ch 3 ethical and legal issues

Question 1

ethical principle: personal freedom

Answer 1

autonomy

Question 2

ethical principle: duty to do good

Answer 2

beneficence

Question 3

ethical principle: do no harm

Answer 3

nonmaleficence

Question 4

ethical principle: truth telling in completeness

Answer 4

veracity

Question 5

ethical principle: fairness

Answer 5

justice

Question 6

ethical principle: assisting with decision making

Answer 6

paternalism

Question 7

ethical principle: keeping one’s promises/commitments

Answer 7

fidelity

Question 8

ethical principle: dignity of the person

Answer 8

respect for others

Question 9

formal statements that articulate values and beliefs of a given profession

Answer 9

professional code of ethics

Question 10

situations in which two ethical principles compete

Answer 10

moral distress

Question 11

act that establishes a state board of nursing and sets scope of nursing

Answer 11

nurse practice acts

Question 12

unintentional carelessness

Answer 12

negligence

Question 13

professional negligence; lack of skill

Answer 13

malpractice

Question 14

6 elements of malpractice

Answer 14

• duty owed to patient
• duty breached
• forseeability
• causation
• injury
• damages

Question 15

element of malpractice: established through a valid employment contract with the healthcare facility, based on standards of care

Answer 15

duty owed to pt

Question 16

element of malpractice: synonymous with failing to uphold the standard of care owed the pt

Answer 16

duty breached

Question 17

element of malpractice: concept that certain events can be expected

Answer 17

forseeability

Question 18

element of malpractice: what nurse did/failed to do must directly cause pts subsequent harm

Answer 18

causation

Question 19

element of malpractice: physical harm, pain and suffering may accompany it

Answer 19

injury

Question 20

element of malpractice: proven injury, compensation for injured party

Answer 20

damages

Question 21

individual responsibility and accountability for actions or omissions

Answer 21

personal liability

Question 22

employer’s accountability for the negligence of employees

Answer 22

vicarious liability

Question 23

institution responsibility and accountability for maintaining an environment that ensures quality healthcare delivery for consumers

Answer 23

corporate liability

Question 24

malpractice concerns for nurse managers (5)

Answer 24

• assignment, delegation, supervision
• duty to orient, educate, evaluate
• failure to warn
• staffing issues
• protective and reporting laws

Question 25

active process of directing, guiding, and influencing the outcome of an individual's performance of an activity

Answer 25

supervision

Question 26

transfer of responsibility, but not of accountability, for performance of an activity (RN to CNA)

Answer 26

delegation

Question 27

transfer of the responsibility and the accountability for the performance of an activity

Answer 27

assignment

Question 28

authorization by the patient or legal rep to do something to the pt. based on legal capacity, voluntary action, and comprehension

Answer 28

informed consent

Question 29

patient's right to protection against unreasonable interference with reputation or right to be left alone

Answer 29

privacy

Question 30

right to privacy of the medical record

Answer 30

confidentiality

Question 31

scope of nursing practice, those actions and duties that are allowable by the profession, is defined and guided by each state in the ?

Answer 31

nurse practice act

Question 32

3 categories of nurses defined by nurse practice act

Answer 32

- LPN/LVN - RN - APRN

Question 33

federal labor legislation: Established a more equal balance of power between unions and management

Answer 33

taft-harley act

Question 34

federal labor legislation: Protected against discrimination based on race, color, creed, national origin, etc.

Answer 34

civil rights act 1964

Question 35

federal labor legislation: Addressed sexual harassment in the workplace

Answer 35

civil rights act 1991

Question 36

federal labor legislation: Allowed work leaves based on family and medical needs

Answer 36

family and medical leave act

Question 37

5 primary hazards according to OSHA

Answer 37

- musculoskeletal disorders related to pt handling - blood borne pathogens - workplace violence - TB - slips, trips, falls