Oncology Certified Nurse (OCN) Nursing Practice Test

What legal principle is applicable when a nurse fails to document care for one of several assigned patients?

1. Breach of duty

2. Absent documentation

3. Nonmaleficence

4. Malpractice

The correct answer is: Breach of duty

The correct choice indicates that a breach of duty occurs when a nurse fails to document care for one of their assigned patients. In the context of nursing practice, each nurse holds a legal and ethical responsibility to provide appropriate care and maintain accurate records of that care. Documentation is a crucial aspect of nursing; it not only records the actions taken on behalf of the patient but also serves as a communication tool between healthcare providers. When a nurse neglects to document care, it suggests that they have not fulfilled their duty to the patient. In legal terms, this can be considered a breach of the duty of care, which establishes that nurses are expected to act according to a standard of care that protects patient safety and welfare. Failing to document can lead to significant consequences, especially if there were adverse patient outcomes or complications; without documentation, it becomes challenging to prove that appropriate care was given, thus potentially exposing the nurse and the healthcare facility to legal liability. The other options, while relevant in the broader context of nursing and healthcare law, do not specifically capture the principle that applies directly to the act of failing to document. Absent documentation refers to the absence itself rather than the implications of failing to meet the duty of care. Nonmaleficence refers to