Nursing 1St Semester: Exam 1- Evidenced Based Practice & Legal Issues

Front 1

Define and describe the concept and utility of evidence-based practice.

Back 1

the conscientious use of the best evidence in combination with clinical expertise, patient preferences and values

Nurses must continually seek scientific evidence that supports the care that they provide to their patients. EBP closes the gap between research and practice

Front 2

The Joint Commission

Back 2

____________ requires that practice be based on evidence, not tradition

Front 3

Nurses must continuously seek _________that supports the care that they provide to their patients

Back 3

scientific evidence

Front 4

Why do we need EBP more now than ever?

Back 4

Because of the the expectation of patients for high quality care and the rapid expansion of knowledge.

Front 5

Describe nursing responsibilities with reporting patient abuse

Back 5

As nurses, we are responsible for reporting child abuse (including neglect), elder abuse, domestic violence. We are mandated as RN’s to report this information to start an investigation whether or not we are in the health care setting. (mandated reporters)

Front 6

Informed consent

Back 6

permission granted by a person based on full knowledge of the risks and benefits of what is being done

Is both legal & ethical issue. Informed consent is voluntary permission by client (or proxy) to carry out procedure on client. Can only be given after client receives sufficient info on: treatment proposed, material risk, acceptable alternatives, outcome hoped for & consequences of not having treatment.

Front 7

Negligence

Back 7

Omission of an act that a reasonable & prudent person would perform in a similar situation or the commission of something that a reasonable person would not do in that situation.

Front 8

Describe issues with informed consent in children

Back 8

An important difference between adults and children that always needs to be included in ethical decisions about child health issues is that children are dependents. They generally are not attributed the right to sel-=determination that is fundamental to adult decision making. The legal system has fixed the age for rational decision making at age 18, but there are some exceptions to this. The difficulty with fixing an age is that it is arbitrary and does not reflect the reality of the individual child’s development. (Catalano 169)

Front 9

Describe a Living Will

Back 9

Personal statement of how and where one wishes to die (home, hospice, etc)
Activated only when client is terminally ill & incapacitated
Physician must verify terminally ill
Executing living will does not guarantee its application
Ethical difficulty: when will is formulated, a question of the person’s level of knowledge of potential & future health care problems. Validity is questioned if any indication the person did not understand full implications.

Front 10

Directive to Physician

Back 10

Physician appointed by individual to serve as proxy; physician must agree in writing and must be one of 2 physicians that determined client is terminally ill.

Front 11

What does DPAOAHC stand for?

Back 11

Durable power of attorney for health care

Front 12

What is the (DPOAHC) Durable power of attorney for health care ?

Back 12

Person other than physician appointed to act as clients agent (daughter, spouse, etc)
Client must be competent & of age to make appointment & revoke power
Client doesn’t have to be terminally ill or incompetent to allow the empowered individual to act on their behalf.
Physicians certificate not required

Front 13

DNR or DNAR

Back 13

Do not resuscitate or Do not Attempt to resuscitate Form comes from physician-or is in progress notes-order always written by physician

Front 14

Upon admittance to a hospital we are legally bound to ask if the patient has _____

Back 14

Advanced Directives