International Board of Certified Lactation Consultant (IBCLC) Practice Exam

Which of the following actions would be considered misfeasance?

1. Signing a prescription for unauthorized medication

2. Failing to report accurate care information

3. Providing care that results in unexpected emotional distress

4. Providing care without the client’s consent

The correct answer is: Providing care that results in unexpected emotional distress

Misfeasance refers to the improper performance of a lawful act, which leads to harm or injury. In this context, providing care that results in unexpected emotional distress exemplifies misfeasance because it involves delivering care that is within the scope of practice but done inappropriately or ineffectively, leading to negative outcomes for the client. For example, a healthcare provider might follow the proper protocols and procedures but may inadvertently cause emotional distress due to a lack of sensitivity, inadequate communication, or failure to consider the client's emotional state. This scenario reflects the essence of misfeasance, where the act of care itself was appropriate, but the execution failed to consider the broader implications for the client's well-being. The other actions outlined do not fit the definition of misfeasance as clearly. Signing a prescription for unauthorized medication involves a breach of legal and ethical guidelines, not just poor execution of a duty. Failing to report accurate care information can be categorized as nonfeasance, which refers to the failure to act where there is a duty to do so. Providing care without the client’s consent is a breach of ethical and legal practice, which could be classified as more straightforward malpractice rather than misfeasance.