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N392: Profession of Nursing > Exam 1: NPA & Nursing Ethics > Flashcards

Exam 1: NPA & Nursing Ethics Flashcards

1
Q

What is the nurse practice act?

A

A law!

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2
Q

Who wrote the NC-NPA?

A

The North Carolina General Assembly

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3
Q

At what level is the NPA regulated?

A

The state level

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4
Q

What kind of language is the NPA written in and why?

A

Legalese

Allows for interpretation and debate in a court of law

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5
Q

What is the purpose of the NPA

A

It aims to regulate the practice of nursing and to keep the citizens of NC safe from incompetent nurses

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6
Q

Who makes up the NC Board of Nurses (BON)?

A

Made up of elected and appointed individuals who are in charge of enforcing the NPA

There are 14 members:
8 RNs (3 of which are educators)
3 LPNs
3 Members-at-Large

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7
Q

What is the relationship between the BON and NPA? What is the charge between the two?

A

BON and NPA are symbiotic - they are dependent upon one another

The NPA charges the BON to interpret and enforce the NPA (Regulate)

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8
Q

Where is the RN practice defined?

A

Within the 10 points of RN practice in the NPA. Defines our scope and our boundaries

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9
Q

1 in our RN Practice (Scope)?

A

Assessment!

“Assess the patient’s physical and mental health including the pt’s reaction to illness and treatment regimens.”

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10
Q

What does the NPA say re: Patient Safety?

A

One of the 10 practice points

We must provide for the maintenance of safe and effective nursing care, whether direct or indirect

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11
Q

Can nurses delegate tasks?

A

Yes, it is within our scope to delegate tasks that are appropriate to safe nursing care.

We are responsible for the delegation and evaluation of all tasks delegated

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12
Q

Criteria for delegation (the delegation tree)

A
  1. Is the task within our scope?
  2. Is our assessment complete?
  3. Is the other person competent?
  4. Is the task consistent with the rules of delegation?
  5. Is there appropriate supervision available?
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13
Q

What is the criteria for a task to meet in order for it to be deemed consistent with the rules of delegation?

A
  1. Routine
  2. Repetitive
  3. Have no impact on pt outcomes
  4. Assessment deems the pt as stable
  5. Requires no critical judgement

(RRHAR!)

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14
Q

NPA’s stance on med admin

A

Can be administered ONLY if med has been rxed by a state licensed provider

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15
Q

RN vs LPN Practice

A
  1. RN is responsible for assessment, LPN can only participate in a component
  2. RN creates the POC, LPN can only participate in carrying out portion
  3. RN creates the pt teaching plan, LPN can only teach parts
  4. RN responsible for care and evaluation of any tasks delegated to an LPN
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16
Q

NPA on nurses’ physical and mental competency

A

Must be certified via program director and faculty

Must be able to safely render care to patients or patient populations

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17
Q

Ethical Considerations: RNs and possibly impaired colleagues

A

Legally bound to report impaired colleagues to BON

Should first take alleged complaint to supervisor

Must not stop until corrective action/investigation is completed

Failure to report can harm your licensure

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18
Q

Ethical Considerations: RNs and DUI

A

Must be reported within 30 days

May lose license or have it suspended

May be required to submit a treatment plan and provide proof of successful completion

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19
Q

What is the expectation of the student nurse?

A

Expected to uphold the same standard of care as a licensed RN

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20
Q

What is the Standard of Care?

A

“What any reasonably prudent nurse would do in similar circumstances.”

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21
Q

What is the role of the CI?

A

Role of the CI ensures we meet the same standard of care as a licensed RN

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22
Q

What allows a student nurse to “practice” in a hospital setting?

A

We practice as an unlicensed provider enrolled in BON-approved school

We DO NOT practice on another RN’s license

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23
Q

Who regulates (sets, authors) the NCLEX?

A

National Council of State Boards of Nursing

NCSBN

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24
Q

How much is NCLEX and who runs it?

