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Prof Growth Exam 2
Terms in this set (167)
_________ can be defined as the sum total of rules and regulations by which a society is governed. It is created by the people and exists to regulate all persons.
What are the type(s) of law traditions that exist in Canada? (Select all that apply)
A. Common Law
B. Criminal Law
C. Divorce Law
D. Civil Law
E. Martial Law
A and D
True or False. Law helps establish the boundaries of independent nursing action.
_________ provides a framework for establishing the legality of nursing actions in the care of clients. It outlines the responsibilities that govern nursing practice and nurses relationships with physicians, and other health care practitioners.
A. Code of Ethics
B. Competency Profile
D. Institutional Policy
Which type of law is being defined?
"Legal principles and rules that evolve through the courts. Judges interpret and apply principles from similar decisions in previous cases to the particular case before them to reach a decision"
Each province has a lower level (trial/appeal) court and a higher level (trial/appeal) court.
True or False. A decision made by the supreme court of Canada is binding on all other courts in the country.
True or False. A court decision in one province is binding in another.
What type of law is being described?
"Laws are written down in what is referred to as a code. This code provides all citizens with an accessible and written collection of the laws that apply to them and that judges must follow."
True or False. Responsibility for the Canadian health care system is placed upon the provincial governments.
False. Also includes Federal
Regulation of health care professionals is a responsibility of the ___________ government.
What are the 5 main principles of the Canada Health Act?
________ law refers to that body of law through which a person who suffers injury caused by another person is able to claim compensation for that injury.
What are the two main categories of tort law?
The goal of __________ in tort law is to put the person who suffered the harm back in the position they would have been in had the person who performed the tort not acted.
In Canada the regulation of nursing is a function of ____________ law. Nurses have been granted the right to self regulation and an obligation to monitor and discipline their own membership.
_____________ are charged with regulation entry into a profession, approving entry level nursing education programs, setting standards of competent practice, establishing continuing competence and quality assurance improvement programs, and drafting bylaws for the general and day-to-day governance of a profession.
A. The provincial government
B. Regulatory bodies
________ and _________ are a way to protect the public from unsafe practitioners and to assure employers that the nurse has met minimum the requirements for entry to practice.
A. Laws; Ethics
B. Regulatory Bodies; Guidelines
C. Licensure; Registration
D. CARNA, CLPNA
_____________ means that an individuals name is listed on an official roster. The process ussually occurs once a year. Only those who are ___________ can call themselves RN's, LPN's, or RPN's.
A. Licensure; Licensed
B. Registration; Registered
C. Qualifications; Qualified
D. Regulation; Regulated
True or False. In Canada it is required by law that all practicing nurses are registered or hold a valid permit/license with their provincial nursing association.
True or False. Due to the agreement on internal trade, a qualified practitioner in one province cannot move to another province and practice without going through an entirely new application/examination process.
______________ is a voluntary practice that proves that a nurse has met the minumum standards of nursing competence in specialty areas.
A. Continuing competence
The establishment of nursing professional and practice ________ is essential for a self-regulating profession. In assessing the quality of care prvided by nurses, it is crucial to have objective criteria by which one can judge whether the care given is good, adequate, or unsafe.
It is the responsibility of the _____________ to understand practice standards so they can be applied to nursing practices.
A. Regulatory Body
D. Charge Nurse
True or False. Best practice guidelines provide a good indication of what a court may recognize as nursing practice standards.
The disciplinary role of the regulatory body is central to the regulatory bodies duty to:
A. Ensure its nurses are well educated
B. Protect the public
C. Protect its nurses
D. Ensure that the body does not have to face any law suits
When a case against a nurse involves either ______ or ________ wrongs, further legal consequences may follow seperate and apart from the regulatory body discipline process.
A. Civil and Common
B. Civil and Tort
C. Tort and Common
D. Civil and Criminal
What are the two separate but interdependent legal role of the nurse that is associated with rights and associated responsibilities?
Provider of Service
Employee/Contracter of service
The nurse is expected to provide safe and _________ care so that no harm comes to the recipient of the care.
