Week 2 Ethics and legal Flashcards
Clicker
A priority action for the nurse who works with culturally diverse clients is to complete which additional form of support initially/first
A. A sign language course
B. Cultural self assessment
C. cultural client assessment
D. A conversational Spanish course
B. cultural self assessment
A nurse plans to move to an area that is rich in immigrants from several countries and is concerned about respecting others’ cultural beliefs. What is the nurse’s first step to ensure cultural competence and sensitivity?
A. Enrolling in a nursing theories course to increase knowledge about transcultural practices
B. Becoming immersed in nursing literature about culturally diverse client
C. Participating in continuing education that focuses on health assessment variations among cultural groups
D. Conducting a cultural self assessment to identify biases r prejudices
D. Conducting a cultural self assessment to identify biases or prejudices
A nurse is caring for a recent Asian immigrant client and is overheard making the following comment, “these rituals you believe in are false. You live in America now and must believe in realistic health practices, like Americans do”. The nurse is exhibiting behavior associated with what belief?
A. stereotyping
B. Ethnocentrism
C. cultural accommodation
D. Empathy
B. Ethnocentrism
While completing a masters nursing degree in Virginia, a nurse who is interested in teaching in Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican Americans live there. This nurse is demonstrating what social value?
A. Cultural competence
B. Ethnocentrism
C. Prejudice
D. Stereotyping
A. Cultural competence
When it comes to whistleblowing, what does the acronym THINK stand for
T - talk with an attorney or other legal representation
H - have concrete and credible evidence of the violation or wrongdoing
I - Institute a survival plan, if your job is put in jeopardy or you are fired
N - note the nature and consequences of the problem; its type, severity, and potential impact
K - know your reporting options and support systems
How many stages are there in Kohlberg’s theory about children going through moral reasoning ability
3 stages
What flaw did Gilligan find in Kohlberg’s research and how she change it in her theory
the study was male biased. Gilligan’s research focused on both girls and boys with ethical decision making
What are the ethical principles discussed in the text? Give a brief description of each
Autonomy - person’s right to choose
nonmaleficence - obligation to do no harm
beneficence - duty to promote good
fidelity - keep promises
veracity - tell the truth
justice - obligation to be fair
The nurse provides care to an alert, oriented client who is prescribed a blood transfusion for treatment of sever anemia. The client refuses the treatment. The primary care provider explains to the client that the blood transfusion is necessary for survival; however the client continues to refuse the transfusion. Which action does the nurse anticipate implementing?
A. Document the client’s confusion and administer the blood
B. Request a psychological evaluation to ensure that the client understands the risks
C. Ask family members to persuade the client to consent to receiving blood
D. Follow the client’s wishes and do not administer the blood
D. Follow the client’s wishes and do not administer the blood
The nurse provides care to a client who is admitted to the hospital for management of severe migraines. After administering a prescribed medication, the nurse states, “I will return in 20 minutes to reassess your pain.” By following through on the commitment to return at the specified time, which ethical principle does the nurse display?
A. nonmaleficence
B. autonomy
C. beneficence
D. fidelity
D. fidelity
When discussing processes for ethical practice, what does MORAL stand for
M - massage the dilemma (think it through)
O - outline the options (considering options; no decisions)
R - resolve the dilemma (deciding on option)
A - Act by applying the chosen option (implementation)
L - look back and evaluate
What is the difference between liability and malpractice
liability = financially or legally responsible for something
Malpractice = failed to act in a reasonable and prudent manner
What are some of the sources of law? give a characteristic of each
- U.S. Constitution; government
- Statutory law; body of each state
- Administrative law; governing laws of administrative agencies
- Common (judicial) law; compilation of law by judges “case law”
A 15 year old client who is at 39 weeks gestation is transported by her mother to the ED of a private hospital. The client reports she is in active labor. The client’s mother states, “We don’t have any money or insurance, but this hospital is closer than the public hospital” Which action does the ED nurse implement?
