Ethico Legal Considerations Flashcards

1
Q

Refer to the moral power incumbent upon the dignity of the
patient as a human person which is enjoined by both natural law
and positive law requiring that what is due must be rendered to
he patient as justice demands.

A

PATIENT’S RIGHTS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

arise of the movement for clients’ rights.

A

1960

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

the American Hospital Association (AHA)
published “A Patient’s Bill of Rights” to promote
the rights of hospitalized clients. These were
revised in 1992.

A

1973

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The patient has the
right to considerate and
respectful

A

care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

2.The patient has the right to and is encouraged
to obtain from physicians and other direct
caregivers relevant, current, and understandable
________ concerning diagnosis, treatment,
and prognosis.

A

information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The patient has the right to make
decisions about the plan of care
prior to and during the course of
treatment and to _____ a
recommended treatment or plan of
care to the extent permitted by law and
hospital policy and to be informed of the
medical consequences of this action.

A

refuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The patient has the right to have an _____ ___ (such as a living will, health care proxy, or
durable power of attorney for health care) concerning
treatment or designating a surrogate decision maker
with the expectation that the hospital will honor the
intent of that directive to the extent permitted by law
and hospital policy.

A

advance directive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The patient has the right to every
________ ___ _______
Case discussion, consultation, examination,
and treatment should be conducted so as to
protect each patient’s privacy.

A

consideration of privacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The patient has the right to expect that all
communications and records pertaining to his/her
care will be treated as _______ by
the hospital,

A

confidential

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The patient has the right to review the
_______ pertaining to his/her medical care
and to have the information explained or
interpreted as necessary, EXCEPT when
restricted by law.

A

records

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The patient has the right to _______that,
within its capacity and policies, a hospital will
make reasonable response to the request
of a patient for appropriate and medically
indicated care and services. The hospital must
provide evaluation, service, and/or referral as indicated by
the urgency of the case.

A

expect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The patient has the right to _____________ of the existence of
business relationships among the
hospital, educational institutions,
other health care providers, or
payers that may influence the
patient’s treatment and care.

A

ask and to
be informed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

10.The patient has the r______ _______to participate in proposed
research studies or human
experimentation affecting care and
treatment or requiring direct patient
involvement, and to have those studies
fully explained prior to consent.

A

right to consent to
or decline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The patient has the right to ______ _________ of care when
appropriate and to be informed by
physicians and other caregivers of
available and realistic patient care options
when hospital care is no longer
appropriate.

A

expect
reasonable continuity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The patient has the_______________________ ___________ that relate to
patient care, treatment, and responsibilities.
The patient has the right to be informed of
available resources for resolving disputes,
grievances, and conflicts, such as ethics
committees, patient representatives, or
other mechanisms available in the
institution.

A

right to be informed of
hospital policies and practices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Right to Appropriate Medical Care and Humane
Treatment
2. Right to Informed Consent
3. Right to Privacy and Confidentiality
4. Right to Information
5. Right to Choose Health Care Provider and Facility
6. Right to Self-Determination

  1. Right to Religious Belief
  2. Right To Medical Records
  3. Right to Leave
    10.Right to Refuse Participation in Medical Research
    11.Right to Correspondence and to Retrieve Visitors
    12.Right to Express Grievances
    13.Right to be Informed of His Rights and Obligations
    as a Patient
A

MAGNA CARTA OF PATIENT’S RIGHTS BY
SENATOR JUAN M. FLAVIER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Know Rights
2. Provides Accurate and Complete Information
3. Report Unexpected Health Changes
4. Understand the Purpose and Cost of Treatment
5. Accept Consequences of Own Informed Consent
6. Settle Financial Obligations
7. Relation to Others
8. Exhaust Grievances Mechanisms

A

THE OBLIGATIONS OF PATIENTS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

is an agreement
by a client to accept a course of
treatment or a procedure after being
provided complete information,
including the benefits and risks of
treatment, alternatives to the
treatment, and prognosis if not
treated by a health care provider.

A

Informed consent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

TRUE OR FALSE Usually, the client signs a form
provided by the agency. The
form is a record of the
informed consent, not the
informed itself.

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

may be either an oral or written agreement. Usually,
the more invasive a procedure and/or the greater the potential for risk
to the client, the greater the need for written permission.

A

Express consent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

exists when the individual’s nonverbal behavior
indicates agreement.

