Soru

Zorluk: KolayLegal and Ethical Practice

A newly hired practical nurse is providing care for a vulnerable adult client admitted to a community rehabilitation center. The client's appointed health care proxy is present at the facility. Which of the following actions by the practical nurse demonstrate compliance with legal guidelines and ethical standards? (Select all that apply.)

  1. Verifying the identity of an inquiring phone caller using the facility privacy code before sharing authorized health updates.Cevap
  2. B
    Explaining the surgical risks, benefits, and alternative treatments for an upcoming procedure to the health care proxy.
  3. Witnessing the signature of the health care proxy on a facility consent form for a scheduled diagnostic test.Cevap
  4. D
    Discussing the client's recent cognitive decline with an unauthorized staff member while riding in the public elevator.
  5. E
    Accepting a delegated task from the unit manager to formulate the client's initial, comprehensive nursing care plan.
  6. Promptly notifying the designated supervisor and appropriate state authorities regarding suspicions of financial exploitation by a relative.Cevap

Cevap

The correct actions include verifying a caller's identity before sharing information, witnessing the health care proxy's signature on a consent form, and reporting suspected financial exploitation to authorities.
The correct actions represent adherence to fundamental legal and ethical nursing standards. Verifying a caller's identity via privacy codes ensures HIPAA compliance. Acting as a witness to a consent signature is a standard and legal function for a practical nurse, provided they are only witnessing the act of signing. Reporting suspected financial exploitation fulfills the nurse's ethical and legal obligation as a mandated reporter to protect vulnerable adults.

Adım Adım Çözüm

1
Evaluate the practical nurse's legal scope regarding informed consent.
The nurse can act as a witness to the physical signature but cannot provide the medical explanation of risks, benefits, or alternatives.
Obtaining informed consent by explaining the procedure is the exclusive legal duty of the health care provider performing the intervention.
2
Assess the actions related to client confidentiality, privacy, and HIPAA regulations.
Using privacy codes to verify callers protects client information, whereas discussing client details in a public elevator is a direct privacy breach.
Nurses are legally mandated to prevent the unauthorized or public disclosure of protected health information at all times.
3
Analyze the scope of practice boundaries regarding care planning and mandated reporting.
The practical nurse must report suspected abuse but must refuse the delegation of creating the initial comprehensive care plan.
Initial assessments and the formulation of the primary care plan are non-delegable duties of the registered nurse, while reporting abuse is a mandatory duty for all licensed nurses.

Anahtar Kavram

Legal and Ethical Practice for the Practical Nurse
Bu soruyu puanla