Module 9a Ch6,ch7 Flashcards

Question

7 Basic Tenets of Bill of Rights for RNs

Answer 1

#2/Registered Nurses Must Be Able to: Receive fair compensation for their work, consistent with their knowledge, experience, and professional responsibilities Practice in a work environment that is safe for themselves and their patients Negotiate the conditions of their employment, either as individuals or collectively, in all practice settings

Answer 2

Ethical dilemma: Two (or more) clear moral principles apply but support mutually inconsistent courses of action. Ethical distress: Occurs when the nurse knows the right thing to do but either personal or institutional factors make it difficult to follow the correct course of action.

Answer 3

``` Assess the situation (gather data). Diagnose (identify) the ethical problem. Plan: o Identify options. o Think ethical problem through. o Make a decision. Implement your decision. Evaluate your decision. ```

Answer 4

``` Paternalism Deception Privacy Confidentiality Allocation of scarce nursing resources Valid consent or refusal Conflicts concerning new technologies ```

Answer 5

• Unprofessional, incompetent, unethical, or illegal physician practice • Unprofessional, incompetent, unethical, or illegal nurse practice • Short staffing and whistle-blowing • Beginning-of-life issues • End-of-life issues

Answer 6

Primary commitment to the patient Prioritization of good of individual patient rather than society in general Evaluation of competing claims of patient’s autonomy and patient well-being

Answer 7

Representation of patients Promoting self-determination Whistle-blowing Being politically active

Answer 8

Standard or rule of conduct established and enforced by government o Designed to protect the rights of the Public

Answer 9

Litigation: process of bringing and trying a lawsuit Plaintiff: person bringing suit Defendant: person being accused of a crime o Presumed innocent until proven guilty

Answer 10

process of bringing and trying a lawsuit

Answer 11

person bringing suit

Answer 12

person being accused of a crime | o Presumed innocent until proven guilty

Answer 13

Public law—government is directly involved o Regulates relationships between individuals and government Private law—civil law o Regulates relationships among people Criminal law—concerns state and federal criminal statutes o Defines criminal actions (e.g., murder, theft)

Answer 14

Constitutions: serve as guides to legislative bodies Statutory law: enacted by a legislative body Administrative law: empowered by executive officers Common law: judiciary system reconciles controversies, creates body of common law

Answer 15

``` Nurse practice acts Standards Credentialing o Accreditation Licensure o Certification ```

Answer 16

``` Drug or alcohol abuse Fraud Deceptive practice Criminal acts Previous disciplinary actions Gross or ordinary negligence Physical or mental impairments, including age ```

Answer 17

Notice of investigation Fair and impartial hearing Proper decision based on substantial evidence

Answer 18

Early legal counseling Character and expert witnesses Thorough preparation for all proceedings

Answer 19

Crime: wrong against a person or the person’s property as well as the public o Misdemeanor: punishable by fines or less than 1 year imprisonment o Felony: punishable by imprisonment for more than 1 year Tort: a wrong committed by a person against another person or that person’s property; tried in civil court o Intentional o Unintentional Categories of malpractice P

Answer 20

``` Intentional o Assault and battery o Defamation of character o Invasion of privacy o False imprisonment o Fraud ``` Unintentional o Negligence o Malpractice

Answer 21

To see and copy their health record To update their health record To request correction of any mistakes To get a list of the disclosures a health care institution has made independent of disclosures made for the purposes of treatment, payment, and health care operations To request a restriction on certain uses or disclosures To choose how to receive health information

Answer 22

``` Failure to follow standards of care Failure to use equipment in responsible manner Failure to assess and monitor Failure to communicate Failure to document Failure to act as a patient advocate ```

Answer 23

Duty Breach of duty Causation Damages

Answer 24

All parties work toward fair settlement. Case is presented to malpractice arbitration panel. Case is brought to trial court.

Answer 25

Nurse as defendant Nurse as fact witness Nurse as expert witness

Answer 26

``` Do not discuss the case with those involved in it. Do not alter patient records. Cooperate fully with your attorney. Be courteous on witness stand. Do not volunteer any information. ```

Answer 27

``` Competent practice Issues that affect competent practice Informed consent or refusal Contracts Collective bargaining Patient education Executing physician orders Delegating nursing care Documentation Appropriate use of social media ```

Answer 28

``` Adequate staffing Whistle-blowing Professional liability insurance Risk management programs Just culture Incident, variance, or occurrence reports; sentinel events and Never events Patients’ rights Good Samaritan Laws Student liability ```

Answer 29

Disclosure Comprehension Competence Voluntariness

Answer 30

Developing interpersonal communication skills Respecting legal boundaries of practice Following institutional procedures and policies Owning personal strengths and weaknesses Evaluating proposed assignments Keeping current in nursing knowledge and skills Respecting patient rights and developing rapport with patients Keeping careful documentation Working within agency for management policies

Answer 31

Safety program Products safety program Quality assurance programs

Answer 32

Complete name of person and names of witnesses Factual account of incident Date, time, and place of incident Pertinent characteristics of person involved Any equipment or resources being used Any other important variables Documentation by physician of medical examination of person involved

Answer 33

Use of electrical equipment Use of isolation techniques Use of radiation Use of chemicals

Answer 34

``` Occupational Safety and Health National Practitioner Data Bank Reporting obligations Controlled substances Discrimination and sexual harassment Health Insurance Portability and Accountability Act (HIPAA); Restraints People with disabilities Legal issues related to death and dying (wills, advance directives) ```

Answer 35

• Ethical Nursing- Practicing ethically means not only knowing the right thing to do, but also being prepared to put this into action. • Ethical guidelines- help nurses work through difficult situations and provide them with a moral compass to do their jobs fairly. • Four main principles that are the nursing code of ethics: Autonomy Beneficence Justice Non-maleficence

Answer 36

• Concern for welfare and well-being of others • Upholding moral, legal, and humanistic rights • Respect for inherent worth and uniqueness of individuals and populations • Right to self-determination • Acting according to code of ethics and standards of practice

Answer 37

* Benefits the patient * Keep promises * Avoid causing harm * Give each his or her due and act fairly

Answer 38

• Ethical dilemma- a situation where a nurse must decide between competing values and know that no matter what choice they make, there are consequences The books definition- a situation that arises when attempted adherence to basic ethical principles results in two conflicting courses of action. • Moral distress occurs when you know the right thing to do but either personal or institutional factors make it difficult to follow the correct course of action

Answer 39

Advocacy is: • Supporting • Protecting/defending • Speaking out ``` Skills of an Advocate: • Problem solving • Communication • Influence • Collaboration • Patience ```

Answer 40

* Representation of patients * Promoting self-determination * Whistle-blowing * Being politically active

Answer 41

* Process of bringing and trying a lawsuit * Person bringing suit * Person being accused of a crime

Answer 42

* Regulates relationships between individuals and government * Regulates relationships among people * Defines criminal actions (e.g., murder, theft)

Answer 43

* Drug or alcohol abuse * Fraud * Deceptive practice * Criminal acts * Previous disciplinary actions * Gross or ordinary negligence * Physical or mental impairments, including age

Answer 44

* Competent practice * Issues that affect competent practice * Informed consent or refusal * Contracts * Collective bargaining * Patient education * Executing physician orders * Delegating nursing care * Documentation * Appropriate use of social media

Answer 45

* Adequate staffing * Whistle-blowing * Professional liability insurance * Risk management programs * Just culture * Incident, variance, or occurrence reports; sentinel events and Never events * Patients’ rights * Good Samaritan Laws * Student liability

Answer 46

* Culture * Age * Gender * Sexual Orientation * General Health * Social Support System