In which situations does a nurse have a duty to intervene and ...

[wrbasek0]

In which situations does a nurse have a duty to intervene and report? Select all that apply.
 
  a. A peer is unable to write behavioral outcomes.
  b. A health care provider consults the Physicians' Desk Reference.
  c. A peer tries to provide patient care in an alcohol-impaired state.
  d. A team member has violated the boundaries of a vulnerable patient.
  e. A patient refuses a medication prescribed by a licensed health care provider.

Question 2

A nurse volunteers for a committee that must revise the hospital policies and procedures for suicide precautions. Which resources would provide the best guidance? Select all that apply.
 
  a. Diagnostic and Statistical Manual of Mental Disorders (fourth edition, text revision) (DSM-IV-TR)
  b. State's nurse practice act
  c. State and federal regulations that govern hospitals
  d. Summary of common practices of several local hospitals
  e. American Nurses Association Scope and Standards of Practice for PsychiatricMental Health Nursing Practice

[ecox1012]

Answer to Question 1

ANS: C, D
Both instances jeopardize patient safety. The nurse must practice within the Code of Ethics for Nurses. A peer being unable to write behavioral outcomes is a concern but can be informally resolved. A health care provider consulting the Physicians' Desk Reference is acceptable practice.

Answer to Question 2

ANS: C, E
Regulations regarding hospitals provide information about the minimal standard. The American Nurses Association (ANA) national standards focus on elevating practice by setting high standards for nursing practice. The DSM-IV-TR and the state's nurse practice act would not provide relevant information. A summary of common practices of several local hospitals cannot be guaranteed to be helpful because the customs may or may not comply with laws or best practices.

[wrbasek0]

Excellent

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