Exam 4 102 Flashcards

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
Libel
Written defamation of character. Ex. Charting false entries.
26
Unintentional torts
Negligence, malpractice.
27
Negligence
Conduct that falls below standards of care. Ex. Driver fails to stop at stop sign and accident occurs.
28
Malpractice
Type of negligence that falls below standard of care resulting in injury.
29
During first trimester
Woman can end pregnancy without state regulation.
30
The Community Health Accreditation Program
Require institutes to have guidelines determining the nurse to client ratio.
31
Occurrence report (incident report)
Provides database for further investigation to prevent future occurrences and improve care.
32
Kubler Ross stages of dying
Denial, anger, bargaining, depression, acceptance.
33
Necessary loss
Loss that every person experiences.
34
Maturational loss
Loss resulting from normal changes of growth and development. Ex. Mother feeling loss when child goes to school for the first day.
35
Situational loss
Sudden unpredictable cause this. Ex. Automotive accident crippling someone.
36
Actual loss
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
Perceived loss
Is uniquely defined by the person experiencing the loss and is less obvious to other people. Ex. Rejection by a friend.
38
Grief
The emotional response to a loss, it is unique to each individual and based on personal experiences, cultural expectations, and spiritual beliefs.
39
Mourning
Outward, social expression of grief and behaviour associated with loss.
40
Bereavement
Encompasses both grief and mourning and includes the emotional responses and outward behaviours of the person experiencing loss.
41
Normal grief
Common universal reaction characterised by complex emotional, cognitive, social, physical, behavioural, and spiritual responses to loss and death.
42
Anticipatory grief
The unconscious process of letting go before the actual loss or death occurs.
43
Disenfranchised grief
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
Ambiguous loss
A type of disenfranchised grief, occurs when the lost person is physically present but not psychologically. Ex. Severe brain injury or severe dementia.
45
Complicated grief
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
Exaggerated grief
Person exhibits self destructive or maladaptive behaviour, obsessions, or psychiatric disorders.
47
Delayed grief
A persons grief response is unusually delayed or postponed due to person avoiding grief.
48
Masked grief
Grieving person behaves in ways that interfere with normal functioning but are unaware.
49
Kubler-Ross stages of dying
Denial, anger, bargaining, depression, acceptance.
50
Bowlby's attachment theory
Describes four stages of mourning: numbing, yearning and searching, disorganization and despair, and reorganization.
51
Wordon grief task model
Individuals actively engage in behaviours by responding to outside interventions to help them. Task I, Task II, Task III, Task IV.
52
Randos "R" Process model
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
Ethics
The study of conduct and character.
54
Fidelity
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
Autonomy
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
Justice
Fairness. The fair distribution of resources such as organs.
57
Nonmaleficence
The avoidance of harm or hurt. Ex. Bone marrow transplant may offer cure but process may be painful.
58
Beneficence
Taking positive action to help others. Ex. Best interest of client remain more important than self interest.
59
Veracity
Principles of truth telling. Consumers expect accurate and precise information revealed in an honest and respectful manner.
60
Code of ethics
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
Advocacy
The support of a particular cause.
62
Responsibility
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
Accountability
The ability to answer for one's actions TJC establishes national guidelines to ensure patient and workplace safety through consistent, effective nursing practices.
64
Ethics committee
Multidisciplinary resource used to process ethical dilemmas. Serve several purposes; education, policy recommendation, case consultation.
65
Acupuncture
Direct needle manipulation of energetic meridians.
66
Chiropractic medicine
Manipulation of the spine.
67
Ginseng
Increases physical endurance, improved immune function.
68
Chamomile
Anti inflammatory, calming agent.
69
Echinacea
Stimulant of immune system, used of upper respiratory infections.
70
Ginger
Antiemetic
71
Ginkgo bilboba
Alzheimer's disease and dementia. Improves memory. Warfarin, anticoagulants, NSAIDs, and aspirin interfere with this.
72
Nursing accessible therapies
Relaxation therapy, music therapy, meditation/breathing therapy, and imagery.
73
Healing intention
Techniques that use caring, compassion, and empathy in the context of prayer to facilitate healing.
74
Biofeedback
Using technology to increase awareness of various neurological body responses to minimize extremes.
75
Ayurveda
Means "science of life" and is a system of care that promotes spiritual, mental and physical balance.
76
Therapeutic touch
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.