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level 1 Concepts Of Nursing Exam 2 > 6 Chapter 11 Ethical And Legal Considerations > Flashcards

6 Chapter 11 Ethical And Legal Considerations Flashcards

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1
Q

Study of ethics

A

Considers the standards of moral conduct within a society. Personal ethics are influenced by values, societal norms and practices

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2
Q

Ethical theories

A

Deontology

Utilitarianism

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3
Q

Deontology

A

Is an ethical theory that stresses the rightness and wrongness of individual behaviors, duties, and obligations without concern for the consequences

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4
Q

Utilitarianism

A

Maintains that behaviors are determined to be either right or wrong solely on the basis of their consequences

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5
Q

Autonomy

A

The concept of making decisions supported by knowledge and self-confidence

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6
Q

Accountability

A

The concept of being answerable for ones actions

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7
Q

Advocacy

A

The concept of supporting or promoting the interest of others or a cause greater than ourselves

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8
Q

Beneficence

A

The concept of “doing good”

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9
Q

Confidentiality

A

The concept of limiting the sharing of private patient information

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10
Q

Fidelity

A

The concept of keeping promises or agreements made with others

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11
Q

Justice

A

The concept of acting fairly and equitably

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12
Q

Nonmaleficence

A

The concept of avoiding harm

-euthanasia

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13
Q

Responsibility

A

The concept of being dependable and reliable

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14
Q

Veracity

A

The concept of being truthful

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15
Q

Code of ethics

A

Defines the values, morals, and standards guiding practice within a specific discipline or profession

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16
Q

Code of ethics for nurses

A

The principle of respect for persons extends to all individuals with whom the nurse interacts. The nurse maintains compassionate and caring relationships with colleagues and others with a commitment to the fair treatment of individuals, to integrity-preserving compromise, and to resolving conflict.(ANA, 2008, p149) provision 1.5 code of ethics for nurses

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17
Q

Educators

A

To advise and supervise their students, collaborate with students to identify individual learning needs within the clinical setting, and facilitate the educational process

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18
Q

Students

A

To behave responsibly and respectfully toward all, be accountable for their actions, develop professionally, and strive to learn all that is necessary to care for patients and their families

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19
Q

Civility

A

Or acting politely, is essential in all interactions among faculty and nursing students. Respectful interaction between students and faculty members establishes professional communication patterns and affects the way in which students interact with patients

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20
Q

EBP and informatics (incivility)

A

Reported loss of sleep, increased stress and depression, feelings of powerlessness, decreased confidence

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21
Q

Bioethics

A

Is the study of ethical and philosophical issues in biology and medicine
Issues: genetic testing, cloning an embryonic stem cell research, end-of-life care

22
Q

Futile care

A

Care that is perceived as useless and the prolongs the time until death rather than restoring life

23
Q

Bioethics challenges

A

Require the support of a professional counselor, loved ones, and friends to decide what is the best in each unique circumstances

24
Q

Role of ethic committees

A
  1. ) Establish policies that govern health care decision making
  2. ) review cases in which clarity is needed
  3. ) identify sets of values relevant to cases
  4. ) determine any values conflicts that may exist
  5. ) interview key individuals impacting the case being reviewed.
  6. ) provide unbiased input is not possible form a patient
  7. ) clarify potential legal implications of the medical interventions
25
Q

Legal implications in nursing practice

A
  1. ) delineate acceptable nursing practice
  2. ) provide a basis on which many health care decisions are made
  3. ) protect nurses from liability
26
Q

Constitutional law

A

Based on the U.S. constitution

27
Q

Statutory law

A

Created by legislative bodies such as the US congress and state legislatures

28
Q

NPA nursing practice act

A

Defines the scope of nursing practice within the state

29
Q

Regulatory law

A

Nursing rules and regulations are categorized as regulatory law

30
Q

Case law

A

Determined by judicial decisions from individual court cases

31
Q

Safe practice alert

A

Rules and regulations governing nursing practice are reviewed and revised on a regular basis

32
Q

Criminal law

A

Is the body of state and federal laws written to prevent harm to the country, state, and individual citizens

33
Q

Misdemeanor

A

Is a crime of lesser consequence that is punishable by a fine or incarceration in a local or county jail for up to 1 year

34
Q

Felony

A

Is a more serious crime that results in the perpetrators being imprisoned in a state or federal facility for more than 1 year

35
Q

Civil law

A

Governs unjust acts against individuals, rather than federal or state crimes

36
Q

Torts

A

Are wrong unjust acts against individuals, rather than federal or state crimes

37
Q

Torts

A

Are wrongs committed against another person that do not involve a contract

38
Q

Intentional torts

A

Are wrongs committed by individuals who deliberately seek to injure or hurt another person

39
Q

Unintentional torts

A

Are omissions or acts by individuals that cause unintended harm

40
Q

Duty

A

It must be proved that the nurse or other health care provider owed a duty of care to the accusing patient

41
Q

Dereliction

A

There must be evidence that the nurses actions did not meet the standard of care required or that care was totally omitted

42
Q

Damages

A

Actual injury to the accusing patient must be evident

43
Q

Direct cause

A

A casual relationship must be established between harm to the accusing patient and the actions or omitted acts of the nurse

44
Q

Guidelines for professional nursing practice within legal boundaries

A

Maintain confidentiality
Follow legal and ethical guidelines when sharing information
Document punctually and accurately
Adhere to established institutional policies governing safety and procedures
Comply with legal requirements for handling and disposing controlled substances
Meet licensure requirements
Practice responsibly within the scope of personal capabilities, professional experience, and education

45
Q

Professional liability issue

A

Professional practice conduct
Adherence to the principles for delegation by the ANA and legally binding within each states NPA
Accurate and timely documentation

46
Q

Accurate and timely documentation

A

They become the legal record of care provided by the nurse

47
Q

Legal issues guiding patient care

A 
Informed consent 
Patients bill of rights
Organ donations
Advance directives 
-living will, durable power of attorney, health care proxy
Do not resuscitate orders
48
Q

Advance directive forms

A

Is a process that involves personal reflection, information gathering, discussion with loved ones, decision making, and documentation of individual choices
-when signed and motorized it plows an individuals health care choices to be followed when resuscitation or other extraordinary measures are being considered

49
Q

Laws impacting professional practice

A

Licensure
Standards of care
HIPAA

50
Q

Laws impacting professional practice

A 
Uniform determination of death act
Assisted suicide and euthanasia 
Natural death acts
Americans with disabilities act (ADA)
Physical restraints
Additional acts introduced in congress
Ultimate responsibility of professional nurses

level 1 Concepts Of Nursing Exam 2 (10 decks)

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