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First, multiple-choice questions (20 small questions in this big question, 65438+ 0 points for each small question, 20 points * * *)

1. Causing moderate disability, organ and tissue damage, leading to serious dysfunction belongs to (b)

A. First-class medical malpractice B. Second-class medical malpractice

C. Four-level medical accidents

2. The nurse didn't give the patient an allergy test before injecting penicillin, which led to the patient's death. This behavior belongs to (b)

A.b. Crime

C. Dereliction of duty

3. The law tells people "what can be done, what must be done and what cannot be done", which embodies the (D) of the law.

A. National mandatory B. Universal binding force

C. Clarity and publicity D. Rights and obligations

20. The following belongs to the medical accident is (D)

A. the wrong medicine was prescribed to the patient, but it did not cause serious consequences.

B. A patient was allergic to a vitamin and died.

C. The patient died of massive bleeding during the operation.

D. In the process of diagnosis and treatment, due to lack of technology and experience, medical staff prolonged the effective treatment time, resulting in the death of patients.

20. If the nurse did not check the wrong needle when giving the patient intramuscular injection, resulting in allergic reaction and death of the patient, it belongs to

(1)

A. Liability accident B. Technical accident

C. Nursing errors D. Medical malpractice

4. A nurse did not strictly implement the check system and mistakenly injected penicillin into the patient's body as streptomycin, but it did not cause serious consequences. This error belongs to (b)

A. Medical malpractice B. Nursing mistakes

C. Medical liability accidents D. Medical technical accidents

19. A patient died because of a special constitution and was allergic to a drug that did not require routine testing, which should belong to

(1)

A. Medical malpractice B. Liability accident

C. Nursing errors D. Technical accidents

20. Because of a clerical error, the doctor gave the wrong doctor's advice: "Ceylon 0.4g is injected intravenously with 20 ml of 5% glucose". What a nurse should do is (d).

A. strictly follow the doctor's advice. Follow the correct dosage.

C. Do not implement D. Communicate with the doctor in time and implement it after correction.

15. according to the different scope of legal effect, the nurse law should belong to (b).

A. General law B. Special law

C. Substantive law D. Procedural law

16 a nurse mistakenly injected penicillin into the patient as streptomycin, resulting in the patient's death. Should belong to (a)

A. Medical malpractice

C. Medical nursing errors D. Technical accidents

14. A patient was critically ill, but the patient and his family insisted on leaving the hospital. Nurses should (c)

A. Based on the principle of saving lives, patients are forced to continue treatment.

B according to the wishes of patients and their families, patients are allowed to leave the hospital.

C let the patient or his legal guardian sign in the automatic discharge column, and let the patient leave the hospital after making nursing records.

D. Reporting to the judiciary

15. Due to inexperience, the nurse mistakenly judged a patient's positive result of penicillin test as negative, which led to anaphylactic shock belonging to (D).

A. Medical malpractice B. Liability accident

C. Medical errors D. Technical accidents

16. When the nurse has doubts about the contents of the doctor's advice, the correct way is (c).

A. Refusal to execute

B. change it to correct before implementation.

C. Please ask the doctor who prescribed the doctor's order to confirm the accuracy of the doctor's order before executing it.

D. follow the doctor's advice

20. A nurse thinks that a patient has passed.

Frequent injection of penicillin will not cause allergic reaction, and patients will not be sensitized, resulting in the death of patients should belong to (a)

A. negligent crime B. intentional crime

C. Infringement D. Dereliction of duty

1. When the nurse gave the patient an intravenous injection, she mistyped the needle because she didn't check it, and the patient died of allergic reaction.

(2)

A. Technical accidents B. Liability accidents

C. Accidents D. Nursing mistakes

20. When executing the doctor's advice, the nurse thinks that the doctor's advice is obviously wrong, but the doctor insists on the nurse's execution, and the nurse should (D)

A. get the doctor to sign and implement it. B. explain the situation to patients and their families.

C. forcibly carry out D. report to the head nurse or the superior competent department.

6. The first country in the world to formulate nursing law is (B).

A. America B. Britain

C. Italy D. Sweden

19. A nurse in the legal sense refers to (c)

A. with technical secondary school education or above

B. Employed in a medical institution

C. pass the nurse professional qualification examination and register.

D. Have certain medical knowledge

20. According to the current law of our country, if the doctor orders the patient to be euthanized, the nurse should (b).

