NURSING JURISPRUDENCE PRACTICE
EXAM QUESTIONS AND ANSWERS
IBPR Due Process Rights - Answer-Facility must have policies in place for PR
PR committee must comply with req.
Nuse must receive notice/ opportunity to review documents/submit a response
Nurse may hire own attorney
Nurse will get feedback after decision
Nurse will have a chance to respond
Minor Incident - Answer-Conduct that does not indicate the nurses continuing to
practice professional nursing poses a risk fo harm to the pt. or other person
Safe Harbor Peer Review - Answer-Allows a nurse to accept an assignment and
provide best care without fear of licensure action if there is a practice error.
-Does not protect civil rights
-Before refusing assignment must recog. pt is 1st
May refuse an assignemt if lack basic knowlege/ability to render care
Safe Harbor - Answer-Must be invoked BEFORE care given
Or anytime assignment has changed and pt may be in harm
-Must notify in writing
-Supervisor can't refuse
-May use quick req form to make initial req.
-Comprehensive request must be completed before leaving work setting
Quick Request Form - Answer-Written on blank piece of paper but must include
-Name/Signature
-Date/Time of request
-Location of where it is to be completed
-Name of person making assignent
-Brief expalnation of why safe harbor is being req.
Chain after Safe Harbor Nurse completion - Answer-Nurse supervisor/administrator who
gave assignm.
Nurse adminstrator
Peer Review Committee
Physician who reviews med reasonableness
Nurse administrator who reviews PR fidnigns
Nurse who initiated request
, Mandatory Overtime - Answer-Making you work extra shifts, you have the right to
refuse.
NOT when
-Emergency diasasters
-Ongoing procedure requires nurses presence
-Certain emergencies
Take Mandatory Overtime Concerns to - Answer-Unit manager
Staffing Committee
DSHS-if not addressed internally
Nurses duty is always - Answer-In the best interest of the patient
Patient Abandonment - Answer-NPA/BON do not define abandonment
-leaves employment-employment issue
-leaves patient-licensure issue
Not abandonment - Answer-Resignation without notice- assuming shift has been
completed
Refusal to work additional shifts either doubles or extra shifts on days off
Floating to an unfamiliar area - Answer-Always responsible for providing safe patient
care
May request training prior to having to float
May invoke safe harbor
May refuse assignment
What do I do if I question safety of assignment? - Answer-1st- clear about what you are
being asked to do
2nd- consider what can change during assignment
3rd- state concern to person making assignment, brainstorm ways to modify
4th- Listen to response
Disciplinary Action - Answer-Chemical Dependency
Alcohol Dependency
Mental Illness
Even some prescription drugs
Red Flags - Answer-Lack of energy
Frequent absenses
Spike in pt. need for pain meds
Lateness to work
Red Eyes
EXAM QUESTIONS AND ANSWERS
IBPR Due Process Rights - Answer-Facility must have policies in place for PR
PR committee must comply with req.
Nuse must receive notice/ opportunity to review documents/submit a response
Nurse may hire own attorney
Nurse will get feedback after decision
Nurse will have a chance to respond
Minor Incident - Answer-Conduct that does not indicate the nurses continuing to
practice professional nursing poses a risk fo harm to the pt. or other person
Safe Harbor Peer Review - Answer-Allows a nurse to accept an assignment and
provide best care without fear of licensure action if there is a practice error.
-Does not protect civil rights
-Before refusing assignment must recog. pt is 1st
May refuse an assignemt if lack basic knowlege/ability to render care
Safe Harbor - Answer-Must be invoked BEFORE care given
Or anytime assignment has changed and pt may be in harm
-Must notify in writing
-Supervisor can't refuse
-May use quick req form to make initial req.
-Comprehensive request must be completed before leaving work setting
Quick Request Form - Answer-Written on blank piece of paper but must include
-Name/Signature
-Date/Time of request
-Location of where it is to be completed
-Name of person making assignent
-Brief expalnation of why safe harbor is being req.
Chain after Safe Harbor Nurse completion - Answer-Nurse supervisor/administrator who
gave assignm.
Nurse adminstrator
Peer Review Committee
Physician who reviews med reasonableness
Nurse administrator who reviews PR fidnigns
Nurse who initiated request
, Mandatory Overtime - Answer-Making you work extra shifts, you have the right to
refuse.
NOT when
-Emergency diasasters
-Ongoing procedure requires nurses presence
-Certain emergencies
Take Mandatory Overtime Concerns to - Answer-Unit manager
Staffing Committee
DSHS-if not addressed internally
Nurses duty is always - Answer-In the best interest of the patient
Patient Abandonment - Answer-NPA/BON do not define abandonment
-leaves employment-employment issue
-leaves patient-licensure issue
Not abandonment - Answer-Resignation without notice- assuming shift has been
completed
Refusal to work additional shifts either doubles or extra shifts on days off
Floating to an unfamiliar area - Answer-Always responsible for providing safe patient
care
May request training prior to having to float
May invoke safe harbor
May refuse assignment
What do I do if I question safety of assignment? - Answer-1st- clear about what you are
being asked to do
2nd- consider what can change during assignment
3rd- state concern to person making assignment, brainstorm ways to modify
4th- Listen to response
Disciplinary Action - Answer-Chemical Dependency
Alcohol Dependency
Mental Illness
Even some prescription drugs
Red Flags - Answer-Lack of energy
Frequent absenses
Spike in pt. need for pain meds
Lateness to work
Red Eyes
