
considered negligence**--If nurse ??'s health care providers Rx, she
believes wrong dose for med; **inform health care provider, record
health care provider was informed and their response, inform
nursing supervisor and refuse to carry out Rx.**
◉ Joint Commission requires that organizations implement Answer:
process for taking verbal or phone orders including read-back of
, critical values, should be written first in chart/rx and then read
back!
◉ Rx's and Health Care Providers and poor judgment Answer:
Record that health care provider was notified and Rx was ?, carry
out the Rx because nursing judgment cannot be substituted for
Health care provider judgment. (nurse believes client doesn't need
as many tranquilizers as health care provider does)
◉ Rx's, Health Care Providers and inadequate nursing education
Answer: If nurse is asked to perform a task for which he/she has not
been prepared for educationally, 1. inform health care provider 2.
refuse to carry out Rx----**if nurse does solely liable for damages**if
physician informed both are liable**
◉ Rx's and nurses and lowering doses Answer: Nurse cannot w/o
physicians Rx alter amount of drug give to a client(nursing
judgement cant be altered for medical judgement)
◉ Restraints only under following circumstances? Answer: 1. in an
emergency, 2. for a limited time, 3. for the purpose of protecting
client from injury/harm
◉ Restraints NI Answer: 1. notify physician, 2. document facts
regarding rational for restraining, 3. only use after exhausting all
reasonable alternatives, 4. Apply according to facility protocol, 5.
