404--Quiz 5 (ch 16, 7, 10)

Question 1

Ethical Issues

Answer 1

Delegating versus “dumping” tasks
Fair selection process
Ethics of balancing concerns of patients and care providers
Daily examination of delegation and supervision
Patient advocacy requires moral courage

Question 2

Five Rights of Delegation

Answer 2

Right task
Right circumstances
Right person
Right directions and communication
Right supervision and evaluation

Question 3

Supervision–direct vs. indirect

Answer 3

Direct = watching
Indirect = deligator easily contactable but doesn't watch

Question 4

Nurse’s best defense

Answer 4

Pt consent
Statues of limitations
Contributory negligence
Self defense
Necessity

Question 5

Pt consent

Answer 5

Oral, implied by law, or apparent

Question 6

Statues of limitations

Answer 6

Suits must be filed w/in 3 yrs

Question 7

Contributory negligence

Answer 7

Holds the pt accountability to their contribution to the injury (ex: Nx 40% liable, pt 60%).

Question 8

Self defense

Answer 8

Self-defense and defense of others may be justified to protect oneself and others from harm (ex: combative pt–justifies restraining pt) BUT only within reasonable force

Question 9

Necessity

Answer 9

Similar to self-defense. Allows nx to interfere with pt property rights to avoid threatened injury (ex: pt tries to stab nx w/ knife, you can take the knife away).

Question 10

Claims-made policies

Answer 10

Covers Nx for any injuries arising (1) during the policy period or (2) during uninterrupted extension.

Question 11

Occurrence-based policies

Answer 11

Covers Nx for any injuries arising anytime during the policy period. Covers Nx even after policy expires.

Question 12

Factors to Consider for Purchasing Individual Coverage

Answer 12

Type of nursing normally performed (staff vs. charge vs. supervision)
Unit or type of clinical nursing care normally performed
In geographic area where practice:
Dollar amount of average jury awards
Propensity for lawsuits against nurses

Question 13

Risk/consequences for NOT purchasing personal liability policy (Arguments for Professional Liability Insurance)

Answer 13

Heightened legal accountability
Nurses’ roles are expanding in both autonomy and advocacy, leading to increased potential for being named in lawsuits.
More nurses named to increase revenue for injured clients.
No specialty is immune to lawsuits.

Question 14

Payment for time to appear in court (lost wages)

Answer 14

PROFESSIONAL LIABILITY POLICIES:
Common elements of all professional liability policies:
They specify the limits of legal liability
They provide payment for lawyer in event of lawsuit
They pay settlements or jury awards
They reimburse for lost wages