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Nursing Professionalism > Midterm > Flashcards

Midterm Flashcards

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1
Q

The study of conduct and character

A

ethics

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2
Q

Refers to freedom from external control

A

Autonomy

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3
Q

Refers to taking positive actions to help others

A

Beneficence

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4
Q

Refers to the avoidance of harm or hurt

A

Nonmaleficence

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5
Q

Veracity

A

telling the truth

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6
Q

Fidelity

A

refers to the agreement to keep promises

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7
Q

Justice

A

refers to fairness

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8
Q

Determine the proper term of ethics for the following scenario: Nurse Lee tells explains to her patient how to take blood pressure and the medication that will be administered to lower her BP. Also she tells her the side effects and risks of the medication

A

Autonomy; giving the patient information allows them to make decisions and offers independence

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9
Q

Determine the proper term of ethics for the following scenario: Nurse Nelson has a patient with 9/10 pain and there are no pain meds prescribed. She tells the Dr. and the doctor tells her to administer Demarol IV PRN.

A

Beneficence

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10
Q

Nurse Nelson is asked to give C.G. Lipitor 5mg PO q2h. Before administering the meds she forgets to do her 3 med checks and just use 2 identifiers. Which ethical term has she violated?

A

Nonmalefience

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11
Q

Which ethical term states that the interests of the patient is more important than self-interest?

A

Benefience

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12
Q

Determine the proper term of ethics for the following scenario: Nurse Nelson tells her patient that she will be back in 20 minutes with her Insulin before her morning breakfast. She actually comes back in 20 minutes.

A

Veracity; telling the patient the truth about when she will be back

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13
Q

Determine the proper term of ethics for the following scenario: Nurse Nelson tells all her patients the same information about the hospital locations and services. Even though F.H. keeps asking for special treatment.

A

Justice; not giving “VIP” information

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14
Q

Determine the proper term of ethics for the following scenario: Nurse Nelson does not agree with a patient’s lifestyle, but still remains her nurse providing the best possible care upholding the nurse standards

A

Fidelity; the unwillingness to abandon the patient regardless of different personal beliefs

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15
Q

What is the difference between scope and standard?

A

Scope is we can do as nurses and standards is the quality of care and level of safety and ethics

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16
Q

What does HIPPA stand for?

A

Health Insurance Portability Accountability Act

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17
Q

What is the Privacy Rule?

A

a covered entity that informs patients how their PHI will be used and disclosed and how the patient may access their record

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18
Q

Who is covered under HIPPA?

A

health plans, health care providers, and health care clearinghouses

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19
Q

What is included in HIPPA?

A

Patient’s name, contact info. SSN, Dx, and treatments

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20
Q

What are some ways to not violate HIPPA?

A

Do not share psswds, sign off computers, shred appropriate documents, and do not talk about the patients in the hallway

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21
Q

What are included as Advance Directives?

A

living wills, power of attorneys and health care proxies

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22
Q

What are Adv. Directives?

A

they are based on values of informed consent, patient autonomy over end-of-life decisions, truth telling, and control over dying process.

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23
Q

Living Wills

A

represent written documents that direct treatment accordance with a patient’s wishes in the event of a terminal illness or condition. A patient is able to declare which medical procedures he/she wants or does not want when terminally illy or in a persistent vegetative state

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24
Q

Durable power of Attorney/ Health Care Proxy

A

a legal document that designates a person or people of one’s choosing to make health care decisions when a patient is no longer able to make decisions on his/her own behalf

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25
Q

Is a living wills legally binding? Durable power of attorney?

A

both

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26
Q

When are living wills and power of attorney enforced?

A

when the patient has been declared legally competent or lack of capacity to make decisions regarding his/her own health care treatment

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27
Q

TORT

A

Civil wrongful acts or omissions made against a person or property

28
Q

How are TORTS classified?

A

Intentional, Quasi-intentional, and unintentional

29
Q

Intentional TORT

A

deliberate acts that violate another’s rights

30
Q

What are the types of Intentional TORTs

A

Assault, battery and false imprisonment

31
Q

What are the types of unintentional TORTs?

A

Negligence and malpractice

32
Q

Quasi-Intentional

A

acts in which intent is lacking but volitional action and direct causation occur such as invasion of privacy and defamation of character

33
Q

An intentional threat toward another person that places the person in reasonable fear of harmful, imminent, or unwelcome contact

A

Assault

34
Q

T/F. Actual contact is required for an assault to occur

A

False, no actual contact is required, a threat is also considered assault

35
Q

Battery

A

any intentional offensive touching without consent or lawful justification

36
Q

If Nurse Nelson threatens to give a patient an injection and gives the patient the injection, what is this considered?

