Chapter Three Flashcards

1
Q

Value

A

Your belief of somethings worth and may differ from the values of others around you

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2
Q

Ethics

A

Made up of values that influence your decisions and behavior.

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3
Q

Advocate

A

To stand up for that which is in the patients best interest, as opposed to that which is in the best interest of the health care provider, hospital, or staff.

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4
Q

Empathy

A

The awareness of an insight into another persons feelings, emotions, and behaviors, and their meanings and signifigance.

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5
Q

DNR or DNAR

A

Do Not Resuscitate or Do not attempt resuscitation

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6
Q

Abandonment of patient

A

To desert of forsake a patient in your charge; to leave a patient in your charge without appropriate nursing replacement; wrongful termination of care

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7
Q

Advance directive

A

A written statement indicating a patients wishes regarding future medical care in the event the patient becomes unable to voice their decisions; it made give consent for certain aspects of care as well as refusal of specific care

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8
Q

Appeal

A

to challenge the decision of a court to a higher court, where the decision will either be confirmed or reversed

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9
Q

Assault

A

To purposely threaten physical harm to an individual

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10
Q

Battery

A

To touch an individual without consent

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11
Q

Civil Law

A

The individual or personal rights guaranteed by federal law, such as the Constitution and the Bill of Rights

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12
Q

Competency

A

The legal qualification to make ones own decisions

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13
Q

Consent

A

To give permission for, to agree to; the consent generally must be written

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14
Q

Controlled Substances

A

Drugs regulated by laws; drugs that have the potential for abuse, such as narcotics

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15
Q

Criminal Law

A

Laws that protect the public or society

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16
Q

Damages

A

Money awarded to a plaintiff upon proving injury by the defendant

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17
Q

Defendant

A

The one accused of breaking criminal or civil law

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18
Q

Durable medical power of attorney

A

Legal written designation making another person responsible for one’s medical decisions

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19
Q

Emancipated Minor

A

Legal consideration of one younger than age 18 years as an adult because the person lives alone and is self-supporting, has joined the military, is married, or is a parent.

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20
Q

Liability

A

One’s responsibility for their own actions, such as acts of negligence

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21
Q

Libel

A

False written statements about another that are made public with the intent to harm

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22
Q

Malpratice

A

Injury, loss, or damage to a patient because of failure to provide a reasonable standard of care or demonstrate a reasonable level of skill

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23
Q

Negligence

A

Failure to provide certain care that another person of the same education and locale would generally provide under the same circumstances

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24
Q

Plaintfiff

A

The one accusing another of criminal or civil law violation

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25
Q

Statue

A

A written law

26
Q

Tort

A

A violation of a civil law; involves a wrong against an individual or their property

27
Q

Constitutional Law

A

Is in place to protect our constitutional rights (Bill of Rights)

28
Q

Statutory Laws

A

May be federal, state, or local laws and are sometimes called statutes.
Examples: Nurse Practice Acts (NPAs) that are passed by each state.

29
Q

Case or Judicial Law

A

Written in response to specific legal questions brought before the courts. After the question is decided by the courts, it is used as a precedent to judge similar cases in the future.

30
Q

Precedent

A

The standard that other cases refer to in the future

31
Q

Criminal Laws

A

Protect the public or society as a whole.

32
Q

Civil Laws

A

Protect an individual’s personal rights, which include most health-care issues.

33
Q

HIPAA

A

Health Insurance Portability and Accountability Act

34
Q

When was HIPAA enacted?

A

1996

35
Q

CDC

A

Centers for Disease Control and Prevention

36
Q

Types of Abuse

A

Physical
Sexual
Emotional
Neglect
Domestic/Partner

37
Q

Signs of Physical Abuse

A

-Bruises
-Burns
-Fractures that are unexplained or do not match given explanation
-Long-sleeve clothes worn to cover injuries during hot weather

38
Q

Signs of Sexual Abuse

A
  • Inappropriate sexual behavior and knowledge for child’s age
  • STI or pregnancy under age of 14
  • Child behaving sexually towards other children
  • Pain for child in sitting or walking
39
Q

