NCLEX Review - Management Of Care Final Exams
Questions And Answers With Latest Solutions
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Legal Issues - Negligence Correct Answer:
... [Show More] Unintentional failure of individual to perform an act that a
reasonable person would or would not perform in similar circumstances
--An act of omission or commission
Legal Issues -Malpractice Correct Answer: Professional negligence involving misconduct or lack of
skill in carrying out professional responsibilities.
--To be Malpractice it has to include these elements:
1) Duty- legal relationship between nurse and client
2) Breach of duty
3) Causation- nurse conduct causes injury ***
4) Injury ***
Legal Issues -Invasion of Privacy Correct Answer: Release of information to an unauthorized person
without the client's consent.
Legal Issues -Assault Correct Answer: Intentional threat to cause harm or offensive unwanted contact
Legal Issues -Battery Correct Answer: Intentional touching without consent
State Laws - Nurse Practice Acts Correct Answer: They define "reasonable care" in each state.
--Scope of Nursing Practice, Roles, Rules, and Educational requirements
State Laws - Good Samaritan Laws Correct Answer: Limit the liability of professionals in emergency
situations.
State Laws - Tarasoff Act Correct Answer: Duty to warn of threatened suicide or harm to others
Assignment Correct Answer: Allocating to health care team members work required to care for
groups of individuals
Process:
--Determine nursing care required to meet client's needs (time required, complexity of activities,
acuity of clients, and infection control)
--Consider knowledge and abilities of staff
--Decide which person is best able to provide care
--Continuity of care
--Be specific about expected results (measurable terms)
--Provide additional help as needed
Delegation Correct Answer: Responsibility and authority for performing a task is transferred to
another who accepts that responsibility and authority.
--Delegator remains responsible for task
--Delegatee is accountable to delegator for responsibilities assumed
--** Can only delegate tasks for which nurse is responsible
--In delegation, responsibility is transferred; In accountability, it is shared
--Identify variables that would change authority and responsibility
--Monitor performance and results
--Give constructive feedback
--Confirm that delegated tasks are performed as agreed
Responsibility is determined by: Correct Answer: Nurse practice act
Standards of care (established by organization)
Job description (defined by org)
Policy statement (from org)
Steps for Delegation Correct Answer: 1) Define task to be delegated
--(Routine tasks, Tasks you don't have time to accomplish, Tasks with lower priority)
2) Determine who should receive delegated task
3) Identify what the task involves, determine its complexity
4) Match task to individual by assessing individual skills and abilities
--Consider availability, willingness to assume responsibility
5) Provide clear communication about your expectations regarding the task, answer questions
--Provide what, when, where, how of the task
--State if they need to provide written or verbal report after task is completed
--Identify what changes or incidents need to be brought to delegator's attention
--Describe expected outcome and timeline for completion of task
Levels of Delegation Correct Answer: 1) Gather information (so you can decide what needs to be
done)
2) List alternative courses of action (allow delegatee to choose course of action)
3) Have delegatee perform part of the task and obtain approval before proceeding with the rest of the
task
4) Have delegatee outline entire course of action for the task and approve it before proceeding
5) Allow delegatee to perform entire task using any preferred method, and report only results
Rules for determining delegatee Correct Answer: Delegate to lowest person on hierarchy who has the
required skills and abilities and who is allowed to do the task legally and according to the
organization.
Rights of Delegation Correct Answer: Right Task
Right Person (knowledge, skills, abilities)
Right Time (not in a crisis)
Right Information
Right Supervision (is task being performed correctly?)
Right Follow-up
Legal aspects of Delegation Correct Answer: Failure to delegate and supervise properly can result in
liability (need to consider delegatee's competence and qaulifications)
Nurses have a legal responsibility to make sure persons under their supervision perform consistently
with established standards of nursing practice.
What can an LPN/LVN do? Correct Answer: -Assist with implementation of defined plan of care
-Perform procedures according to protocol
-Differentiate normal from abnormal; report data to RN... [Show Less]