A. Arrange for an ambulance to transport the client to the nearest public hospital
B. Explain to the client and her mother that the hospital only accepts clients who have health insurance
C. Examine the client to determine whether her condition is stable or whether she requires immediate medical attention
D. Advise the client’s mother to transport the client to the nearest public hospital
C. Examine the client to determine whether her condition is stable or whether she requires immediate medical attention
Under what act does a living will and durable power of attorney fall under
Patient self determination act
What is the difference between a living will and a durable power of attorney
living will = directions about a person’s wishes regarding life prolonging treatments
Durable power of attorney = surrogate decision maker
What type of things fall under mandatory reporting laws
communicable diseases (STIs) and abuse
What is the essential purpose of the nurse practice acts/state BON
protecting the public
A nurse who administers the wrong medication to a client does not notify anyone of the error. Instead, the nurse documents administration of the correct medication. Ultimately, the error is discovered and the nurse is reported to the state board of nursing. Which action does the state BON take against the nurse in this situation
A. disciplinary action against the nurse’s license to practice
B. Criminal misdemeanor charges against the nurse
C. medical malpractice lawsuit against the nurse
D. termination of the nurse’s employment
A. Disciplinary action against the nurse’s license to practice
A 75 year old client is admitted to the ED for evaluation of confusion and memory loss. The initial client assessment reveals bruises and scratches in various stages of healing on the client’s arms, legs, and torso. Based on the assessment findings, the nurse suspects the client may be a victim of physical abuse. Which legislation requires the nurse to notify a designated authority about the suspected abuse?
A. Good Samaritan laws
B. mandatory reporting laws
C. nurse practice acts
D. nursing standards of practice
B. mandatory reporting laws
What are examples of quasi-intentional torts
defamation of character, slander, libel
What are examples of intentional torts
Assault and battery, false imprisonment, invasion of privacy, and fraud
What is the difference between assault and battery
assault = intention to cause harm by words/threats
battery = physical contact is made with the client or unauthorized touching of a person’s body
What is an example of false imprisonment
restraining a patient against his or her will
AMA
What is the most common kind of non/unintentional tort? what does that term mean
negligence - did not perform as a reasonable, prudent person would; not intending to do harm
What are the four elements necessary to collect damages
- existence of a duty
- breach of a duty
- causation
- damages
What are the 5 domains of Healthy people 2030 SDOH
- Social and community context
- Health care (access and quality)
- economic stability
- education (access and quality)
- neighborhood and built environment
What are the 4 subsets of Healthy people 2030: social and community context
- civic participation
- discrimination
- incarceration
- social cohesion
What are the 3 subsets of Healthy people 2030: Health care
- access to health care
- access to primary care
- health literacy
What are the 4 subsets of Healthy people 2030: economic stability
- employment
- food insecurity
- housing instability
- poverty
What are the 4 subsets of Healthy people 2030: education
- early childhood education and development
- enrollment in higher education
- high school graduation
- language and literacy
What are the 4 subsets of Healthy people 2030: neighborhood and built environment
- access to foods that support healthy eating patterns
- crime and violence
- environmental conditions
- quality of housing
A client’s epidermis has insufficient melanin. Which nursing diagnosis is appropriate?
A. risk for infection
B. risk for deficient fluid volume
C. impaired skin integrity
D. risk for impaired skin integrity
D. Risk for impaired skin integrity
The nurse is teaching nursing assistive personnel how to give a complete bed bath. Which instruction should the nurse include?
A. cleanse only those areas likely to cause odor
B. provide the client with warm water for washing his perineum
C. Wash the client’s back, buttocks, and perineum first
D. bathe the client from head to toe, cleanest areas first
D. bathe the client from head to toe, cleanest area first
A client has recently had an operation, is groggy, is on strict bedrest, and has a nursing diagnosis of activity intolerance. Which type of bath is preferred for this client
A. assist bath
B. partial bath
C. complete bath
D. shower
C. complete bath
The nurse is caring for a client admitted with dementia. Which action by the nurse is appropriate when providing hygiene care for this client?
A. bathe the client quickly
B. use cool water for bathing
C. provide care in short intervals
D. turn up the brightness of the lights
C. provide care in short intervals
Which action should the nurse take when scanning the client’s environment
A. check to make sure the nurse call device is within reach
B. Place the bed in the high position
C. Keep food tray in the client’s room for later snacking
D. allow the linens to have a few wrinkles
A. Check to make sure the nurse call device is within reach
What are the 5 factors that influence hygiene and self care practices
- personal preference
- culture and religion/spirituality
- economic status
- developmental level
- knowledge level
What are the 3 purposes of bathing
- health promotion
- pleasure or relaxation
- social interaction
What is one of the main reasons for facilitating oral care
reduction of the incidence of pneumonia
