CONSENT Flashcards
–is an agreement by a client to
accept a course of treatment
or a procedure after being
provided complete
information.
INFORMED CONSENT
2 types of Informed Consent
Express
implied
an oral or written agreement
EXPRESS CONSENT
exists
when the individual’s nonverbal
behavior indicates agreement.
IMPLIED CONSENT
“Obtaining informed consent
for specific medical and
surgical treatment is the
responsibility of the person
who is going to perform the
procedure.”
TRUE
of people
cannot provide consent:
Minors
Persons who are unconscious or
injured
Mentally ill persons
3 Major elements of informed consent:
given voluntarily
must be given by a client/indiv with capacity to understand
client must be given enough info to be ultimate decision maker
the transfer of responsibility
for the performance of an
activity from one person to
another while retaining
accountability for the
outcome.
DELEGATION
“It is important to remember
that the nurse may delegate a
task; however, the
responsibility for action or
inaction of the nurse and the
one delegated remains with the
nurse.”
True
can include
domestic violence, child abuse,
elder abuse and sexual abuse.
Violent behavior
is the absence of care
necessary to maintain the health
and safety of a vulnerable
individual such as a child or elder.
Neglect
“Nurses, in their many
roles, can not often identify
and assess cases of
violence against others.
False
“Nurses, in their many
roles, can often identify
and assess cases of
violence against others. As a result, they are often
included as
MANDATED
REPORTERS.
“when an identified
instance of injury appears to be
present and the result of abuse, neglect
or exploitation, the ____
must report the situation to the proper
authorities.”
mandated reporter
refers to a nurse whose
ability to perform the
functions of a nurse is
diminished by chemical
dependency on drugs, alcohol,
or mental illness.
THE IMPAIRED NURSE
must have sound
policies and procedures for
identifying and intervening in
situations involving a possibly
impaired nurse.”
“Employers
“The primary concern is for
the
protection of clients,
is a violation of the individual’s rights
and a form of discrimination.
SEXUAL HARASSMENT
“unwelcome sexual
advances, requests for sexual favors,
and other verbal or physical conduct of
a sexual nature.
SEXUAL HARASSMENT
“Nurse must develop
skills of _____to
deter sexual harassment
in the workplace.”
assertiveness
“The nurse’s role in legal issues
related to death is prescribed by
law of the region and the
policies of the health care
institution.”
include a variety of legal and lay
documents that allow persons to
specify aspects of care they wish to
receive should they become unable
to make or communicate their
preferences.
ADVANCE HEALTH CARE DIRECTIVES
2 types of Advance Health Care
Directives
living will
health care proxy
provides specific
instructions about what medical
treatment the client chooses to omit
or refuse in the event that the client
is unable to make those decisions
THE LIVING WILL
is a notarized or witnessed
statement appointing someone
else to manage health care
treatment decisions when the
client is unable to do so.
THE HEALTH CARE PROXY
is an examination of the body after
death
AUTPOSY
(Postmortem Examination)
the law describes under what
circumstances an autopsy must be
performed when death is sudden or
occurs within _____of admission to
a hospital
48 hours
during autopsy what are examined in the body
organs and tissues
reasons why organs and tissues are examined
to establish the exact cause of death,
to learn more about a disease ,
to assist in the accumulation of
statistical data
Family members that can
provide consent:
Surviving spouse
Adult children
Parents
siblings
“The formal determination
of death, or pronouncement,
CERTIFICATE OF DEATH
CERTIFICATE OF DEATH must be performed by a
physician, a coroner, or a
nurse.”
a death certificate must
be made out when a
person dies
the death certificate is usually signed by
attending physician
the death certi is filed with
local health or
other government offices
in the topic of death certificate, the family is usually
given a copy to use for
legal matters, such as
insurance claims.
this is an order for a client who are in a
stage of terminal, irreversible
illness or expected death”
DO-NOT-RESUSCITATE ORDERS
(DNR)
DNR is written when client:
expressed for no resuscitation in even of cardiac arrest
“Many physicians are
reluctant to write such an
order if there is any conflict
between the client and
family members.”
TRUE
DNR order is written to
indicate that the goal of
treatment is a
comfortable,
dignified death
“If it is contrary to the nurse’s
personal beliefs to carry out a
DNR order, the nurse should
consult the ____ for a
change in assignment.”
Nurse manager
is the act of painlessly
putting to death persons
suffering from incurable
or distressing disease.
EUTHANASIA
Euthanasia is referred as
mercy killing
“Regardless of compassion and good
intensions or moral convictions, euthanasia
is legall
false. legally wrong
Euthanasia can lead to criminal
charges of homicide or to civil lawsuit for
withholding treatment or providing an
unacceptable standard of care.”
True
is a legal inquiry into
the cause or manner of
a death.
INQUEST
inquest is conducted under:
jurisdiction of coroner/medical examiner
is a public official, not
necessarily a physician, appointed or
elected to inquire into the cause of
death.
coroner
a physician and
usually has advanced education in
pathology or forensic medicine.
medical examiner
organ donation purposes
For medical or dental education
Research
Advancement of medical or dental science
Therapy
Transplantation
organ donation can be
made by a provision in a:
will/ signing card-like form
who carries the card in the organ donation?
the person who signed it
may serve as
witness for people
consenting to donate
organ.
nurse
