Ethics and Legal Safety Flashcards
What is the role of Nursing Council?
The role of the Nursing Council is to protect the health and safety of the public by setting standards and ensuring that nurses are competent to practise under the Health Practitioners Competence Assurance Act (2003).
Richard a 25 year old mildly retarded person was admitted to accident and emergency due to multiple fractures after a motor bike accident. Richard is to have an emergency laparotomy due to internal bleeding. What does the Crimes Act states regarding consent in this case?
A. Implied from the circumstances surrounding the case and the need to take immediate action for the welfare of the individual
B. Written and must be freely given and fully understood if major surgery was to be performed
C. Mentally ill and demented clients must have a consent of a parent or a guardian or significant others representing them
D. Valid only if the client is 16 years and over or if married
A. Implied from the circumstances surrounding the case and the need to take immediate action for the welfare of the individual
Culturally safe nursing care can best be achieved when the nurse has?
A. An in depth knowledge of the treaty of Waitangi
B. An awareness of Māori perspectives of health
C. An awareness and acceptance of your own limits in meeting someone’s else’s health and cultural needs
D. A knowledge of Māori protocol
C. An awareness and acceptance of your own limits in meeting someone’s else’s health and cultural needs
In addition to providing informational support, which of the following nursing activities is an integral part of the role of the nurse advocate
A. Maintaining the patient in a dependent role
B. Assuming responsibility for directing the patients care
C. Assisting the patient to make sound health care decisions
D. Persuading the patient to choose exactly what the health care team recommends
C. Assisting the patient to make sound health care decisions
What is the responsibility of the nurse who, for two days, has observed the nurse manager putting several syringes into her pocket
A. Report the matter to another nurse manager
B. Discuss the matter with your nursing colleagues
C. Watch the nurse manager to see if it happens again
D. Ignore the incident as a nurse manager is a responsible person
A. Report the matter to another nurse manager
For the Nursing Council to find a RN guilty of negligence, it would have to prove that the nurse
A. Failed to do what another careful registered nurse would have done in a similar situation
B. Did not give competent care as defined by colleagues with the same level of experience
C. Did not give an appropriate level of care as defined by the NZNO standards for nursing practice
D. Did not give an appropriate level of care as defined by the NZNO code of practice for nurses
C. Did not give an appropriate level of care as defined by the NZNO standards for nursing practice
Ageism is an important concept for the nurse to understand because it?
A. May damage the self esteem of the elderly
B. Increases social awareness of the needs of the elderly
C. Provides statistical information regarding the elderly population
D. Promotes consideration of the diversity of the elderly population
A. May damage the self esteem of the elderly
A middle aged woman enjoys orienting new young women and men at work. She enjoys being a teacher and mentor and feels she should pass down her legacy of knowledge and skills to the younger generation. The nurse recognizes that the woman is involved in the behaviour described by Erikson as?
A. Generativity
B. Ego integrity
C. Identification
D. Valuing wisdom
A. Generativity
The term generativity was coined by the psychoanalyst Erik Erikson in 1950 to denote “a concern for establishing and guiding the next generation.”
For the nursing council to find a registered nurse guiltilty of malpractice following an assault on a client, it would have to prove that the nurse?
A. Intended to cause bodily harm to the client
B. Actually assaulted the client
C. Did not establish a therapeutic relationship with the client
D. Committed a felony against the client
A. Intended to cause bodily harm to the client
A registered nurse stops to assist at the scene of an accident but the injured man dies before the ambulance arrives. What should the RN understand in this case?
A. She should leave the scene before the ambulance arrives
B. She will be covered by her actions by the good Samaritan laws
C. Has a legal duty of care to perform at a competent level as a registered nurse
D. Should pronounce the person dead at the scene
C. Has a legal duty of care to perform at a competent level as a registered nurse
A colleague comments saying “what is the relevance of the Treaty of Waitangi to Māori health?”
A. Māori people view the Treaty of Waitangi as a health document
B. Nursing practice in New Zealand is congruent with the Treaty of Waitangi
C. The right to health is guaranteed to Māori under article two of the Treaty of Waitangi
D. The right to Māori involvement in health is guaranteed
B. Nursing practice in New Zealand is congruent with the Treaty of Waitangi
Ana’s husband offers to bless the room. State the most appropriate action in this situation
A. Accept the offer to bless the room
B. Seek the hospital chaplains permission first
C. Insist on contacting the Māori chaplain
D. The blessing will not be necessary
A. Accept the offer to bless the room
Ana is told by her doctor that she has terminal cancer. He offers palliative radiotherapy. Ana and her husband refuse this treatment and wish to go home. What is your first nursing responsibility?
A. Support them in their decision
B. Document their decision in the nursing notes
C. Contact the doctor immediately
D. Contact the hospital social worker
A. Support them in their decision
Ana has terminal cancer and refused palliative radiotherapy as she wished to go home. A couple weeks later, the district nurse visits Ana. She is distressed about the number of visitors smoking in the house. What is the most appropriate action to take?
A. Explain the Ana’s husband of his wife’s concern
B. Ask those who are smoking to leave the room
C. Politely tell the smokers to smoke outside
D. Telephone for advise from a Māori community worker
A. Explain the Ana’s husband of his wife’s concern
Emma has school sores and is being treated by her grandmother, using natural medications. Because of this, Emma has not been taking her prescribed antibiotics. What should your response be?
A. Tell Wiremu that Emma should take the prescribed antibiotics
B. Acknowledge the value of Māori health remedies
C. Express your concern that Emma will infect other children
D. Discuss how both treatments are of value in curing Emma
D. Discuss how both treatments are of value in curing Emma
A colleague shares her concerns about a elderly client, Moana, who identifies as Māori. Moana is in early stages of Alzheimer’s disease and is wandering away from her home. Your colleague believes Moana should be cared for in an institution where she is less likely to harm herself. What should be your reply to your colleague?
A. “Yes, I agree she would be safer in an institution”
B. “Has she been assessed by her GP?”
C. “Has she got family involved in her care?”
D. “I would call in a social worker to help”
C. “Has she got family involved in her care?”
Culturally safe nursing practice involves?
A. Asking clients about their knowledge of their cultural heritage
B. Relating to all clients in a neutral manner regardless of their culture
C. Ensure clients are nursed by nurses of their own culture
D. Use of appropriate resources to meet clients identified cultural needs
D. Use of appropriate resources to meet clients identified cultural needs
The internal migration of Māori people from rural to urban life since the mid 1940s has adversely affected Māori health. What is the most likely reason for this?
A. Over crowding within urban communities
B. Increased exposure to infectious diseases
C. Dietary changes from naturally produced to processed food
D. Loss of cultural, social, and spiritual ties
D. Loss of cultural, social, and spiritual ties
Taonga (in Māori culture) means?
An object or natural resource which is highly prized.
