Inquire through: | Professional | Confidential Support
W&F Quiz 1 (Exam 1) Verified and Updated
Questions and Answers (100% Correct
Answers)
LEGAL ISSUES
Answer: • Standards of care:
• Institutional policies
• Scope of practice:
Standards of Care
Answer: Important b/c they allow for standardized and consistent care across
healthcare system
Institutional Practices
Answer: Be aware of state and institutional policies
Scope of practice
Answer: -Defined by state's Nurse Practice Act
-Identifies parameters within which nurses may practice
Hospital policy can restrict
Answer: more than state policy, will never allow for greater scope of practice
NEGLIGENCE 4 ELEMENTS
Answer: 1. There was a duty to provide care.
2. The duty was breached.
3. Injury occurred.
4. The breach of duty caused the injury (proximate cause).
• If there was a fifth element it would be "was this negligence foreseeable?"
Most common type of negligence is communication failuresàdid you fail to tell the
doctor something you needed to, ect.
,Inquire through: | Professional | Confidential Support
ETHICAL IMPLICATIONS
Answer: -Ethical Principles/Moral Obligations
-Informed Consent
ETHICAL PRINCIPLES
Answer: 1. Autonomy
2. Justice
3. Fidelity
4. Veracity
5. Beneficence
6. Nonmaleficence
7. Paternalism
Autonomy
Answer: -Freedom to choose/decide to submit to treatment offered
-As providers we don't want to add "undue influence"
Justice
Answer: Obligation to be fair; to treat the patient without malice, bias, or prejudice
Fidelity
Answer: Keeping Promises, if you say you'll do something actually do it
Veracity
Answer: Share relevant, accurate, clear, understandable information
Be honest and unbiased
Beneficence
Answer: Maximize the benefits and minimize potential harm
"Duty to do good"
, Inquire through: | Professional | Confidential Support
Nonmaleficence
Answer: Refrain from harming a patient intentionally
"Duty to do no intentional harm"
Paternalism
Answer: any action, decision, rule, or policy made by a physician or other care-
giver, (or a government), that dictates what is best for the patient(s) without
considering the patient's own beliefs and value system: does not respect patient
autonomy
-All other principles stem from this one
What situations create maternal-fetal-newborn ethical dilemmas?
Answer: - Forced C-sections (some cases these can be legally forced upon a woman)
- Some states consider substance use while pregnant child abuse
Fetal surgery is considered non-therapeutic if it's for research but it still shouldn't
harm the baby
INFORMED CONSENT: 3 MAIN POINTS
Answer: 1. Understandable: pt must be able to understand what you're saying and
what it means
a. Benefits, risks, success rates, and alternatives
b. Avoid medical jargon, use interpreter as needed
2. Consequences: must include the consequences of receiving no tx/procedure
3.Right to Refuse: must make patient aware that they can refuse treatment, does not
result in withdrawal of care or support
Role of the nurse in informed consent
Answer: - Nurse's main role in informed consent: act as witness to provider getting
informed consent
- Can answer questions to level of expertise, or ask provider to come back in and give
more explanation
Act as the patient's advocate
W&F Quiz 1 (Exam 1) Verified and Updated
Questions and Answers (100% Correct
Answers)
LEGAL ISSUES
Answer: • Standards of care:
• Institutional policies
• Scope of practice:
Standards of Care
Answer: Important b/c they allow for standardized and consistent care across
healthcare system
Institutional Practices
Answer: Be aware of state and institutional policies
Scope of practice
Answer: -Defined by state's Nurse Practice Act
-Identifies parameters within which nurses may practice
Hospital policy can restrict
Answer: more than state policy, will never allow for greater scope of practice
NEGLIGENCE 4 ELEMENTS
Answer: 1. There was a duty to provide care.
2. The duty was breached.
3. Injury occurred.
4. The breach of duty caused the injury (proximate cause).
• If there was a fifth element it would be "was this negligence foreseeable?"
Most common type of negligence is communication failuresàdid you fail to tell the
doctor something you needed to, ect.
,Inquire through: | Professional | Confidential Support
ETHICAL IMPLICATIONS
Answer: -Ethical Principles/Moral Obligations
-Informed Consent
ETHICAL PRINCIPLES
Answer: 1. Autonomy
2. Justice
3. Fidelity
4. Veracity
5. Beneficence
6. Nonmaleficence
7. Paternalism
Autonomy
Answer: -Freedom to choose/decide to submit to treatment offered
-As providers we don't want to add "undue influence"
Justice
Answer: Obligation to be fair; to treat the patient without malice, bias, or prejudice
Fidelity
Answer: Keeping Promises, if you say you'll do something actually do it
Veracity
Answer: Share relevant, accurate, clear, understandable information
Be honest and unbiased
Beneficence
Answer: Maximize the benefits and minimize potential harm
"Duty to do good"
, Inquire through: | Professional | Confidential Support
Nonmaleficence
Answer: Refrain from harming a patient intentionally
"Duty to do no intentional harm"
Paternalism
Answer: any action, decision, rule, or policy made by a physician or other care-
giver, (or a government), that dictates what is best for the patient(s) without
considering the patient's own beliefs and value system: does not respect patient
autonomy
-All other principles stem from this one
What situations create maternal-fetal-newborn ethical dilemmas?
Answer: - Forced C-sections (some cases these can be legally forced upon a woman)
- Some states consider substance use while pregnant child abuse
Fetal surgery is considered non-therapeutic if it's for research but it still shouldn't
harm the baby
INFORMED CONSENT: 3 MAIN POINTS
Answer: 1. Understandable: pt must be able to understand what you're saying and
what it means
a. Benefits, risks, success rates, and alternatives
b. Avoid medical jargon, use interpreter as needed
2. Consequences: must include the consequences of receiving no tx/procedure
3.Right to Refuse: must make patient aware that they can refuse treatment, does not
result in withdrawal of care or support
Role of the nurse in informed consent
Answer: - Nurse's main role in informed consent: act as witness to provider getting
informed consent
- Can answer questions to level of expertise, or ask provider to come back in and give
more explanation
Act as the patient's advocate
