Fundamentals of Nursing Quiz 3

view it as the foundation for understanding what society expects from professional nurses.

Legal guidelines for defining nursing practice and identifying the minimum acceptable nursing care

Legal guidelines that come from statutory, regulatory, and common law

American with Disabilities Act, Mental Health Parity Act, Living wills, durable power of attorney, health insurance portability and accountability act, emergency medical treatment and active labor act, advance directives, uniform anatomical gift act, restraints

Licensure
Good Samaritan laws
Public health laws
The Uniform Determination of Death Act
Physician-assisted suicide

Torts(is a civil wrong made against a person or property)
Intentional:
Assault, battery, false imprisonment
Quasi-intentional:
Invasion of privacy, malice, slander, libel
Unintentional:
Negligence, malpractice

A contract between the nurse and the insurance company
Provides a defense when a nurse is in a lawsuit involving negligence or malpractice insurance

A system of ensuring appropriate nursing care that attempts to identify potential hazards and eliminate them before harm occurs
Steps involved:
Identify possible risks.
Analyze risks.
Act to reduce risks.
Evaluate steps taken

An essential attribute of professional nursing practice
Builds relationships with clients, families, and multidisciplinary team members

The means to establish helping and healing relationships.
The ability to relate to others is important for interpersonal communication.
Developing communication skills requires both an understanding of the communication process and of one’s own communication experience.

One-to-one interaction between two people

Occurs within an individual

The setting for sender-receiver interactions

Means of conveying and receiving messages

One who encodes and one who decodes the message

Message the receiver returns

Motivates one to communicate with another

Content of the message

Factors that influence communication

Nurse-client helping relationships
Nurse-family relationships
Nurse-health team relationships
Nurse-community relationships

Appearance, demeanor, and behavior
Courtesy
Use of names
Trustworthiness
Autonomy and responsibility
Assertiveness

Assessment
Physical and emotional factors
Developmental factors
Sociocultural factors
Gender
Diagnosis
Many clients experience difficulty with communication
Lacking skills in attending, listening, responding, or
self- expression
Inability to articulate, inappropriate verbalization
Difficulty forming words
Difficulty with comprehension
Planning:
Goals and outcomes:
Specific and measurable
Setting of priorities
Continuity of care:
Collaboration with other health care providers
Implementation:
Therapeutic communication techniques
Nontherapeutic communication techniques
Adapting communication techniques
Evaluation:
Nurses and clients need to determine whether the plan of care has been successful.
Nursing interventions are evaluated to determine which strategies or interventions were effective.
If expected outcomes are not met, the plan of care needs to be modified

Nurses are legally and ethically obligated to keep client information confidential.
Nurses are responsible for protecting records from all unauthorized readers.
HIPAA act requires disclosure or requests regarding health information.

Factual: descriptive, objective info about what a nurse sees, hears, feels, and smells from direct observation and measurement
Accurate: use of exact measurements establishes accuracy
Complete: info within a recorded entry or a report needs to be complete, containing appropriate and essential info
Current: timely entries are essential in the client's ongoing care
Organized: communicate info in a logical order

Incident: any event that is not consistent with the routine operation of a health care unit or routine care of a client.

Analysis of incident reprts helps with the identification of trends in systems and unit operations that provide justification for changes in policies and procedures or for in-service seminars

Quality-improvement program