Ethics, Legal, And Risk Managment Flashcards

1
Q

System of principles and virtues that govern the actions of the nurse in relation to patients, families, the community, other health care providers, policy makers and society

A

Nursing Ethics

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2
Q

Interdisciplinary approach within the health care system that continues to evolve with research and modern medicine

A

Bioethics

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3
Q

Personal guide to worth which acts as a guide to human behavior

A

Values

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4
Q

Framework for which actions are based

A

Value system

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5
Q

Intentional self discovery to determine how values impact care

A

Values clarification

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6
Q

___________ is formulated from our core values and a blend of both personal and professional ethical values

A

Moral development

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7
Q

What we define as acceptable and unacceptable behavior, the points at which we demonstrate our tolerance and intolerance for dilemmas we encounter

A

Personal code of ethics

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8
Q

Characteristics of ethics

A

Concerned with values and beliefs of individuals, internal to oneself, concerned with motives and attitudes (why did the person do what they did?), enforced by ethics committees and professional organizations

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9
Q

Characteristics of law

A

Rules and regulations for society at a whole, external to oneself, concerned with conduct and actions (what did the person do?), enforced by courts and statutes and administration bodies

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10
Q

__________ requires the nurse to defend and speak on behalf of patient’s legal rights

A

Advocacy

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11
Q

The right of the patient to be self-determining and speak to his or her preferences and desired outcomes

A

Autonomy

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12
Q

Everyone deserves equal rights and opportunities, including health care

A

Social justice

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13
Q

The fair and equitable allocation of resources

A

Distributive justice

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14
Q

Example of distributive justice

A

Medical care and SS to all elderly

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15
Q

The distribution of any needed service, treatment, or procedure that is in short supply to those who need it in accordance with a set of rules that assures fair distribution

A

Rationing

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16
Q

Nursing examples of autonomy

A

Informed consent, right to choose/refuse treatment

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17
Q

Principle of doing no harm , physically and mentally

A

Non-maleficence

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18
Q

Example of non-maleficence

A

Not providing adequate pin management can be both physically and mentally distressing

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19
Q

The moral consideration to do good

A

Beneficence

20
Q

Examples of beneficence

A

Patient advocacy, proper pain management, sitting at bedside with dying patient who is alone

21
Q

Inherent worth of every human regardless of age, disability, ethnicity, sexual orientation, or socioeconomic status

A

Human dignity

22
Q

Concern for the welfare of others

A

Altruism

23
Q

Principle of truth telling essentially for establishing and maintaining trust

A

Veracity

24
Q

Examples of ethical dilemmas concerned with life

A

Abortion, genetic engineering, cloning

25
Q

Example of ethical dilemmas concerned with death

A

Assisted suicide

26
Q

Examples of ethical dilemmas concerned with resources

A

Health care (right or privilege?), scarcity/rationing

27
Q

A health care provider neglects to provide appropriate treatment, take proper actions, or gives substandard treatment that causes harm, injury, or death to a person

A

Medical malpractice

28
Q

Requirements for medical malpractice

A

Must have a duty to act, must be a breach of that duty, must be harm connected to breach of duty

29
Q

Common types of errors

A

Misdiagnosis, delayed diagnosis, wrong treatment or medications

30
Q

Reducing the risk of errors

A

Following guidelines and standard of care, hand washing, double checking meds, time out (right patient, surgery, and side), patient identification, reporting issues as soon as they happen including a near miss situation

31
Q

An unexpected occurrence involving death or serious injury to a patient requiring and investigation into these events

A

Sentinel events

32
Q

Investigation used to identify factors contributing to sentinel events that result in injury or death after the event has already happened

A

Root Cause Analysis (RCA)

33
Q

Investigation that fosters safety and the prevention of errors and accidents through proactive process of identifying or real failures, causes, and effects

A

Failure Mode Effects Analysis (FMEA)

34
Q

Two types of investigations

A

RCA and FMEA

35
Q

Mission of the Oklahoma Board of Nursing (OBON)

A

Public protection through nursing regulation upheld by both the board staff and board members

36
Q

Who does the board of nursing regulate?

A

APRNs, RNs, LPNs, AUAs

37
Q

The performance of services provided for purposes of nursing diagnosis and treatment including execution of the medical regime such as the administration of medications or treatments prescribed by any person authorized by state law to prescribe

A

Practice of Nursing

38
Q

Roles of the registered nurse

A

Assessing and analyzing health status and data, establishing goals, planning and implementing care, evaluating interventions and patient responses , delegating, managing, and supervising care, providing safe and effective care, teaching nursing knowledge and skills

39
Q

Health care professional that practices under the supervision of a registered nurse, physician, or dentist

A

Licensed practical nurse (LPN)

40
Q

Roles of the LPN

A

Collecting data to contribute to assessment, participating is development of plan of care, providing safe and effective care, delegating care to unlicensed assistants, participating in evaluation of responses, teaching basic nursing and skills, performing additional nursing procedures in accordance with knowledge and skills acquired through education beyond nursing preparation

41
Q

Difference between RN and LPN

A

RN implements the plan of care

42
Q

Health care professional that works in an assistive role in acute care facilities under the supervision of an RN or LPN, after completing a 200 hr training program

A

Advanced Unlicensed Assistant (AUA)

43
Q

Advanced Practice Nurses (APRNs) must complete a graduate degree in at least one of which approved population foci?

A

CRNA, Certified nurse midwife, clinical nurse specialist, certified nurse practitioner

44
Q

Characteristics of the Nursing Practice Act and Rules

A

A document that evolves over time, updated or amended as changes in practice occur, life-long learning experience

45
Q

How to protect your nursing license

A

Do not drink and drive, no drugs, know and follow organization policies, and ask if you don’t know