Unit 2: Professional Competencies, Standards Of Practice, Code Of Ethics & Legal Issues In Nursing

Question 1

What are the professional regulatory bodies of a registered psychiatric nurse in Canada

Answer 1

The registered psychiatric nurse regulators of Canada RPNRC, and in Alberta specifically the college of registered psychiatric nurses of Alberta CRPNA

Question 2

What are the regulatory bodies of the registered nurse and licensed practical nurse in Canada

Answer 2

College of registered nurses of Alberta CRNA and college of licensed practical nurses of Alberta CLPN

Question 3

In general what are the basic professional competencies of a psychiatric nurse

Answer 3

The ability to do something successfully or efficiently using a combination of skills, knowledge, behaviors, and attributes that enable individuals to reform their roles effectively. Basic skills to have to practice

Question 4

What are the seven specific competencies laid out by the RPNRC

Answer 4

-Therapeutic relationships
-body of knowledge and application -using evidence informed practice
-collaborative practice
-advocacy
-quality care in client safety
-health promotion
-ethical, professional, & legal responsibilities

Question 5

What is the purpose of the regulatory bodies

Answer 5

Improve mobility of nurses across Canada by making consistencies in education, training, practice requirements, and standardized competencies. Protect public, licensing, and standards

Question 6

What are the CRPNA standards of practice in general

Answer 6

Minimum acceptable level of performance required of the RPN. Articulate the legal and professional obligations and describe competent level of nursing has demonstrated by the critical thinking model

Question 7

Describe the CRPNA standards of practice more specifically by listing five standards

Answer 7

1) Therapeutic relationships
2) Competent evidence informed
practice
3) Professional responsibility and accountability
4) Leading and managing quality psychiatric nursing care in collaboration with interdisciplinary healthcare teams
5) Advocacy and professional ethical practice

Question 8

Give a brief overview of the elements of standard one, therapeutic relationships

Answer 8

Therapeutic use of self, addresses power and balances, effective communication, self-aware, informed consent in confidentiality, integrity, collaboration

Question 9

Expand on standard two, competent evidence informed practice

Answer 9

Applies theory/evidence informed knowledge, scale, critical inquiry, and critical clinical judgement to assess, plan, implement, and evaluate the practice of psychiatric nursing. Series and frameworks for problem-solving, comprehensive assessment, current in knowledge, appropriate resources, infection prevention and control, safe environment

Question 10

Expand on standard three, professional responsibility and accountability

Answer 10

Maintains current registration, practises in accordance with laws and ethics, assumes responsibility and accountability, recognizes limitations and competencies

Question 11

Expand on standard for, leading and managing quality psychiatric nursing care in collaboration with interdisciplinary healthcare teams

Answer 11

Prioritizes, guides, and assesses care responsibilities to others. Active an equal role, strength-based approaches. Understanding of roles and responsibilities, scope of practice of all members of team. Understands and recognizes need for safe, effective, person centred care. Advocates for needed resources

Question 12

Expand on standard five, advocacy and professional ethical practice

Answer 12

Practises with honesty, integrity, and respect, ethics, standards, principles, guidelines, and values of the profession. Applied ethical principles when addressing dilemmas. Identifies the effect of own values, beliefs, bias and recognizes potential conflict, takes action to prevent or resolve them. Culturally sensitive care. Protect and promote self determination, autonomy, respect, privacy, dignity, and access to information

Question 13

Describe in general with the code of ethics for the CRPNA is

Answer 13

Minimum requirements that articulate clear expectations and ethical principles to guide practice, promote integrity, and inspire excellence. Framework for professional responsibility and accountability.

Question 14

What are the six ethics identified by the CRPNA

Answer 14

Beneficence, non-malfeasance, fidelity, integrity, respect for autonomy, and justice

Question 15

Describe Fidelity in more detail

Answer 15

Duty to care, provide care to individuals for whom they are responsible, safe, competent, and ethical care. Recognizes limitations and uses professional judgement when excepting responsibilities

Question 16

Describe the ethical principle of integrity in greater detail

Answer 16

Duty to act with honesty and integrity. Honesty, trustworthiness, reliability, impartiality, and diligence. Responsibility and accountability with rationale. Refrain from personal gain through professional designation

Question 17

Expand on the ethical principle of respect for autonomy

Answer 17

Duty to respect persons and promote individuals choices. Strive to ensure the rights of individuals are upheld, including autonomy and right to choose. Recognize them as full partners in decision-making. Recognize limitations to autonomy and the need to protect those with diminished autonomy. Respect and value the knowledge of others and work collaboratively

Question 18

Expand on the ethical principle of justice

Answer 18

Duty to treat all people fairly and equitably. No discrimination, provides fair and equitable access, recognize importance of identifying insufficient resources and advocate for same

Question 19

What law applies most to mental health professionals

Answer 19

Civil tort law

Question 20

What are the two types of tort law and give examples of each

Answer 20

Intentional such as assault which includes threats, battery, false imprisonment, defamation, and invasion of privacy

Unintentional such as negligence and malpractice (giving wrong medication dose)

Question 21

What are the two main types of legal obligations for nurses

Answer 21

Fiduciary duty and duty of care

Question 22

Expand on what fiduciary duty is

Answer 22

Providing reasonable and competent care, a higher duty of care based on trust, knowledge, and integrity. Don’t do anything you don’t have the competency for, get competent if you need to

Question 23

Expand on what duty of care is

Answer 23

Providing continuing assessment of health and safety while in your care. Checks in measures. Charting very important here. An example is if someone commits suicide under your care, have you done everything you should have to try to prevent it

Question 24

What are some common legal issues in psychiatric nursing

Answer 24

Consent, confidentiality, medication errors, negligence

Question 25

What’s the difference between an ethical dilemma, a moral dilemma, and moral distress

Answer 25

Ethical dilemma is a conflict between two answers and we have to pick one, a moral dilemma one feels moral responsibility to act but no options are ideal. With moral distress there is a moral obligation and we make a moral choice but are then unable to act on it due to internal or external constraints