A nurse is teaching the staff about professional negligence or malpractice. Which criteria to establish negligence will the nurse include in the teaching session? (Select all that apply.)
Nurse carried out the duty.
Patient understands benefits and risks of a procedure.
Injury did not occur.
That duty was breeched.
Duty of care was owed to the patient.
Correct Answer : D,E
A. While a nurse performing their duties is part of the context of care, it doesn't inherently establish negligence. Negligence occurs when that duty is not carried out appropriately or is breached. Simply performing a duty, even if an injury occurs, doesn't automatically equate to negligence. The focus is on how the duty was carried out.
B. This criterion relates to informed consent, which is a separate legal and ethical concept. While failure to obtain informed consent can lead to legal action (like battery), it is not a direct element required to prove negligence. Negligence focuses on the breach of a duty of care that leads to harm, regardless of whether consent was obtained.
C. For negligence to be established, there must be actual harm or injury to the patient. If no injury occurred, there is no basis for a negligence claim, even if a duty was breached. Damage is a crucial element of negligence.
D. A breach of duty means the nurse failed to act as a reasonably prudent nurse would have acted in the same or similar circumstances. This could involve an act of commission (doing something incorrectly) or an act of omission (failing to do something that should have been done).
E. The first element of negligence is establishing that a duty of care existed between the nurse and the patient. This means there was a professional relationship where the nurse had a responsibility to provide care to the patient. This duty arises from the nurse-patient relationship.
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Related Questions
Correct Answer is C
Explanation
A. The electronic medical record (EMR) typically contains data from one healthcare facility or provider system and does not aggregate data from multiple sources.
B. An electronic problem record is focused on specific health issues but does not provide a complete history.
C. The electronic health record (EHR) compiles a comprehensive view of the patient’s health history, including all encounters across various healthcare systems. This is the most accurate and thorough source for patient data.
D. Electronic charting records are generally used for documenting care and not for storing full patient history.
Correct Answer is D
Explanation
A. Continuously provide reassurance to the patient: While reassurance can be part of therapeutic communication, the "R" in SURETY specifically focuses on the nurse's physical presentation of relaxation, not constant verbal reassurance. Over-reassurance can also minimize the patient's feelings.
B. Implementing reminisce to support memory: Reminiscence therapy is a specific technique used, particularly with older adults, to encourage the recall of past experiences. While valuable in certain contexts, it's not the focus of the "R" in the general SURETY model for active listening.
C. Demonstrating respect for the patient: Showing respect is fundamental to all aspects of therapeutic communication and is implied throughout the SURETY model (through attentive sitting, open posture, appropriate eye contact, etc.). However, the "R" specifically highlights the importance of the nurse's relaxed presence as a way to foster that respect and create a safe space for the patient.
D. Projection of a sense of relaxation: When the nurse appears relaxed and comfortable, it helps the patient feel more at ease and encourages them to open up and share their thoughts and feelings. This calm demeanor facilitates a more trusting and therapeutic environment.
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