A

Implied consent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q
  • The diagnosis or condition that require treatment
  • The purposes of the treatment
  • What the client can expect to feel or experience
  • The intended benefits of the treatment
  • Possible risks or negative outcomes of the treatment
  • Advantages and disadvantages of possible alternatives to the
    treatment (including no treatment)
A

General Guidelines of Informed Consent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

There are three major elements of informed consent: what is the first

A

1.The consent must be given voluntarily.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

There are three major elements of informed consent: what is the second

A

2.The consent must be given by a client or individual with the
capacity and competence to understand.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
There are three major elements of informed consent: what is the third?
3.The client or individual must be given enough information to be the ultimate decision maker.
26
Exceptions Three groups of people cannot provide consent.
1.Minors 2.A person who are unconscious or injured in such a way that they are unable to give consent. 3.Mentally ill persons who have been
27
The nurse is not responsible for explaining the procedure but for witnessing the client’s signature on the form
Nurse’s Role
28
The nurse’s signature confirms three things:
The client give consent voluntarily. * The signature is authentic. * The client appears competent to give consent.
29
- to protect the fundamental human right to privacy of communication
Republic Act No. 10173 or the Data Privacy Act of 2012 (DPA)
30
refers to all types of personal information.
“Personal data”
31
is an operation/s performed upon personal data. These operations include, but not limited to the collection, recording, organizing, storage, updating, or modification, retrieval, consultation, use, consolidation, blocking, erasure, or destruction of data.
“Processing”
32
Unauthorized processing, negligent handling, or improper disposal of personal information is punishable with up to _________________ depending on the nature and degree of the violation.
six (6) years in prison or up to five million pesos (PHP 5,000,000)
33
means that any information a subject relates will not be made public or available to others.
Confidentiality
34
is the right of patients to keep personal information from being disclosed.
PRIVACY
35
protects private patient information once it is disclosed in the health care settings.
CONFIDENTIALITY
36
“Whatever I see or hear, whether professionally or privately which ought not to be divulged I will keep secret and tell no one.”
HIPPOCRATIC OATH
37
means a health worker may not disclose information to others about a client without first gaining the client’s consent, and such information may only be used in connection with care planning or treatment.
Confidentiality
38
Nurses are obligated to respect clients’ privacy and confidentiality.
Principle of Autonomy
39
Computerized information management in acute care settings makes client data accessible to more people.
CONFIDENTIALITY
40
if you need to present a case history about a client – for example, for your studies/course – (changing the person’s name may not be enough to protect their identity)
always change any identifying features and get permission first
41
a federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient’s consent or knowledge.
HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA)
42
* Electronic transfer of information among organizations * Standardized numbers for identifying providers, employers, and health plans * Security rule * Privacy rule
* Health Insurance Portability & Accountability Act of 1996 (HIPAA) includes four specific areas.
43
* Inappropriate use leads to loss of jobs, discipline from board of nursing
SOCIAL MEDIA
44
Violation of HIPAA regulation by health care providers or agencies can result in
heavy fines for this breach of trust.
45
is the small group of values held by an individual.
Value set
46
are basic to a way of life, give direction to life, and form the basis of behavior— especially behavior that is based on decisions or choices.
Value systems
47
Consist of:
a. Beliefs b. Attitudes
48
Influence by person’s sociocultural environment * learned through observation and experience * keep in mind – the influence of values in health
Values Transmission
49
- Perceive and internalize values derive from the values of the society and their individual subgroups. - To have a sense of individuality
Personal Values
50
are acquired during socialization into nursing from codes of ethics, nursing experiences, teachers, and peers.
Nurses’ professional values
51
is a concern for the welfare and well- being of others.
Altruism
52
is the right to self-determination
Autonomy
53
is respect for the inherent worth and uniqueness of individuals and populations.
Human dignity
54
is acting in accordance with an appropriate code of ethics and accepted standards of practice.
Integrity
55
is upholding moral, legal, and humanistic principles.
Social justice
56
is a process by which people identify, examine, and develop their own individual values.
VALUES CLARIFICATION –
57
“No one is set of values is right for everyone”
PRINCIIPLE –
58
choosing, prizing and acting
Theory of Values Clarification – Raths Harmin, and Simon (1978)
59
- Nurses and nursing students need to examine the values they hold about life, death, health, and illness.
Clarifying the Nurse’s Values
60
To plan effective care, nurses need to identify clients’ value as they influence and relate to a particular health problem.
Clarifying Client Values