A

battery

37
Q

Conduct that falls below the generally accepted standard of care of a reasonable prudent person/ failure of responsibilities

A

Negligence

38
Q

When nursing care falls below a standard of care under the nurses recognizance

A

Malpractice

39
Q

If a nurse forgets to check medication 3x before administering what is this an example of?

A

malpractice

40
Q

If a nurse hangs the wrong IV solution for a patients, what is this an example of?

A

negligence

41
Q

What are the common failures of negligence?

A

failure of ADPIE, failure to notify heal care provider of problems, failure to follow orders, failure to follow 6 rights of med administration

42
Q

Transferring responsibility for the performance of an activity or task while retaining accountability for the outcome

A

Delegation

43
Q

What are the 5 rights of delegation?

A
  1. Right Task
  2. Right Circumstances
  3. Right Training
  4. Right Communication
  5. Right Supervision
44
Q

What do you not delegate as an RN?

A
  1. New admissions
  2. Patients being discharged
  3. Transfers in and out
  4. Patient Teaching
  5. Unexpected outcomes
  6. Patients with potential problems
45
Q

Between the following which patient should you see first?

  1. physiological vs psychological
  2. acute vs. chronic
  3. unstable vs stable
  4. unpredictable vs predictable
A
  1. physiological
  2. acute
  3. unstable
  4. unpredictable
46
Q

LVN role

A
  1. care for stable problems
  2. differentiate between abnormal and normal
  3. sterile dressings
  4. Accu-check
  5. Perform trache care
  6. suctioning
  7. administer enteral feedings
  8. insert urinary catheter
47
Q

What can LVNs not do?

A
  1. administer blood products
  2. administer IV Meds
  3. assess
  4. nursing diagnosis
48
Q

UAP role

A
  1. standard and unchanging care
  2. ADLs
  3. ambulate a stable patient
  4. ROM
  5. Routine VS
  6. Bed making
  7. I&O
  8. Specimen collection: Guaiac and urine `
49
Q

How should you delegate using communication?

A

provide clear instructions on the procedure itself, what will be accomplished, when it should be completed, and the unique needs of the patient. Make sure whom you delegate the task to has experience

50
Q

Responsibility as a nurse

A

willingness to respect one’s professional obligations and to follow through; as a nurse you are responsible for your actions and those to whom you delegate

51
Q

Accountability as a nurse

A

refers to the ability to answer for one’s actions; professional actions are explainable to your patients and employer

52
Q

What is an Incident Report?

A

any event that is not consistent with the routine, expected care of a patient or the standard procedures in place on a health care unit

53
Q

Who does an Incident Report go to?

A

risk-management dept.

54
Q

What is the purpose of an Incident Report?

A

helps identify trends in an organization that provide justification for changes in policies and procedures or for in-service programs

55
Q

Informed Consent

A

a patient’s agreement to have a medical procedure after receiving full disclosure of risks, benefits, alts, and consequences of refusal

56
Q

Who is responsible for obtaining the informed consent?

A

the person responsible for performing the procedure, this does not fall under the nurse

57
Q

Who signs the consent form for a child?

A

parents

58
Q

If an adult is unconscious who signs an informed consent?

A

the person legally authorized to give it on the patient’s behalf

59
Q

If there is an emergency and impossible to obtain consent from a patient or authorized person, what is the procedure?

A

a health care provider may perform a procedure required to benefit the patient or save a life without liability for failure of consent

60
Q

Primary Health Care

A

focuses on improved health outcomes for an entire pop. includes: primary care, health education, proper nutrition, maternal and child health care, family planning, immunizations and control of diseases

61
Q

Secondary Prevention

A

focuses on early Dx, use of referral services. and rapid initiation of treatment to stop the progress of disease process

62
Q

Tertiary Prevention

A

activities directed toward rehab rather than Dx and treatment

63
Q

Secondary and Tertiary Care

A

Dx and treatment of illness are traditionally assessed

64
Q

Good Samaritan Law

A

encourages health care professionals to assist in emergencies

65
Q

Good Samaritan Law as a nurse

A

provides immunity to a nurse who does what is responsible to save a person’s life and is liable for injury that may result from the act

66
Q

Good Samaritan Law as a citizen

A

if you do something within accepted standards you are immune from liability as long as you acted without gross negligence

Nursing Professionalism (1 decks)

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