A. Culturally Acceptable
When delegating or assigning duties to others who is responsible for ensuring that this assignment is appropriate or those assigned have the skills to fulfill the function?
A. The person performing the delegated activity
B. The charge nurse
C. The nurse who delegated the activity
D. The physician
E. The unit manager
True or False. Nurses are obligated to follow physicians orders even if they believe the orders have the potential to harm or injure the patient.
If a nurse is required to make their supervisor aware of unsafe physicians orders, who's responsibility does the orders become?
A. The physicians
B. The nurse
C. The charge nurse/unit manager
D. The health care aide
True or False. If a nurse carries out a physicians order that is unsafe the nurse could be held legally responsible for any harm suffered by the patient.
Standards of care are legally defined by nurse practice acts and by the rule of ___________ and __________ action.
A ____________ is an agreement between two or more persons and creates an obligation to do or not to do a particular thing.
A ________ is a civil wrong committed against a person or a persons property.
C. Uncivil act
Torts are usually settled ____________ by civil actions between individuals. In other words the person who is responsible for the tort is sued for damages.
A. In court
B. In private
C. At the hospital
D. Between the two parties behind closed doors
Tort liability is based on ______________; that is something that was done incorrectly or something that should have been done but was not.
A. Admission of guilt
D. The decision of the judge
What are the two broad categories that torts can be classified under?
A. Assault and Battery
B. Intentional and Battery
C. Negligence and Assault
D. Intentional and Negligence
__________ involves conduct or behavior that falls below the standard of an ordinary, reasonable, and prudent nurse.
A. Intentional tort
What are the 4 elements that must be present in a negligence lawsuit against a nurse?
A medication error is an example of:
D. False imprisonment
True or False. Ignoring a patients complaints can be classified as negligence
True or False. Harm is required in the incidence of an intentional tort.
False. It is only required in negligence
What is the difference between negligence and an intentional tort?
Committing an act on purpose
What are the 4 most common intentional torts in nursing?
Invasion of Privacy
_________ is an attempt or threat to touch another person unjustifiably. It often precedes battery.
_________ is intentional harmful or offensive contact with another person (or another persons clothes, or even something that person is carrying) without that persons consent.
C. Invasion Of Privacy
E. False Imprisonment
(Assault/Battery) exists when consent is not obtained for treatment, or when consent is obtained through fraud or misrepresentation.
____________ is the intentional confining of a person within fixed boundaries, without that persons consent.
True or False. A patient does not need to prove damages to bring forth a false imprisonment lawsuit but must show they were intentionally restrained with no avenue of escape.
True or False. A patient must be conscious at the time they were confined to take action against the false imprisonment.
True or false obtaining consent to medical or nursing care is a legal requirement.
The use of force to detain someone against their will can constitute (Assault/Battery).
True or False. A patient has a right to leave and cannot be detained against their will even though it may be detrimental to their health.
What are the 4 categories of private information that musty be reported?
What are the three components of consent?
________ refers to the provision of information, including the risks of treatment, alternative tratement and its associated facts and risks, and the effects and risks of no treatment.
__________ refers to a patients ability to understand the relevant information and appreciate the consequences of their decision.
___________ refers to the patients right to come to a decision without force, coercion, or manipulation by others.
What are the two types of consent?
A. Implied and Unimplied
B. Informed and Uninformed
C. Informed and Implied
D. Implied and Express
(Express/Implied) consent is a clear statement by the patient and can be either oral or written. (Express/Implied) consent exists when the individuals nonverbal behavior indicated willingness.
During surgery when additional procedures are needed that are consistent with the procedure already consented to necessitates (Implied/Express) consent.
Treating a patient without obtaining fully informed consent constitutes (Battery/Negligence).
Obtaining consent for specific medical and surgical treatments is the responsibility of the?
A. Charge Nurse
D. Unit Manager
True or False. It is the nurses responsibility to supply the gaps or deficiencies in the physicians dialogue with the patient when getting informed consent.
A patient going in for an thyroidectomy tells the nurse that they do not understand why they are going in for this surgery. What is the priority action of the nurse?
