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Nursing > Exam 4 102 > Flashcards

Exam 4 102 Flashcards

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1
Q

Statutory laws

A

Elected legislative bodies such as state legislatures and US Congress create these. These can be CIVIL or CRIMINAL.

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2
Q

Nurse Practice Acts

A

Describe and define legal boundaries of nursing practice in each state.

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3
Q

Regulatory law

A

Reflects decisions made by administrative bodies such as State Boards of Nursing. Ex. Requirement to report unethical nursing conduct.

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4
Q

Common law

A

Results form judicial decisions made in courts. Ex. Informed consent, right l refuse tx, negligence, malpractice.

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5
Q

The American Nurses Association….

A

Develops standards of care for nursing practice, policy statements, and similar resolutions. Established first code of ethics. Basic principles of responsibility, accountability, advocacy, and confidentiality.

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6
Q

Emergency Medical Treatment and Active Labor Act

A

Provides that when a client comes to ED, appropriate medical screening occurs within the hospital. Client cannot be transferred until stable.

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7
Q

Mental Health Parity Act

A

If insurance offers mental health coverage they cannot make it less generous than med or surg benefits.

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8
Q

Advance directives

A

Include Living wills, health care proxies, durable power of attorney.

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9
Q

Living wills

A

Written documentation that directs tx in accordance with clients wishes in the event of terminal illness.

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10
Q

DPAHC

A

Legal document that designates a someone to make medical decisions on someone’s behalf who is no longer able to make decisions them-self.

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11
Q

Anatomical Gift Act

A

Anyone over 18 yr old has right to make organ donation.

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12
Q

The National Organ Transplant Act

A

Prohibits sale or purchase of organs.

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13
Q

HIPAA

A

Provides rights and protects employees, protects individuals from losing health insurance when changing jobs, allows employees to change jobs without losing coverage as a result of preexisting coverage exclusion as long as hey have had at least 12 continuous months of coverage.

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14
Q

The Federal Nursing Home Reform Act

A

Gives residents right to be free of unnecessary and inappropriate restraints.

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15
Q

Restraints can be used when…

A

1) to ensure physical safety or resident or others, 2) when less restrictive interventions are not successful, 3) only when written order from HCP. (Need specific start and end times.)

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16
Q

Public Health Laws

A

Reporting laws for communicable diseases, school immunizations, reporting suspected abuse, child neglect, elder abuse and domestic violence.

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17
Q

The Uniform Determination of Death Act

A

States HCPs can either use cardiopulmonary or whole brain definition to determine death.

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18
Q

Tort

A

Civil wrong made against a person or property. Defined as intentional, quasi intentional, or unintentional.

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19
Q

Intentional torts include…

A

Assault, battery, and false imprisonment.

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20
Q

Assault

A

Any action that puts a person at risk for harm or offensive contact without consent.

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21
Q

Battery

A

Intentional touching without consent.

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22
Q

Quasi intentional torts

A

Invasion of privacy, defamation of character.

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23
Q

Defamation of character

A

Publication of false statements that result in damage to persons reputation.

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24
Q

Slander

A

When someone speaks falsely about another person.

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25
Q

Libel

A

Written defamation of character. Ex. Charting false entries.

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26
Q

Unintentional torts

A

Negligence, malpractice.

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27
Q

Negligence

A

Conduct that falls below standards of care. Ex. Driver fails to stop at stop sign and accident occurs.

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28
Q

Malpractice

A

Type of negligence that falls below standard of care resulting in injury.

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29
Q

During first trimester

A

Woman can end pregnancy without state regulation.

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30
Q

The Community Health Accreditation Program

A

Require institutes to have guidelines determining the nurse to client ratio.

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31
Q

Occurrence report (incident report)

A

Provides database for further investigation to prevent future occurrences and improve care.

32
Q

Kubler Ross stages of dying

A

Denial, anger, bargaining, depression, acceptance.

33
Q

Necessary loss

A

Loss that every person experiences.

34
Q

Maturational loss

A

Loss resulting from normal changes of growth and development. Ex. Mother feeling loss when child goes to school for the first day.

35
Q

Situational loss

A

Sudden unpredictable cause this. Ex. Automotive accident crippling someone.

36
Q

Actual loss

A

Occurs when a person can no longer feel, hear, see, or know a person or object. Ex. Loss of body part, death of family member or loss of a job.

37
Q

Perceived loss

A

Is uniquely defined by the person experiencing the loss and is less obvious to other people. Ex. Rejection by a friend.

38
Q

Grief

A

The emotional response to a loss, it is unique to each individual and based on personal experiences, cultural expectations, and spiritual beliefs.

39
Q

Mourning

A

Outward, social expression of grief and behaviour associated with loss.

