NUR 330 Midterm - organizational goals. The nurse manager underst...

NUR 330 Midterm

• A staff nurse is facing a dilemma between upholding personal care standards and meeting

organizational goals. The nurse manager understands that the best way to assist staff members in resolving ethical dilemmas effectively is to

Answer avoid applying any pressure to compromise personal values.

An important way in which those in health care facilities and their managers can assist nursing professionals in resolving ethical dilemmas effectively is by neither explicitly nor implicitly pressuring them to go against their own ethical values (Cooper et al., 2003).

• One of the two mechanisms that ensures autonomy in the nursing profession is the

Answer Nursing Code of Ethics

The ANA identified two mechanisms that frame nursing autonomy

the legal regulation of nursing practice via state licensure and the professional regulation of nursing practice via ethical codes of practice.

• A nurse manager is evaluating the efficiency of a process on the nursing unit. The manager

believes that the unit could be more efficient if one aspect of this process were delegated to unlicensed personnel. To establish whether the delegation of this duty would be legal, he should check with the

Answer state nurse practice act.

Nurse practice acts exist for each state and govern the legal practice of nursing, including standard of care, delegation, and supervision.

• The court has found that a registered nurse (RN) harmed a patient by violating his rights.

The nurse is ordered to pay the patient a large sum of money. The court has determined that the nurse has committed a 1 / 2

Answer civil act. By definition, civil acts are wrongs that violate the rights of individuals by tort or breach of contract.

• The most common source of legal liability for nurse managers is a(n)

Answer tort The most common source of legal liability for nurses and nurse managers is a tort.Negligent acts or omissions (unintentional torts) and various intentional acts

(intentional torts), such as invasion of privacy or assault and battery, commonly arise in clinical nursing practice (Aiken, 2004).

• On admission, the patient was found to have a blood glucose level of 218. The RN knows

that except in emergency situations, it is hospital policy to obtain physician's orders before administering any medication. Because the on-call physician did not return the page, the nurse administered insulin according to the common sliding scale. Four hours later, the patient was found nonresponsive in her bed and later died. According to the autopsy, the patient died from heart failure. Her postmortem blood glucose level was 22. Because of the nurse's actions, the admitting hospital may be found to be

Answer vicariously

liable If a nurse negligently injured a client during the course of and within the scope of employment, not only would the nurse be directly liable for damages, but also the health care organization would be vicariously liable.

• On admission, the patient was found to have a blood glucose level of 218. The RN knows

that except in emergency situations, it is hospital policy to obtain physician's orders before administering any medication. Because the on-call physician did not return the page, the nurse administered insulin according to the common sliding scale. Four hours later, the patient was found nonresponsive in her bed and later died. According to the autopsy, the patient died from heart failure. Her postmortem blood glucose level was 22. Being aware of the hospital policy for medication administration, the patient's blood glucose level presented the nurse with a(n)

Answer ethical dilemma.

Ethical dilemmas require that decisions be made about what is right and wrong in situations in

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