NCLEX-RN

NCLEX-RN Review Study Guide

Chapter One: Issues in Nursing As a registered nurse, you are expected to be a leader since you will delegate duties and responsibilities and advocate for your patients, even if that sometimes means speaking up to physicians and other health care providers. Additionally, you are expected to act ethically. The ICN (International Council for Nurses) and the ANA (American Nurses Association) provide codes of ethics by which a nurse should practice. You must also remember that there are some legal issues specific to your practice. 1.1 Legal Issues Consent is the permission a person gives for something. In the case of nursing, consent involves treatment that is to be done to a patient. 1. ____________________________ consent is what is preferred. This type of consent is given when a patient is told about the risks and benefits of the procedure for which he/she is giving consent. This type of consent also assumes that the patient is of sound mind and not under the influence of any sedatives or narcotics. 2. ____________________________ consent is what is given when a patient who is unconscious is brought into a hospital. 3. Consent may only be given by adults. There are a few exceptions in which a juvenile may consent to his/her own treatment: a. Actively in the military b. ____________________________ c. ____________________________ d. ____________________________ e. ____________________________ 4. True or false: Any juvenile may consent to treatment for birth control or STDs even if they do not meet the above criteria. _____________________________ 5. A document that provides a person’s directions regarding their end of life care should he/she become unable to express his/her own wishes is known as: ____________________________ Nurses are bound by HIPPAA (Health Insurance Portability and Accountability Act) when talking about a patient’s condition or sharing his/her record. If a nurse violates HIPPA, not only is he or she at risk for losing the job and license, but also, the nurse can be charged with defamation of character and/or invasion of privacy. A nurse must always protect the patients’ privacy at all cost. 6. ____________________________ is a failure to act, or failure to meet the expected level of action. It is punishable according to civil law. 7. ____________________________ is professional negligence.

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