Ethical & Legal

Question 1

What does the code of ethics guide

Answer 1

decision making
professionalism
collaboration
protect pt rights
reflection and growth
reference for complaints and legal proceedings

Question 2

autonomy (principle)

Answer 2

pt has a right to make their own choices

Question 3

beneficence

Answer 3

doing right & being compassionate
“doing for”

Question 4

fidelity

Answer 4

loyal to all actions

Question 5

accountability

Answer 5

responsible for all actions

Question 6

justice

Answer 6

equal healthcare for everyone

Question 7

non-maleficence

Answer 7

do no harm (including unintentionally)

Question 8

veracity

Answer 8

be truthful

Question 9

altruism

Answer 9

selflessness

Question 10

human dignity

Answer 10

everyone has intrinsic value and should be respected

Question 11

integrity

Answer 11

honesty and standing ground in what you believe strongly in

Question 12

autonomy (value)

Answer 12

self-determination

Question 13

social justice/distributive justice

Answer 13

basic right to healthcare and well being for everyone

Question 14

morality

Answer 14

sense of right or wrong

Question 15

how are personal and professional values expressed

Answer 15

behaviors and morphed with social systems

Question 16

what defines an ethical dilemma

Answer 16

ethic vs personal values conflict
no clear right or wrong
available alternatives won’t solve the issues

Question 17

what is the emergency medical treatment and labor act (EMTALA)

Answer 17

access to healthcare regardless of financial status and insurance

Question 18

what are the 3 requirements for the EMTALA

Answer 18

require medical screening evaluation
have to stabilize pt or transfer to a facility that can
sign off transfer outweigh risks of transfer unstable pt

Question 19

informed consent

Answer 19

permission from the pt to continue after knowing the possible consequences

Question 20

implied consent

Answer 20

implied permission by acting
i.e. giving meds, IV, urinary catheter

Question 21

good samaritan laws

Answer 21

protection from claims of negligence for those provide care without expecting payment

Question 22

just culture

Answer 22

shared accountability and mindfulness

Question 23

what defines client abandonment

Answer 23

leaving a pt without ensuring another nurse is taking over
no change of shift report

Question 24

what are the 5 rights of delegation

Answer 24

• person
• task: scope of practice
• communcation: timeframe, goals, report back
• circumstance: unstable vs. stable
• supervision: evaluation by RN/LPN

Question 25

what type of pts would be considered unstable and UAC can’t be delegated task to

Answer 25

• new pt
• sudden change in status
• first time doing
• returning to floor after procedure

Question 26

never delegate what : U EAT

Answer 26

U: unstable

E: evaluation
A: assessment
T: teaching (initial)

Question 27

name 3 things only the RN can do

Answer 27

• IV push
• blood transfusion/blood related
• central line drugs: chemo, TPN

Question 28

tort

Answer 28

private wrong doing subject to civil lawsuit

Question 29

unintentional vs. intentional tort

Answer 29

• unintentional: negligence
• intentional: assault & battery, defamation, fraud, invasion of privacy (HIPPA), false imprisonment

Question 30

how to resolve ethical dilemmas

Answer 30

• validate feelings
• case analysis
• identify outcomes - know consequences
• short/long term goals
• clarify responsibilities
• follow through after decision is made
• resolve rxns & evaluate impact