Emotional Abuse Signs

A
  • Being withdrawn
  • Being Fearful
  • Vague pains, stomachaches, headaches with no medical basis
  • Avoiding social situations such as going to school
  • Delayed emotional development
40
Q

Signs of Neglect

A
  • Poor hygiene
  • Lack of appropriate clothing
  • Clothes that do not fit
  • Hoarding food
  • Excessive hunger
  • Poor attendance at school
  • Unsupervised play or play in unsafe environments
41
Q

Signs of Domestic Abuse or Partner Abuse

A
  • Unexplained injuries
  • Injuries that do not match the explanation given
  • Being fearful or withdrawn
  • Trying to make peace with or make excuses for partners behaviors
  • Being embarrassed or belittled by partner in front of others
  • Being verbally abused
  • Being controlled by partner
  • Having a partner who denies abuse, acts like abuse is no big deal, or states abuse is victims fault (gaslighting)
  • Having a partner who threatens suicide
  • Having a partner who threatens to kill the victim
42
Q

False Imprisonment

A

Intentionally prevention a patient from leaving a facility or restricting a patient’s movement within the facility

43
Q

AMA

A

Against Medical Advice

44
Q

Restraints

A

Only can be used if the patient presents a clear danger to either self or others and other methods of protection the patient from injury have already been attempted

45
Q

Sexual Harassment

A

Harassment that includes unwelcome sexual advances, comments of a sexual nature, or offensive remarks about a person’s sex.

46
Q

Harassment

A

Continued unwanted or annoying actions

47
Q

Examples of sexual harassment:

A
  • touching or rubbing against another person
  • physically standing in another’s personal space
  • telling or playing jokes on another that are sexual in nature or carry a sexual innuendo
  • Engaging in personal conversations regarding reproductive organs or sexual activity that can be overheard by someone who is offended by the context
  • Having wandering eyes or facial expressions that make the recipient uncomfortable
  • Stalking
48
Q

Good Samaritan Law

A

Provides legal protection to the voluntary caregiver at sites of accidents and emergencies

49
Q

What are the most common reasons for lawsuits against LPNs?

A
  • Medication related errors
  • Treatment and care-related errors
  • Patient abuse-related errors
50
Q

Medication Related Errors

A

These include administering medications by the wrong route, to the wrong patient, at the wrong time, administering medications that should not have been given, or failing to administer medications at all.

51
Q

Treatment and care-related errors

A

These include failing to provide care, giving incorrect care, misinterpreting order for treatments, or ignoring the need for care.

52
Q

Patient abuse-related errors

A

These include depriving patients of their rights, abusing patients physically, verbally, sexually, or emotionally, or simply ignoring patient’s needs.

53
Q

What are less common reasons for lawsuits against LPNs?

A
  • Conduct-related errors
  • Assessment-related errors
  • Scope of practice-related errors
  • Documentation-related errors
54
Q

Conduct-related Errors

A

These include:
unprofessional behaviors with patients or patients’ families, diversion of patient medications, or inappropriate behavior in the workplace

55
Q

Assessment-related Errors

A

These include:
Failing to do a complete assessment, thereby missing injuries or illness, or failing to report your assessment findings to the provider for further treatment and care

56
Q

Scope of practice-related Errors

A

These include:There are most often the result of an LPN acting outside their scope of practice and performing tasks that the LPN was not educated to perform

57
Q

Documentation-related Errors

A

These include:
Documenting on the wrong chart, documenting opinions instead of facts, and most often, failing to document what occurred and the care that was given.

58
Q

Informed Consent

A

A voluntary agreement made by a well-advised, mentally competent patient to be treated by a provider or institution.

59
Q

Incident Report

A

To be completed in the event of an unusual occurrence or an accident.

60
Q

Standards of Care

A

These are statements of actions that are consistent with minimum safe professional conduct under specific conditions

61
Q

What are the five rights of delegation that were established in 1997?

A

The right task
The right circumstances
The right person (the delegatee has the knowledge and skills to perform the task)
The right directions and communication
Under the right supervision and evaluation

62
Q

What are ways you can continue to be a lifelong learner as a nurse?

A

Subscribing to and reading nursing journals
Attending educational seminars/workshops
Researching nursing topics and health-related issues in both current textbooks and professional websites
Taking continuing education courses in professional journals or online