A. Implementing the doctor's recommendations

B. Refusing to implement the doctor's advice

C. execute the doctor's orders with the consent of the patients and their families.

D. execute the doctor's advice after being approved by the relevant superior administrative department.

19. When a nurse was on duty, she mistakenly judged a patient with positive penicillin test as negative, which led to anaphylactic shock belonging to (D).

A. Medical malpractice B. Liability accident

C. Medical nursing errors D. Technical accidents

20. A patient is critically ill, but the patient and his family insist on leaving the hospital. Nurses should (c).

A. Based on the principle of saving lives, patients are forced to continue treatment.

B according to the wishes of patients and their families, patients are allowed to leave the hospital.

C let the patient or his legal guardian sign in the automatic discharge column, and let the patient leave the hospital after making nursing records.

D. Report to the higher administrative department

2 1. Which of the following does not belong to the legal liability of medical malpractice (A)?

A. Technical responsibility B. Administrative responsibility

C. Civil liability D. Criminal liability

22. The following belongs to the secondary medical accident is (b).

A. Due to the negligence of the medical staff, the patient died.

B due to the fault of medical staff, the patient is disabled or has dysfunction directly.

C. The negligence of medical staff directly leads to the patient's severe disability or dysfunction.

D the patient died because the medical staff violated the rules and regulations and routine diagnosis and treatment.

20. The nurse in the execution of the doctor's advice, such as the doctor's advice content in doubt, should be (c).

A. Refusal to execute

B. change it to correct before implementation.

C. Please ask the doctor who prescribed the doctor's order to confirm the accuracy of the doctor's order before executing it.

D. follow the doctor's advice

19. the first country in the world to enact nursing law is (a)

A. Britain B. Italy

C. USA d Japan

20. Nurses are careless in their work and burn patients when using hot water bottles, which should belong to (c).

A. negligent crime B. intentional crime

C. Crime of dereliction of duty

2 1. The following are not medical accidents (A).

A. A nurse added the wrong medicine to the patient during infusion treatment, but found that the patient did not feel uncomfortable when it was replaced in time.

B gauze fell off the bed during dressing change and was picked up for use, causing infection to patients.

C. When the patient found the abnormal situation, the nurse ignored it and did not take any measures, resulting in the patient's death.

D. Because the patient claimed to have used penicillin three days ago, that is, penicillin was injected directly into the patient, the patient died of allergic reaction.

22. Which of the following is incorrect from the legal and professional point of view when nurses perform independent and cooperative nursing functions? (3)

A define the scope of responsibilities and the policies and work requirements of the work unit.

B. Strictly implement the inspection system

C. find out your strengths and weaknesses and try to use them independently.

D. When appointing others to take care, try to be aware of it.

Second, multiple-choice questions (this big topic ***5 small questions, each small question 2 points, *** 10 points)

At least two of the five options listed in each question meet the requirements of the topic. Please write their codes in brackets at the end of the title. Wrong selection, multiple selection, less selection or no selection do not score.

25. The main feature of medical malpractice is (ABCD)

A. The subject is medical institutions and their medical personnel B. Illegality of behavior

C. negligence causes personal injury to patients D. there is a causal relationship between negligent behavior and consequences.

E. medical accidents are divided into five levels.

2 1. Which of the following situations does not belong to medical malpractice (ABCDE)?

A. Although there were mistakes in diagnosis and nursing, it did not cause death, disability or dysfunction of the patient.

B. Medical accidents caused by diseases or patients' special physique

C. Adverse consequences caused by patients and their families' uncooperative work

D the emergency diagnosis and treatment measures taken to save the patient's life in an emergency have adverse consequences.

