Legal Ethical And Scope Of Practice

Question 1

Values

Answer 1

• beliefs that act as standards to direct ones behavior and decisions
• influence beliefs about needs and health behaviors and response to illness
• formed throughout life based on environment, family, and culture

Question 2

Values in nursing

Answer 2

• set foundation for practice
• influence how nurses interact with patients and members of the healthcare team
• important that individual values are not used to judge the patient’s values

Question 3

Altruism

Answer 3

Concern for the well-being of others

Advocate for patient

Question 4

Autonomy

Answer 4

The right to self-determination

Question 5

Human dignity

Answer 5

Respect for the worth of individuals and population

Provide cultural care

Question 6

Integrity

Answer 6

Act in agreement with a code or standards

Provide good care

Question 7

Social justice

Answer 7

Maintaining moral/legal and humanistic principles

Equal access to health care to our patients

Question 8

Ethics

Answer 8

Concise understanding about right and wrong behavior or good versus evil
Gradually develops

Question 9

Morals

Answer 9

Standard of right and wrong based on personal community belief

Question 10

Type of ethics

Answer 10

Bioethics- discipline focusing on ethical concerns for bio ethical research, science and medicine

Clinical ethics- Focus on ethical concerns that arise during patient care

Nursing ethics- Study of ethical concerns that arise during nursing practice

Question 11

Autonomy

Answer 11

Self determination, respect patient’s right to make decision, refuse treatment

Question 12

Nonmaleficencec

Answer 12

Avoiding harm to patients, prevent harm

Question 13

Beneficence

Answer 13

Act of doing good

Question 14

Justice

Answer 14

Fairness; giving each person his or her due

Patient in similar situation should have access to same care

Question 15

Fidelity

Answer 15

Keep promises

Must be faithful to promise they may professionally

Question 16

Veracity

Answer 16

Truthfulness; honesty

Truth or even if truth leads to distress, not withholding information

Question 17

Accountability

Answer 17

Accepting responsibility

Question 18

Privacy

Answer 18

Right to be left alone, right to visit alone

Question 19

Ethical dilemma

Answer 19

Two conflicting courses of action

Disagreement between two people

Question 20

Ethical distress

Answer 20

Nurse is in conflict between the right thing to do an institutional or personal factors that may make it difficult

Question 21

Litigation

Answer 21

Process of bringing in trying a lawsuit

Plaintiff: person who brings a case against another in a court of law

Defendant: Accused in court of law

Question 22

Nurse practice acts

Answer 22

Define’s legal scope of nursing practice
Ensures that nurses practice within these limits
Developed by each state
Explains violations and discipline that may result

Question 23

Voluntary standards under Regulation of nursing practice

Answer 23

Developed and implemented by the nursing profession
Not mandatory
Guidelines for peer review
American nurses Association standards of practice(ANA)

Question 24

Legal standards

Answer 24

Developed by legislature and implemented by state authority
Determine minimal standards for nurse education, licensing requirements
Nurse practice act

Question 25

Credentialing

Answer 25

Insurance professional competence

Question 26

Crime

Answer 26

Punishable by the state

Question 27

Tort

Answer 27

May be punished or receive action in a civil court

Intentional: The person committing the act is aware of the legal limits of the behavior

Unintentional: Negligence

Question 28

Assault

Answer 28

Treat or attempt to make bodies contact with someone with out consent
Intentional threat

Question 29

Battery

Answer 29

Assault that is carried out or acted upon

Ex: give meds without consent

Question 30

Defamation

Answer 30

Individual makes derogatory remark about another person to negatively impact his or her reputation without good reason to believe they are true

Slander: oral defamation
Libel: written defamation

Question 31

Intentional torts

Answer 31

• invasion of privacy: right to be left alone and have info maintained confidential
• false imprisonments: unjustified Cassity or prevention of movement of another person without consent
• fraud: Purposeful misrepresentation that may cause loss or harm to individual or property

Question 32

Unintentional torts

Answer 32

• Negligence: performing an act that a practical person would not normally do in a similar situation, failing to act in a way that a reasonable person would act in a similar situation
• malpractice: professional negligence failure to abide by the standard of care of one’s profession
• liability: must have these elements;
  • duty or obligation to use due care
  • causation indicates that breach of duty causes injury
  • damages or harm resulting that occurs to the patient

Question 33

Legal safeguards for the nurse

Answer 33

• protect nurses from legal risk and ensure safety for nurses and patients
• informed consent required for admission, treatment, diagnostic procedures
  • must be written and signed by patient or legal representable person
  • exception in emergencies or inability to reach legal responsible person
  • respect patient self-determination
  • position responsible for explaining any procedures, nurses may answer questions, reinforce information already given, witness patient signature
  • must include patients risk, consequences and alternatives
  • assess patient understanding of procedure before obtaining consent or initiating treatment
  • be aware of internal and X ternal factors that may affect the patient’s ability to be competent to give consent
  • refusal to consent should always be documented