Chapter 4 Ethics and Laws

Question 1

______ involves choices or judgement about what should or should not be done

Answer 1

Ethics

Question 2

What is ethics?

Answer 2

Knowledge of what is right conduct and wrong conduct

Question 3

What is based on culture, religion, education, and experiences?

Answer 3

Judgements and views

Question 4

What is code of ethics?

Answer 4

Rules, or standards of conduct, for group members to follow

Question 5

_________ Separate helpful actions and behaviors from those that are not helpful

Answer 5

Professional Boundaries

Question 6

If you are under-involved in a patients care, what 3 things can occur?

Answer 6

• Disinterest
• Avoidance
• Neglect

Question 7

If you are over-involved in a patients care, what three things can occur?

Answer 7

• Boundary crossing
• Boundary violation
• Professional sexual misconduct

Question 8

Boundary ________ is a brief act or behavior of being overinvolved with the person. The intent of the act or behavior is to meet the person’s need

Answer 8

Crossing

Question 9

You hug a patient to meet their needs at the time, but the hug also meets your needs too. What is this an example of?

Answer 9

Boundary crossing

Question 10

What is boundary violation?

Answer 10

Act or behavior that meets your needs, not the person’s

Question 11

Boundary violation includes what three things?

Answer 11

• Abuse
• Giving a lot of information about yourself
• Keeping secrets with the person

Question 12

______ ______ act or behavior is not ethical, it violates the code of conduct and the person can be harmed

Answer 12

Boundary violation

Question 13

What is professional sexual misconduct?

Answer 13

Violation of professional interactions with an act, behavior, or comment that is sexual in nature

Question 14

What is boundary sign?

Answer 14

Acts, behaviors, or thoughts that warn of a boundary crossing or boundary violation

Question 15

T/F: Accepting gifts from patients, residents and their family is not a boundary violation.

Answer 15

FALSE: It is a boundary violation

Question 16

T/F: Ethics is about what you can and cannot do

Answer 16

FALSE: The law is about what you can and cannot do

Question 17

Ethics is about what you ______ or _______ not do

Answer 17

should

Question 18

What is the law?

Answer 18

Is rule of conduct made by a government body

Question 19

What is a criminal law?

Answer 19

Concerned with offenses against the public and society in general

Question 20

What is a crime?

Answer 20

An act that violates a criminal law

Question 21

What is civil laws?

Answer 21

Concerned with relationships between people

Question 22

What are two examples of a civil law?

Answer 22

• Contracts
• Nurse practice act

Question 23

What is tort?

Answer 23

A wrong committed against a person or the person’s property

Question 24

What refers to the skills, care, and judgements required by a health team member under similar conditions

Answer 24

Standard of care

Question 25

Standard of care comes from? (5)

Answer 25

* Laws * Job description * Agency Policies * Procedures * Manufacturers instructions

Question 26

Which *approval agencies* set standards of care?

Answer 26

* Centers of Medicare & Medicaid Services (CMS) * Accrediting agencies

Question 27

Standards & guidelines also come from other government agencies like the?

Answer 27

Centers for Disease Control and Prevention (CDC)

Question 28

_________ is a risk when standards of care are not met

Answer 28

Negligence

Question 29

What is negligence?

Answer 29

An *unintentional* wrong. The negligent person did not act in a reasonable and careful manner. A person or the person's property was harmed Failure to use reasonable care or failure to take proper care in doing something

Question 30

What is malpractice?

Answer 30

Negligence by a professional person: Nurse, pharmacist, doctor

Question 31

What is defamation?

Answer 31

Injuring a person's name and reputation by making false statements to a third person

Question 32

What is the difference between *Libel* & *Slander*?

Answer 32

* Libel is making false statements in print, writing, through pictures or drawings * Slander is making false statements through the spoken word, sounds, sign language, or gestures

Question 33

Negligence and malpractice are considered what kind of *torts*?

Answer 33

Unintentional torts

Question 34

______ is saying or doing something to trick, fool, or deceive a person

Answer 34

Fraud

Question 35

False imprisonment involves what three things?

Answer 35

* Threatening to restrain a person * Restraining a person * Preventing a person from leaving the agency

Question 36

What is false imprisonment?

Answer 36

Unlawful restraint or restriction of a person's freedom of movement

Question 37

What is assault?

Answer 37

Intentionally attempting or threatening to touch a person's body without the person's consent

Question 38

What is battery?

Answer 38

Touching a person's body without consent

Question 39

Privacy of the resident/patient involves?

Answer 39

Person's body, private affairs, and information about care, treatment, and condition

Question 40

What is HIPAA?

Answer 40

Protects the privacy and security of a person's health information | Health Insurance Portability and Accountability Act of 1996

Question 41

Who is responsible for informing the person about all aspects of treatment?

Answer 41

The doctor

Question 42

What is informed consent?

Answer 42

Person receives and understands information about a treatment or procedure and is able to decide to receive or refuse the treatment or procedure

Question 43

Who cannot give consent?

Answer 43

* Person under legal age (18 years) * Person mentally unable: Unconscious, sedated, or confused * Have certain mental health disorders

Question 44

A informed consent is given by a responsible party, list some examples.

Answer 44

Spouse, parent, adult child, guardian, legal representative

Question 45

T/F: You are responsible for obtaining written consent

Answer 45

False: You are never responsible for obtaining written consent

Question 46

T/F: You can witness signing of consent

Answer 46

True

Question 47

What is abuse?

Answer 47

*Willful *infliction of injury, unreasonable confinement, intimidation, or punishment that results in physical harm, pain, or mental anguish

Question 48

If you suspect abuse or a patient confides in you to not tell the nurse about abuse happening, what will you do?

Answer 48

Say: "I will not keep it a secret"; tell the nurse

Question 49

_________ adult is a person 18 years old or older who has a disability or condition that causes the person to be at risk for harm

Answer 49

Vulnerable

Question 50

Who is considered an elder?

Answer 50

Older adult 60 years of age or older

Question 51

What are the forms of elder abuse?

Answer 51

* Physical * Neglect * Financial abuse * Emotional or psychological abuse * Sexual * Abandonment

Question 52

_________ is the illegal, dishonest, unfair, or wrongful use of a person's money property, or assets for one's own use

Answer 52

Misappropriation

Question 53

_______ is mis-use of a person's money, property, or assets

Answer 53

Exploitation

Question 54

What's another name for intimate partner violence?

Answer 54

Domestic violence

Question 55

What is intimate partner violence?

Answer 55

Physical violence, sexual violence, stalking, or psychological aggression by a current or former partner

Question 56

What is neglect of a child?

Answer 56

Failing to provide for the child's basic needs such as food, clothing, shelter