A

$200 to sit, given via PearsonVUE

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25
What are the requirements of a new grad to receive licensure?
1. Graduated from BON accredited program with ABSN or BSN 2. Pay fees 3. Pass background check 4. Passed the NCLEX 5. Submit all BON documents + $75 6. Written documentation declaring you fit mentally and physically
26
What are the fees to apply for, and renew, your NC license?
$75 initial fee, $100 thereafter (if sent via mail)
27
When MUST you renew your license by to avoid it lapsing?
Every 2 years before the last day of your birth month
28
Values
Personal belief about the worth of a given idea, attitude, custom, or object that sets standards that influence behavior
29
Morals
Provide standards of behaviors
30
Self-determination
Freedom to make own choices
31
Boundaries
Appropriate professional behavior Serves to maintain the trust b/t pts and nurses Maintains the nurse’s good standing within their profession
32
Informed Consent
Meaningful info MUST be disclosed, even if the provider does not believe the info will be beneficial to the pt
33
Advocacy
Nurses practice this when they try to identify unmet patient needs and then follow-up to address those need appropriately
34
Ethics
Rules of behavior based on ideas about what is morally good and bad Reflects the “should” of human behavior Process-oriented, involves critical analysis
35
Bioethics/Clinical Ethics
Application of ethical theories and principles to problems in healthcare
36
Dilemma
A situation that requires one to choose between two equally balanced alternatives
37
Ethical Dilemma
Are perplexing to health care providers Strong reasons for a course of action may be balanced by equally powerful countervailing arguments
38
Moral Right
The right to perform certain activities because they conform to the accepted standards or ideas within the community
39
Autonomy
Right to make choices Refers to a person's independence
40
Beneficence
Acts of doing good Refers to taking positive actions to help others
41
Nonmaleficence
Avoidance of harm or hurt
42
What is the most fundamental human right?
Respect for a person
43
Justice
Refers to fairness
44
Fidelity
The agreement to keep promises Dedication, loyalty, truthfulness, advocacy, and fairness to pts
45
Veracity
Accuracy or conformity to truth
46
How can we understand ethical issues?
We requires exploration of: 1. Personal values 2. Peer and other professional values and behaviors 3. Patient rights 4. Institutional and societal policies
47
Advanced Directives
1. A written expression of a person’s wishes about their medicare care, especially during a terminal disease or end-of-life care 2. All patients MUST be given information about ADs 3. Living wills & Health Care Power of Attorney
48
Durable Power of Attorney
A written directive in which a designated person is allowed to make healthcare decisions for a pt
49
Competence
1. Legal term; can be decided judicially | 2. A person’s competence is often declared relevant in areas other than health care
50
Capacity
Clinical term Refers to health decisions Assessed by clinicians in a healthcare setting
51
Ethical Decision Making Model
1. Gather additional info 2. Identify options 3. Make a decision 4. Act 5. Evaluate GIMAEEEEEEEEE
52
What are the THREE distinct ethical resources available to nurses?
1. ANA Code of Ethics 2. Hospital Ethics Committee 3. Nurse Practice Act
53
What is a professional code of ethics?
Set of ethical principles that are accepted by all members of a profession An implied contract through which a profession informs society of the principles and rules by which it functions Provides guidelines for safe and compassionate care
54
American Nurses Association Nursing Code of Ethics
Prescribed by the ANA Nurses agree to maintain competence and to apply that competence in the application of judgement Made up of 9 provisions
55
What is the general overview of Provisions 1-3?
Reiterates the fundamental values and commitments of the nurse
56
What is the general overview of Provisions 4-6?
Identifies the boundaries of duty and loyalty
57
What is the general overview of Provisions 7-9?
Describes the duties of the nurse that extend beyond individual patient encounters
58
Provision 1
The nurse practices with compassion and RESPECT for the inherent dignity, worth, and unique attributes of every person
59
Provision 2
The nurse’s primary COMMITMENT TO THE PATIENT, whether an individual, family, group, community, or population
60
Provision 3
The nurse promotes, ADVOCATES for, and protects the rights, health, and safety of the pt
61
Provision 4
The nurse has authority, ACCOUNTABILITY AND RESPONSIBILITY for nursing practice; makes decisions; takes action consistent with the obligation to promote health and provide care
62
Provision 5
The nurse owes the SAME DUTIES TO SELF AS TO OTHERS, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth
63
Provision 6
The nurse, through individual and collective effort, establishes, maintains, and IMPROVES THE ETHICAL ENVIRONMENT OF THE WORK SETTING and conditions of the employment that are conducive to safe, quality health care
64
Provision 7
The nurse, in all roles and settings, ADVANCES THE PROFESSION through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy
65
Provision 8
The nurse collaborates with other health professionals and the public to protect human rights, PROMOTE HEALTH DIPLOMACY, and reduce health disparities
66
Provision 9
The profession of nursing, collectively through its professional organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy
67
Social Justice
A virtue that guides individuals in creating those organized human interactions we call institutions

N392: Profession of Nursing (1 decks)

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