E. No-fault administration leads to adverse consequences

2 1. Procedures for handling medical accidents include (ACDE)

A. Medical accident report B. Explain the situation to family members

C. Investigation of medical accidents D. Preservation of original data

E. Medical malpractice identification

25. A nurse in the legal sense refers to (AB).

A. obtain the qualification of nurse B. Register it.

C. nurses who must be officially registered in medical institutions D. nurses should perform their duties.

E. Enjoy the rights of nurses

5. Enhance the legal awareness of nursing staff and prevent legal problems. The following is true (ABCDE).

A. Strengthening the concept of the rule of law

B. Correct nursing behavior norms and strictly abide by nursing operation standards.

C. Working in a safe environment

D. Strengthening information communication

E. Establish a good nurse-patient relationship

25. As a witness of patients' wishes, nurses must be aware of the following procedure (ABDE).

A. use 2 ~ 3 witnesses to participate.

Witnesses must hear or see and record the patient's wishes.

C. the patient's family must be present.

D. The witness signs on the spot to confirm that the will belongs to the patient.

E. this will should be notarized by the notary office.

3. Fill in the blanks (this big question is 10 sub-question, and each sub-question is 1 minute, * * *1minute)

Please fill in the correct answers in the blanks of each question. You don't score if you fill it wrong or not.

10. The elements of law mainly include legal concepts, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

Four. Noun explanation (this topic is entitled ***5 small questions, with 3 points for each small question, *** 15 points).

29. Medical malpractice P259

30. Patient privacy

30. Medical malpractice P259

5. Nursing methods P26 1

Five, short answer questions (this big topic ***5 small questions, each small question 5 points, ***25 points)

32. Briefly describe the conditions that informed consent must meet. P254

37. What conditions must be met for informed consent? P

254

37. Briefly describe the procedures for handling medical accidents. P260

37. In order to protect patients and themselves, what problems should nurses pay attention to when carrying out doctor's orders? P262

Six, essay questions (10)

46. How do nurses use legal knowledge to carry out nursing according to law in practice? P265

38. Please describe the legal responsibility of nurses in carrying out doctor's orders. P262

37. From the legal and professional point of view, this paper briefly describes the problems that nurses should pay attention to when completing the functions of independent and cooperative nursing. P262

Seven, case analysis (10)

1, 17: 00 Patient Wang returned to the ward after coronary intervention, and the night nurse Xiao Zhang gave postoperative care, telling the patient to stop puncturing the side of the lower extremity for 24 hours to prevent bleeding in the operation area, drink more water and promote the excretion of contrast media. After listening to nurse Xiao Zhang's explanation, Wang and his family were worried about the damage of contrast media to the kidneys and even drank 4 bottles of mineral water. At 2 1:00, Wang felt that his bladder was full. Not used to urinating in bed, he got out of bed with the help of his family. This scene happened to be seen by Xiao Zhang, the nurse who visited the ward, and did not express any objection. At 2200 hours, Wang's family told the nurse that there was a little oozing blood in the patient's operating area. Xiao Zhang thought there was no problem and did not personally check the patient's operation area. 65438+ at 0:00 am, Wang complained of palpitation and dizziness, cold hands and feet, and increased bleeding in the operating area. Xiao Zhang infused 2 units of red blood cells according to the doctor's advice. At 6 o'clock in the morning, Xiao Zhang saw that Wang's life characteristics had gradually stabilized. He didn't write this situation on the nursing record sheet, but made an oral handover to Xiao Li, the successor nurse. After taking over in the morning, nurse Xiao Li injected anticoagulant drugs according to Wang's long-term doctor's advice, which caused the patient's operating area to bleed again.

Q: In this case, what nursing legal issues do nurses involve? Why?

39. The doctor prescribed "10% potassium chloride 10 ml intravenous injection" by mistake. The nurse did not think carefully and carried it out to the letter, which led to the death of the patient.

I want to ask: ① Do nurses have legal responsibilities?

What should you do if you encounter such a doctor's advice at work?

③ What should nurses pay attention to when carrying out doctor's advice?

39. Nurse Wang gave the patient infusion according to the doctor's advice and made records in time. Shortly after infusion, Xiao Wang observed that the patient had an adverse reaction after taking the medicine and immediately communicated this problem with the patient. The patient thinks that he has had a similar situation before and can continue infusion. Xiao Wang told the patient to continue observation, but did not record the patient's drug reaction and the content of communication with the patient, nor did he inform the doctor. Due to the adverse reaction after infusion, the patient's condition worsened.

Excuse me: is Xiao Wang's approach correct? Why? Should Xiao Wang be responsible for the patient's injury? If you are Xiao Wang, what should you do in this situation?

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