fundamentals- chapter 3 Flashcards
1
Q
professional accountability
A
- a nurse’s responsibility to meet health care needs of a patient in a safe and caring way
- students must apply classroom learning and theory in a clinical setting
- commitment to stay current and knowledgeable
2
Q
advance directive
A
- written statement expressing the patient’s wishes regarding future consent for or refusal of treatment if the patient is incapable of participating in decision making
- durable power of attorney
- gives legal power to a health care agent
- person chosen by the patient to make decisions on their behalf
- can be changed at any time
- most current form supersedes any prior ones
- may be called a “living will”
3
Q
assault
A
- the threat to harm another
- the threat to touch another without that person’s permission
- the person being threatened must believe that the other person has the ability to carry out the threat
4
Q
battery
A
- the actual physical contact that is carried out against another’s will
- performing a procedure without consent
5
Q
competent
A
mentally and emotionally capable to understand and act (make choices); able to appreciate consequences of actions
6
Q
confidential
A
kept private
7
Q
consent
A
- legal documentation that records the patient’s permission to perform a treatment or surgery, or to give information to insurance companies or other heath care providers
- legal representative (medical power of attorney/next of kin) must consent if patient is impaired/ mentally unfit
- no abbreviations allowed on consent forms
- if no one is available to give consent in a life threatening situation, two doctors of the relevant specialty must sign saying that a procedure is necessary to save the patient’s life
8
Q
defamation
A
- one person makes remarks about another person that are untrue, and the remarks damage that other person’s reputation
- slander (verbal) and libel (written)
9
Q
delegation
A
- assignment of duties to another person
- LPNs may supervise CNAs, technicians, or other LPNs
- delegating nurse’s duty is to supervise and evaluate care that a licensed or unlicensed person provides (some states recognize delegation to an unlicensed person as “assignment”)
10
Q
discrimination
A
- making a decision or treating a person based on a class or group to which he belongs, such as
11
Q
do not resuscitate (DNR) orders
A
- may also be called Allow Natural Death (AND) orders
- patient has indicated decision to be allowed to die if their breathing or heart stops
- no CPR or assisted breathing will be started
12
Q
euthanasia
A
the act of ending another person’s life, with or without their consent, to end potential suffering. this is not legal in any US state
13
Q
false imprisonment
A
- preventing a person from leaving, or restricting movements in the facility
- when involuntary admission is made against a patient’s wishes
- patients may be detained for a short time without consent if it is to protect himself or others from harm
14
Q
health care agent
A
- surrogate decision maker
- chosen by the patient to make decisions on their behalf
15
Q
incident report
A
- includes facts about incident and who was involved or witnessed
- used by risk management
- generally not filed as a part of the patient’s medical record
16
Q
invasion of privacy
A
- a violation of the confidential and privileged nature of a professional relationship
- unauthorized persons learn of the patient’s history, condition, or treatment from the professional caregiver
- leaves patients in a position that might cause loss of dignity or embarrassment
17
Q
laws
A
rules of conduct that are established by our government
- Constitution and Bill of Rights
- laws made by elected officials
- regulations made by agencies created by elected officials
18
Q
liability
A
responsibility
19
Q
libel
A
written defamation
20
Q
malpractice
A
- negligence by a professional person
- person does not act according to the professional standards of care as a reasonable and prudent professional would
- a reasonable and prudent person in nursing is a similarly educated, licensed, and experienced nurse
21
Q
negligence
A
- failure to meet the standard of care
- failure to do something a reasonably prudent person would do or not do
22
Q
nondisclosure agreement
A
- NDA
- gives an employer legal recourse if it can prove an employee broke confidentiality
23
Q
nurse licensure compacts
A
certain participating states allow nurses to practice in any state belonging to the compact
24
Q
nurse practice acts
A
- define the scope of nursing practice
- regulate the profession by a state’s board of nursing
- include the definition of nursing for the RN and LPN and may include definitions for advance practice nurses
- differ by state
25
Q
Occupational Safety and Health (OSH) Act
A
- passed in 1970 to improve the work environment area’s that affect worker health and safety
26
Q
Occupational Safety and Health Administration (OSHA)
A
- regulations on handling of infectious/toxic materials, radiation safeguards, and electrical equipment
- requires orientation and education on safety hazards
- requires facilities to keep a list of hazardous materials and MSDS
27
Q
patient advocate
A
a person who speaks for and protects the rights of a patient
