professional issues and trends

Question 1

AIDET

Answer 1

acknowledge
introduce
duration
explanation
thank you

Question 2

capacity vs competency

Answer 2

capacity - functional assessment about a particular decision (may change day to day or hour to hour) – nurse or NP can assess

competency - global legal determination made by judge (leads to guardianship)

Question 3

components of capacity

Answer 3

ability to communicate decisions
ability to give reasons for decisions
reasons given are logical
appreciation of ramifications
comprehension of ramifications

Question 4

respect for autonomy

Answer 4

duty to respect a person’s right to self governance

Question 5

nonmaleficence

Answer 5

duty to avoid causing harm to and minimize harm to the patient

Question 6

beneficience

Answer 6

duty to maximize benefits and enhance patient’s wellbeing

Question 7

formal justice

Answer 7

duty to treat patients fairly and equitably

Question 8

veracity

Answer 8

truth telling, informed consent, respect for autonomy

Question 9

fidelity

Answer 9

loyalty, maintain the duty to care for all no mater who they are or what they have done

Question 10

confidentiality

Answer 10

only sharing private information on a “need to know” basis

Question 11

privacy

Answer 11

a person’s right to remain private, not to disclose information

Question 12

credentialing

Answer 12

represents verification of a person’s education, training and experience

ANCC, AANP

Question 13

privileging

Answer 13

permission to provide medical or other patient care services in the granting institution based upon the individual’s education, professional, license, experience, competence, ability, health, and judgement

ex institutions placing regulations on certain tasks that re permitted by NPs

done to prove that you are able to bill

Question 14

negligence

Answer 14

failure to exercise the care that a reasonably prudent person would exercise in like circumstances

Question 15

medical malpractice

Answer 15

occurs when a hospital, physician, or other health professional, through a negligent act or omission, causes an injury to a patient

Question 16

components of therapeutic relationship

Answer 16

mutual trust (common goal)
professional boudaries (cell phone)
confidentiality (HIPPA)
cultural respect (no assumptions)

Question 17

living will

Answer 17

what pt would or would not accept in serious illness

may be lawyer generated or notarized

POLST/MOST forms
5 wishes forms - not legally binding but helpful

Question 18

MDPOA

Answer 18

who will make decisions

durable power of attorney - finances

Question 19

medicare

Answer 19

FEDERAL health insurance program for people: 65 or older, under 65 w disabilities, or have ESRD or ALS

Question 20

medicaid

Answer 20

FEDERAL AND STATE program that helps pay health care costs for those of low income/resources

long application, must provide documentation of lack of resources

Question 21

4 factors for malpractice

Answer 21

duty
breech
injury
causation

Question 22

occurrence insurance policies

Answer 22

if you leave employer, you will be covered for claims that occurred while you worked there

Question 23

claims made insurance policies

Answer 23

offer coverage for claims that occur during employment

once you leave job, coverage expires too

sometimes includes 1-2 years after leaving job

Question 24

tail coverage

Answer 24

offered when claims made policy is cancelled, you can purchase this coverage to extend time of policy