A newly licensed nurse is unsure if an assigned task is within their scope Of practice. Which Of the following resources should the nurse consult?
Institutional policies and procedures
Verbal direction from the nurse manager
State Nurse Practice Act
Written prescription from the provider
The Correct Answer is C
A. Institutional policies and procedures: While institutional policies provide guidance on how tasks are performed within a facility, they cannot legally expand or limit a nurse’s scope of practice. Nurses must always ensure tasks are permitted by state law first.
B. Verbal direction from the nurse manager: Managers may offer direction, but their guidance should not override legal regulations. Relying solely on verbal instructions risks performing tasks outside the legal scope of practice, which can lead to liability issues.
C. State Nurse Practice Act: The Nurse Practice Act is a legal document specific to each state that defines the scope of practice for nurses. It outlines what tasks are legally permissible and serves as the most authoritative reference for professional responsibilities.
D. Written prescription from the provider: Although a provider can order treatments or procedures, nurses are still responsible for ensuring those actions fall within their legal scope. Following a prescription without verifying legality may result in practicing beyond licensure.
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Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Explanation of the procedure: The provider must clearly describe the procedure, including what it involves, to ensure the client understands what they are consenting to. This supports informed decision-making.
B. Possible alternative treatments: Clients must be made aware of all reasonable alternatives to the proposed procedure, allowing them to choose the option that aligns best with their values and health goals.
C. Expected outcome of the procedure: Understanding the anticipated benefits and results helps the client weigh the risks and make an informed choice about whether to proceed with the surgery.
D. Potential complications: Full disclosure of potential risks and complications is a legal and ethical requirement. It ensures the client consents with a clear understanding of possible negative outcomes.
E. Cost of the procedure: While important, financial details are typically handled by administrative or billing staff, not the provider obtaining medical consent. It is not part of the informed consent content required from the medical team.
Correct Answer is C
Explanation
A. Use condoms with a petroleum-based lubricant: Petroleum-based lubricants can degrade latex condoms, increasing the risk of breakage and HIV transmission. Water- or silicone-based lubricants are recommended to preserve condom integrity.
B. Buy disposable dishes for daily use: HIV is not transmitted through casual contact such as sharing dishes or eating utensils. This practice is unnecessary and may contribute to stigma and isolation for individuals living with HIV.
C. Clean blood-contaminated surfaces with bleach: Bleach is effective in inactivating HIV on surfaces. A solution of 1:10 bleach to water is recommended for cleaning any area contaminated with blood or body fluids to reduce transmission risk.
D. Wash soiled clothes in cold water: Cold water is less effective at killing pathogens. Hot water and standard laundry detergent are recommended for properly cleaning clothing contaminated with blood or body fluids.
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