Nursing Foundations - Unit 2 (Ethics & Legal)

olanjones's version from 2016-02-24 02:07

Section 1

Question Answer
What is the purpose of the ANA code of ethics?To inform the public, allow for self-regulation of the profession (autonomy), identify standards, provide a sign of commitment, outline major ethical considerations, and remind nurses of their responsibility
What are the 9 major themes cited in ANAs code of ethics provisions?1. Nurse respects all clients 2. Primary commitment is to client 3. Support client's health, safety, and rights 4. Nurse is accountable for individual and delegated tasks 5. Self-care of nurse 6. Quality of health care and healthcare employment 7. Advancement of profession 8. Promotion of meeting healthcare locally and globally 9. Articulation of nursing values and integrity
What are the moral principals?Autonomy, Non-maleficence, Beneficence, Veracity, Fidelity, Justice, Accountability, Responsibility
How may the moral principals be employed in ethical decision making? They help to ensure that a mutual, peaceful agreement can be made that is in the best interests of the client
What strategies may be used to enhance ethical decisions and practice?Clarify one's own values, understand values of other healthcare professionals, become familiar with nursing code of ethics, participate in ethics committees and rounds

Section 2

Question Answer
What outlines the legal responsibilities of a nurse?State Boards of Nursing, State Nurse Practice Act, civil and criminal laws
When can potential liabilities occur?When a nurse fails to meet the legal expectations of care and it causes injury or harm to the client
What type of laws usually deal with liabilities (both intentional and unintentional)?Tort law (tort = a civil wrongdoing committed against a person or their property)
What types of situations may lead to negligent actions?Failure to monitor status, medication or safety errors, falls, use of restraints, improper skill level or procedure, documentation errors
How can a nurse take measures to prevent negligence?By acting within scope of practice, following policies, through risk management programs, client education, advance directives (nurses should also have liability insurance)
What are the essential elements of informed consent?Given voluntarily, by a client or individual with the capacity and competence to understand what they are agreeing to, after being given enough information to be the decision maker
What is negligence?Misconduct or practice below the standard expected of an ordinary, responsible, and prudent person that puts another person at risk for harm
What is malpractice?"Professional negligence" that occurs while the performing as a professional
How is malpractice proven?Duty, Foreseeability, Causation, Harm, Damages

Section 3

Question Answer
Good Samaritan ActDesignated to protect healthcare providers who provide assistance at the scene of an emergence against claims of professional negligence unless it can be shown there was gross departure form normal standards or willful wrongdoing
Patient Self-Determination ActWritten notification upon admission of patient right to refuse medical care/advance directives
American with Disability ActProhibits discrimination on the basis of disability in employment, public services, and public accommodations
Health Insurance Portability and Accountability ActProtect privacy of health information; includes a national standard format for electronic transfer of information, standardized numbers for identifying providers, employers, and health plans; enforcement of the security rule (confidentiality, integrity, and availability of ePHI) and enforcement of the privacy rule (access to med records, restrict access, request changes, learn how have been accessed)
What is the purpose of the Nurse Practice Act?To legally define scope of practice and legally control nursing practice through licensing requirements
What is the purpose of the State Boards of Nursing?To make rules and regulations for further definition of the Nursing Practice Act, enforce Practice Act including disciplinary action, providing licensure exams, and licensure of nurses including by endorsement

Section 4

Question Answer
Mutual recognition modelAllows for mulitstate licensure
Standards of careSkills and learning commonly possessed by members of the profession
Implied contractOne that has not been explicitly agreed to but the law considers to exist
Liabilitylegal responsibility for one's obligations and actions and for making restitution
Respondent superior"Let the master answer" employer assumes responsibility of employee
Collective bargaining Formalized decision-making process between rep for management and rep for labor to negotiate wages and conditions
Implied consentExists when clients nonverbal actions indicate agreement
DelegationThe process by which a nurse directs another person to perform nursing tasks and activities
Impaired nurseUnable to perform duties due to chemical dependency or mental illness
Civil actionDisputes among individuals in society (torts and contracts)
Criminal actionDisputes between an individual and society as a whole
How do libel and slander differ?Libel is written defamation while slander refers to oral defamation

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