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Nursing · NCLEX-RN

Legal and Ethical Issues in Nursing

Scope of practice, informed consent, and malpractice concepts tested on NCLEX-RN.

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What is a Nurse Practice Act?
A state law that defines and regulates the scope of nursing practice.
Define scope of practice for a nurse.
The range of duties and responsibilities a nurse is legally permitted to perform, based on education, licensure, and state law.
What is the legal standard of care for a nurse?
The level of care a reasonably prudent nurse with similar training would provide under similar circumstances.
What sources are used in court to establish the standard of care in a malpractice case?
Institutional policies and procedures, professional organization guidelines, and the state Nurse Practice Act.
Define malpractice.
Professional negligence, when a licensed professional's care falls below the accepted standard and causes harm.
Define negligence (general legal term).
Failure to act as a reasonably careful person would, resulting in harm to another.
What four elements must be proven to establish nursing malpractice?
Duty, breach of duty, causation, and damages.
In a malpractice claim, what does "duty" mean?
The nurse had a professional obligation to provide care to the patient.
In a malpractice claim, what does "breach of duty" mean?
The nurse's care fell below the accepted standard of care.
In a malpractice claim, what does "causation" mean?
The breach of duty directly caused the patient's injury.
In a malpractice claim, what does "damages" mean?
The patient suffered actual harm, such as physical, emotional, or financial injury.
A ____ law protects a nurse who voluntarily provides emergency care outside of work from liability for ordinary negligence.
Good Samaritan
The legal doctrine ____ ("the thing speaks for itself") applies when an injury could only have occurred through someone's negligence, such as a retained surgical sponge.
res ipsa loquitur
Define informed consent.
A patient's voluntary agreement to a treatment or procedure after receiving enough information to make an informed decision.
Who is legally responsible for obtaining informed consent for a procedure?
The provider who will perform the procedure (physician or advanced practice provider).

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