40
Q

Bereavement

A

Encompasses both grief and mourning and includes the emotional responses and outward behaviours of the person experiencing loss.

41
Q

Normal grief

A

Common universal reaction characterised by complex emotional, cognitive, social, physical, behavioural, and spiritual responses to loss and death.

42
Q

Anticipatory grief

A

The unconscious process of letting go before the actual loss or death occurs.

43
Q

Disenfranchised grief

A

Experienced when their relationship to the deceased person is not socially sanctioned, cannot be openly shared, or seems less significant. Ex. Death of ex spouse, a gay lover, or a pet death or death from stigmatised illness.

44
Q

Ambiguous loss

A

A type of disenfranchised grief, occurs when the lost person is physically present but not psychologically. Ex. Severe brain injury or severe dementia.

45
Q

Complicated grief

A

When a person has prolonged or a significantly difficult time moving forward after a loss. This type of grief includes exaggerated, delayed, and masked.

46
Q

Exaggerated grief

A

Person exhibits self destructive or maladaptive behaviour, obsessions, or psychiatric disorders.

47
Q

Delayed grief

A

A persons grief response is unusually delayed or postponed due to person avoiding grief.

48
Q

Masked grief

A

Grieving person behaves in ways that interfere with normal functioning but are unaware.

49
Q

Kubler-Ross stages of dying

A

Denial, anger, bargaining, depression, acceptance.

50
Q

Bowlby’s attachment theory

A

Describes four stages of mourning: numbing, yearning and searching, disorganization and despair, and reorganization.

51
Q

Wordon grief task model

A

Individuals actively engage in behaviours by responding to outside interventions to help them. Task I, Task II, Task III, Task IV.

52
Q

Randos “R” Process model

A

Describes grief as a series of processes instead of stages or tasks. Recognising the loss, reacting to the pain of separation, reminiscing, relinquishing old attachments, and readjusting to life after the loss.

53
Q

Ethics

A

The study of conduct and character.

54
Q

Fidelity

A

Agreement to keep promises by following through on actions and interventions. Ex. Assessing a client for pain and offering plan to manage pain. Fidelity means monitoring for a response to this plan.

55
Q

Autonomy

A

Commitment to include clients in care by acknowledging and protecting their independence. Ex. Surgeon obligated to review procedure. The consent form clients read and sign before a procedure documents this respect for autonomy.

56
Q

Justice

A

Fairness. The fair distribution of resources such as organs.

57
Q

Nonmaleficence

A

The avoidance of harm or hurt. Ex. Bone marrow transplant may offer cure but process may be painful.

58
Q

Beneficence

A

Taking positive action to help others. Ex. Best interest of client remain more important than self interest.

59
Q

Veracity

A

Principles of truth telling. Consumers expect accurate and precise information revealed in an honest and respectful manner.

60
Q

Code of ethics

A

Set of guiding principles that all members of a profession accept. Serve as guidelines to assist when questions arise about correct practice or behavior.

61
Q

Advocacy

A

The support of a particular cause.

62
Q

Responsibility

A

Refers to willingness to respect one’s professional obligations and follow through on promises. Ex. Being responsible for your actions and the actions of those you delegate tasks to.

63
Q

Accountability

A

The ability to answer for one’s actions TJC establishes national guidelines to ensure patient and workplace safety through consistent, effective nursing practices.

64
Q

Ethics committee

A

Multidisciplinary resource used to process ethical dilemmas. Serve several purposes; education, policy recommendation, case consultation.

65
Q

Acupuncture

A

Direct needle manipulation of energetic meridians.

66
Q

Chiropractic medicine

A

Manipulation of the spine.

67
Q

Ginseng

A

Increases physical endurance, improved immune function.

68
Q

Chamomile

A

Anti inflammatory, calming agent.

69
Q

Echinacea

A

Stimulant of immune system, used of upper respiratory infections.

70
Q

Ginger

A

Antiemetic

71
Q

Ginkgo bilboba

A

Alzheimer’s disease and dementia. Improves memory. Warfarin, anticoagulants, NSAIDs, and aspirin interfere with this.

72
Q

Nursing accessible therapies

A

Relaxation therapy, music therapy, meditation/breathing therapy, and imagery.

73
Q

Healing intention

A

Techniques that use caring, compassion, and empathy in the context of prayer to facilitate healing.

74
Q

Biofeedback

A

Using technology to increase awareness of various neurological body responses to minimize extremes.

75
Q

Ayurveda

A

Means “science of life” and is a system of care that promotes spiritual, mental and physical balance.

76
Q

Therapeutic touch

A

Need specific training for this. Uses energy of the provider to positively influence the client’s energy field. 5 phases: centering, assessing, unruffling, treating and evaluating.

Nursing (11 decks)

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