Chap 3- Ethics, Values, Laws Flashcards
avoiding doing harm to the patient, removing the patient from harm, and preventing harm from happening to the patient
nonmaleficence
nursing practice is governed by rules or standards established by legislative bodies and interpreted by courts to protect the rights of citizens called
Laws
essential guidelines for providing and evaluating nursing care. WHat do these ensure for the nursing profession? How does is serve nurses in legal litigation?
standards of practice- helps to ensure quality care; Can protect nurses in legal litigation.
principle that states we must always act in ways that benefit the patient. ; promoting good for patients
beneficience
occurs when a nurse fails to meet published standards of care of the agency in which the nurse is employed
breach of duty
principle of fairness; treating all patients equally & allocating time according to need of pt is
justice
telling the truth; why is it important?
veracity - important to provider-patient relationships; as an informed pt is less anxious and more cooperative
being faithful to commitments (benificience) and promises (maleficience)
fidelity
beliefs; branch of philosophy that determines what “ought to be done”; standards of conduct and moral judgement
ethics
appropriate use of pt info
privacy
info about a patient must be kept private and safe
confidentiality
The respect of autonomy is
the independence and ability to be self directed; if providers dont agree w/ pt decision, it MUST be respected
In what instances may a nurse administer controlled substances?
When ordered by an authorized physician/ APRN & if state’s nurse practice act allows it
for those who do not want to be resuscitated if they have problems at home or anywhere outside of a medical facility.
community based no code order
Are nurses able to challenge physicians when negligence is observed? T or F
True
the right to self-determination. the right to make decisions about their health care without intimidation or influence.
autonomy
Example of demonstrating beneficience
implementing interventions, promoting wellness
knowing the correct action but being unable to perform it due to constraints.
ethical distress
Nurses must obtain a medical order before each and every instance in which they use restraints. T or F
True
a threat or an attempt to make bodily contact with another person without that person’s consent.
Assault
an assault that is carried out and includes willful, angry, and violent or negligent touching of another person’s body or clothes or anything attached to the person.
Battery
Why would a hospital ethics committee be necessary?
In place for when a client is unable to make an end-of-life decision and the family cannot come to a decision
A patient can change their mind at any time about their end of life care, as long as …
they have the capacity/ mental capabilities.
guide specific to the facility you are working in; keeps you protected by hospital if you follow it
Policy and procedure Manual
What is required for a nurse to be find liable?
Negligence must be proven; damages must be proven
what youre there to do as a nurse is your
duty
giving the person the means to end their life
assisted suicide; ILLEGAL (Oregon is the exception)
pain management at end of life
terminal sedation
painless killing of a suffering patient
euthanasia; ILLEGAL