A. Tell the patient why they are receiving this surgery
B. Inform the charge nurse and have them inform the patient
C. Pretend you didnt hear the patient and walk away
D. Alert the physician that more information is required.
What is the nurses responsibility during the process of obtaining informed consent?
Witness the exchange of information between the client and physician
True or False. Obtaining informed consent for nursing procedures is the responsibility of the physician.
A minor can give consent if it is determined that they have adequate knowledge and judgement, and are determined to be a __________ __________.
In children who are not deemed mature minors who gives consent for procedures?
A. The siblings
B. The parents
C. The physician
D. The social worker
In older children who are not deemed to be mature minors, the child is consulted and agrees to the treatment. This is known as?
True or False. The capacity of a patient can change over time.
Who of the following the best candidate to be a substitute decision maker for an individual who is unable to make decisions for themselves?
A. The physician
B. The nurse
C. The person with the best knowledge of the patients values and beliefs, or wishes
D. The patients uncle who has not spoken to them in many years
A __________ ___________ is defined as a serious adverse health event including but not limited to, the actual or potential loss of life, limb or function related to a health serviced provided by a regional health authority or healthcare organization.
A. Adverse event
B. Critical Incident
C. Crucial Event
D. Life Over Limb
When nurses are required to disclose information for a particular purpose, they disclose:
A. All the information too anyone who asks
B. No information as this breaks confidentitality
C. The amount of information necessary for the purpose, and only to those necessary
D. The amount of information necessary, to anyone who asks for the information
Intimate or private knowledge protected under a duty of confidentiality is know as _____________ information.
__________________ is the duty of a professional who has received confidential information in trust to protect that information and disclose it to others only with permission, or when rules or laws authorize its disclosure.
True or False. All knowledge is considered confidential unless otherwise stated by the patient.
(Confidentiality/Privacy) concerns people and their right to control the intrusion of others into their life, whereas (Confidentiality/Privacy) is about the duty to protect information.
A patients right to (Privacy/Confidentiality) means that he or she has the right to disclose detail of their life, illness, feeling, finances, and family interactions or not to disclose them. (Privacy/Confidentiality) is about what the nurse does with the information.
Nurses who are employees are generally covered by their employers insurance through the operation of _____________ liability.
Nurses also act as __________ ______________ by providing emergency assistance at an accident scene. Most provinces have enacted legislation that releases individuals from liability for injuries caused in such circumstanced.
True or False. An employers insurance policy does not cover nurses acting as Good Samaritans because the care was not the given responsibility of the employer.
True or False. Good Samaritans legislation releases an individual from legal liability for injuries that result from negligence of the person offering emergency aid.
It is vital for a good Samaritan to consider that once they have begun to help the victim, they have entered into a __________-______________ relationship with that person and is bound by a duty of care to that person.
If nurses carry out treatment they know is wrong they are guilty of ____________.
C. Invasion of Privacy
Omissions in a nurses charting can constitute negligence and be the basis for _________ liability.
True or False. Nursing students are responsible for their own actions and liable for their own acts of negligence committed during the course of clinical experiences.
_______________ are people who expose negligence, abuses, and dangers such as professional misconduct or incompetence in the organization in which they work.
B. Whistle blowers
C. Tattle tales
D. Kiss asses
True or False. Unless abuse has occurred, reporting any professional misconduct should be the last resort when all other attempts at correcting a nurses actions have failed.
The negligent acts of persons engaged in professions or occupations in which highly technical or professional skills are employed is defined as?
___________ is often defined as professional negligence.
As a nurse you are legally responsible for the care you give (or neglect to give) your patients as well as your personal and professional conduct. This is an example of?
In a setting where a written medical order is not immediately obtainable, LPNs (may/may not) take a verbal or telephone order from a physician.
LPNs are legally responsible for the appropriate ____________ and processing of the verbal medical order.
What are the 3 situations in which a nurse would question a physicians order?
If the client questions it
If the client's condition has changed
If the order is unclear, illegible, or incomplete
True or False. Saying sorry constitutes admission of guilt.
All regulatory bodies under the Health professions act are called ______________.
The act the provides protection against abuse for people being cared for in facilities such as senior lodges, nursing homes and hospitals is known as?
