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ISSUES IN NURSING, 7TH EDITION
BY GINNY WACKER GUIDO EXAM
2025 LATEST NEWEST UPDATE
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Choose the one alternative that best completes the statement or answers the question.
Nursing Standards of Care
Legal requirements for nursing practice
Minimum acceptable nursing care
The Nursing Standards of Care are defined by who?
American Nurse's Association (ANA)
State Boards
The Joint Commission (TJC)
Individual facilities
, Nurse Practice Act
Different for each state
Educational and licensure requirements
Distinguishes nursing from medical practice
The Florida NPA prohibits nursing students from working where?
Working as camp nurses in any state, first aid stations included
Nursing students can do what?
Should only perform skills that they are prepared to do.
Can only perform "professional nursing" skills with faculty supervision
2 Federal laws that affect the nursing practice
Americans with Disabilities Act (ADA)
Emergency Medical Treatment and Active Labor Act (EMTALA)
ADA
Protects the rights of those with physical or mental disabilities
Prohibits discrimination
Equal opportunites
EMTALA
Screening of new patients
Pts must be stabilized before being transferred
Prevents pt dumping
What are the Good Samaritan laws?
Law different from state to state that protects the nurses who respond to accidents. The
nurse is not liable if interventions were w/in nursing scope of practice, and the nurse must
stay until EMS arrives.
2 Punishments for violating a civil law
Fines
Public service
Torts
3 Sources of Law
Statutory
Regulatory
Common
Statutory law
Determined by state and federal legislature
Civil laws
Criminal laws
Meant to protect the rights of individuals; fair and equitable treatment
Concerning nursing-negligence
Civil laws
Protects society
Felony
Misdemeanor
Criminal laws
Broken criminal law and go to jail or death penalty
, Felony
Broken criminal law and pay fine
Misdemeanor
Regulatory law
Determined by administrative bodies
State Board of Nursing
Common law
From court decisions of individual cases
One court case that can change other cases outcome
2 Types of Nursing Licensure
NCLEX-RN
State Board of Nursing
3 Things the State Board of Nursing can do to a Nurse's license
Issue-allow
Suspend- stop
Revoke- taken and never given back
Civil wrong made against a person or property
3 Types of Torts
Intentional
Quasi-intentional
Unintentional
3 Intentional Torts
Assualt
Batttery
False imprisonment
Action that places pt in fear of being hurt; a threat
Assault
Physical touching w/o consent
Battery
Unjustified restraining of a pt
False Imprisonment
What is a Quasi-intentional tort?
An un-willful action
2 types of Quasi-intentional torts
Invasion of privacy (HIPAA violation)
Defamation of character
Spoken defamation of character
Slander
Written defamation of character
Libel
2
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, 2 types of Unintentional torts
Negligence
Malpractice
Negligence
Any care that falls below the standard
Malpractice
Professional negligence
Criteria for Malpractice
Nurse owed a duty to a patient+
Nurse did not carry out that duty+
Pt was injured=
Pts wishes in the event of a terminal illness.
Determines treatment.
DPAHC
"Health care proxy"
Written document
Code 3
Full code
Do everything to keep alive
Code 2
Partial
Specific
Code 1
Do not recesitate
What are ethics?
Moral principles that guide character and conduct, such as standards of right and wrong,
values, and personal opinions.
Foundations for Christian Worldview
The Bible
Foundations for Secular Worldview
General standards and man-made theories
3 Things that contribute to Nursing Ethics
Code of Ethics
Florence Nightingale Pledge
American Nurse's Association (ANA)
Code of Ethics
Set of guiding principles that at all members of a profession follow.
Give standards of behaviour.
American Nurse's Association (ANA)
First code of ethics for nursing in 1926.
Current code published in 2001.
ANA code of ethics
Nurse's failure to carry out the duty was the cause of the injury
2 other legal issues