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Zorluk: OrtaLegal and Ethical Practice

A practical nurse (PN) is assigned to care for an older adult client on a medical-surgical unit who is scheduled for a colonoscopy. During the shift, the PN encounters several situations requiring clinical judgment. Which of the following actions by the PN demonstrate adherence to legal and ethical standards of practice? (Select all that apply)

  1. Documenting the client's refusal to take a prescribed oral bowel prep medication after explaining the potential consequences of the refusal.Cevap
  2. B
    Explaining the specific risks, benefits, and alternatives of the colonoscopy procedure to ensure the client is fully informed before signing.
  3. C
    Accepting a delegated task from the registered nurse to administer an intravenous (IV) push analgesic for the client's abdominal pain.
  4. Verifying the client's identity and witnessing their signature on the consent form after the provider has answered the client's questions.Cevap
  5. Logging off the electronic health record system immediately before stepping away from the mobile charting station in the hallway.Cevap
  6. F
    Delaying the report of observed unexplained bruising on the client's torso until gathering definitive proof of elder abuse.

Cevap

The correct actions are documenting the client's refusal of medication, witnessing the consent signature after the provider's explanation, and logging off the electronic health record system.
Adhering to legal and ethical standards requires the practical nurse to operate strictly within their scope of practice, advocate for client rights, protect confidentiality, and fulfill legal mandates. Respecting a client's right to refuse medication and properly documenting it upholds autonomy. Witnessing a consent form after the provider's explanation aligns with the PN's legal role in the informed consent process. Securing unattended electronic health records complies with HIPAA regulations to prevent unauthorized access.

Adım Adım Çözüm

1
Evaluate the option regarding medication refusal.
Identified as a correct action.
Clients have the legal right to refuse treatment; the PN must educate on consequences and document the refusal.
2
Evaluate the option regarding explaining procedure risks and benefits.
Identified as an incorrect action.
Explaining procedure risks is the provider's responsibility, not within the PN's scope.
3
Evaluate the option regarding IV push medication administration.
Identified as an incorrect action.
IV push medication administration exceeds the standard scope of practice for a PN.
4
Evaluate the option regarding witnessing the consent signature.
Identified as a correct action.
Witnessing the signature after the provider has obtained informed consent is an appropriate PN role.
5
Evaluate the option regarding logging off the computer.
Identified as a correct action.
Securing electronic records is a fundamental requirement to maintain client confidentiality and HIPAA compliance.
6
Evaluate the option regarding delaying the reporting of suspected abuse.
Identified as an incorrect action.
Mandated reporting laws require immediate reporting of suspected abuse; nurses must not delay to gather proof.

Anahtar Kavram

Scope of Practice, Informed Consent, Confidentiality, and Mandated Reporting in Practical Nursing
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Konular

Legal and Ethical Practice

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