A. Health Proffesions Act
B. Protection for Persons in Care Act
C. Elder Abuse Protection Act
This Act requires that the collection, use or disclosure of health information must be limited to only the amount of information that is essential to the purpose being served.
B. Health Professions Act
C. Health Information Act
D. Protection for Persons in Care Act
________________ ___ _______________ occurs when the nurse accepts the client assignment, thus establishing a nurse‐client relationship, and then severing that nurse‐client relationship without giving reasonable notice to the appropriate person so that arrangements can be made for continuation of nursing care by others
Abandonment of care
The Right to Information and the Right to Privacy are ensured through the:
A. Health Proffesions Act
B. Health Information Act
D. Canadian Charter of Rights and Freedoms
True or False. All Albertans, including service providers, must report abuse if they believe that an adult receiving services has been abused.
True or False. There are penalties for failing to report abuse.
What is the responsibility of the LPN in the Protection for Persons in Care Act?
To take reasonable steps to protect the client from abuse while providing care or support services
To maintain a reasonable level of safety for the client.
A ___________ _____________ is a legal document you write in case you cannot make your own decisions in the future.
You appoint an agent to make decisions for you when you cannot make them yourself.
Which of the following sets out Restricted Activities for HCP's?
A. Government Orgnization Act
B. Health Proffesions Act
C. The CLPNA
D. Canadian Charter of Rights and Freedoms
A person in charge of a hospital shall take all necessary steps to protect narcotics in the hospital against loss or theft. This is part of the _____________ drugs and substances act.
(Trusteeship/Guardianship) involves making decisions in some, but not necessarily all areas of authority depending on need. They are court-appointed. (Trusteeship/Guardianship) involves decision making only in financial matters
In a therapeutic nurse‐client relationship, the needs of the (nurse/client) always come first.
The _________ is responsible for managing the nurse‐client relationship.
C. Both LPN and Client
A ____________ is the point in which the relationship between a nurse and client
changes from professional and therapeutic to non‐professional and personal.
A therapeutic nurse‐client relationship is established and maintained by the LPN
and the client, through the use of what 4 things?
Professional nursing: Knowledge
The therapeutic nurse‐client relationship is based on __________ and respect which
requires the appropriate use of the _______________, inherent in the LPN's role.
B. Power; Trust
C. Trust; Power
D. Caring; Nurturance
True or False. Once a care assignment has been accepted, the LPN is
required to transfer care of the client to an appropriate
provider in the event they cannot continue to care for
___________ ___________ are high risk activities performed as part of providing a health service that require specific
competencies and skills to be carried out safely.
It is (Mandatory/Optional) for a patient to have a personal directive.
Which of the following acts allow you to appoint an agent to make decisions for you when you cannot make them yourself.
B. Protection of Persons in Care Act
C. Personal Directives Act
D. Health Initiatives Act
True or False. It is a conflict of interest to provide treatment and care to friends and family
The purpose of the ___________ __________ Act is to prescribe rules for the collection, use and disclosure of health information which are to be carried out in the most __________ manner and with the highest degree of ____________ that is possible in the circumstances
Health Information Act
FOIPP provides individuals with the right to _____________ and the right to ____________.
True or False. FOIPP does not allow individuals to correct information about themselves that may be wrong in their health record.
Which schedule of the Health Proffesions act is specific to LPN's?
The (Health Information/Health Professions) Act requires all health professional colleges to follow common rules to investigate complaints and set educational and practice standards for registered members.
Health Professions Act
True or False. A student who is enrolled in a nursing program approved by the Council and who is receiving training in providing a restricted activity may perform the restricted activity under the supervision of a regulated member who is authorized to perform the specific restricted activity being learned and who is available to provide assistance.
The liability for an emplyer for the negligent acts of an employee done within the scope of the employees employment is known as what type of liability?
True or False. Proper documentation does not establish the credibility of the nurse.
True or False. Late Entries may not be given the same weight as notes made as soon as possible after the event has occurred, though if accurate can still be relied on.
True or False. The greater the acuity and complexity of the patients, the more likely the nurse will be expected to make minute by minute documentation.
What type of leadership is being described?
"A theory of leadership that recognizes the leadership capabilities of each member in a professional group and assumes that appropriate leadership will emerge in relation to the challenges that confront the group."
__________ managers typically assume responsibility for assessing needs, planning, coordinating, implementing, and evaluating care for individuals after hospital discharge over their lifetimes.
True or False. Case management is not a useful method in terms of a cost containment strategy, hospital avoidance, and earlier discharges from hospital to reduce healthcare costs.
_____________ _____________ are a plan for the managed care of a client which specifies assessment, interventions, treatments, and outcomes for specific health related conditions across a period of time.
A. Critical Thinking
B. Nursing Management
C. Critical Pathways
D. B and C
E. All of the above
A (Manager/Leader) individual who influences others to work together to accomplish a specific goal.
A (Leader/Manager) is an employee of an organization who is given power, authority, and responsibility for planning, organizing, coordinating, and directing the work of others and for establishing and evaluating standards.
(Managers/Leaders) understand organizational structure and culture.
(Managers/Leaders) concentrate on activities to increase the organizations productivity, whereas (Managers/Leaders) focus on motivation, developing a vision, and building trusting relationships.
Shared (Leadership/Governance) refers to the process where people participate in planning and decision making processes while holding one another accountable for the outcomes of the actions.
True or False. Leadership is an inherited trait not a learned process.
True or False. Managers are always leaders.
_______________ involves determining responsibilities, communicating expectations, and establishing the chain of command for authority and communication.
_____________ is the process of getting an organzations work accomplished. It involves assigning and communicating expectations, providing instruction and guidance, and make decisions on an ongoing basis
(Coordinating/Leading) is the process of ensuring a process is carried out and evaluating outcomes.
____________ is the official power to act; it is the legitimate right to direct work of others and an integral component of managing.
(Accountability/Responsibility) is a persons ability and willingness to assume responsibility for ones own actions and to accept the consequences of ones own behavior.
____________ is an obligation to complete a task.
B. A Promise
____________ thinking is a cognitive process that includes creativity, problem solving, and decision making.
True or False. Managers are responsible for enhancing employee performance.
_______________ is a process of establishing professional links through which people share ideas, knowledge and information; offer support and direction to one another; and facilitate accomplishment of professional goals.
(Mentors/Preceptors) are experienced nurses who assist new nurses in understanding routines, policies, and procedures of the unit, and in improving clinical nursing skills and judgement. (Mentors/Preceptors) nurture new nurses by teaching, guiding, assisting, counseling, and supporting them in their practice, often informally.
(Efficiency/Effectiveness) is a measure of the quality or quantity of services provided. (Efficiency/Effectiveness) is a measure of the resources used in the provision of nursing services.
__________________ is a performance measure of both the effectiveness and efficiency of nursing care. It is frequently measured in the amount of nursing resources used for each client or in terms of required versus actual hours of care provided.
_______________ is the transference of responsibility and authority for the performance of an activity to a competent individual.
True or False. A delegator retains accountability for the outcome of a delegation to another individual.
_____________ is the process of making something different from what it was.
(Planned/Unplanned) change is an alteration imposed by external events or persons. It occurs when unexpected events force a reaction.
Drift is a type of (planned/unplanned) change in which change occurs without effort on anyones part.
(Planned/Unplanned) Change is an intended attempt to achieve desired change
True or False. Change always occurs in a linear fashion.
Change can be considered overt or covert. (Overt/Covert) change is hidden or occurs without an individuals awareness. (Overt/Covert) change is a change that a person is aware of.
What are the 5 types of Power?
Which type of power is being explained?
The power of a manager may posses to give some type of incentive to an employee as a means to influence the employee to act.
What type of power is being explained?
The authority you wield by virtue of your position in the organization's structure and hierarchy.
What type of power is being described?
A source of influence and authority a person has over his or her followers.
What type of power is being described?
The ability of a manager to force an employee to follow an order by threatening the employee with punishment if the employee does not comply with the order
What type of power is being described?
Is a power based upon employees' perception that a manager or some other member of an organization has a high level of knowledge or a specialized set of skills that other employees or members of the organization do not possess
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