BIOETHICAL PRINCIPLES

Question 1

-Personal belief/ standard of what is right or wrong
-internlized during childhood
-parents, environment, religion

Answer 1

Moral

Question 2

-Critical standard in evaluating morals
-universally accepted; as Guide

Answer 2

Ethics

Question 3

Conflict between 2 or more ethical principles

Answer 3

Ethical Dilemma

Question 4

-Critical standard applied in life situations

Purpose: General guide in life situations

Answer 4

Bioethics

Question 5

-act of kindness & mercy
-after the act
-primary principle
-care, attention, information

Answer 5

BENEFICENCE

Test taking technique:
-Positively stated

Question 6

-do no harm; prevent
-safety of pt
-before or during the act
-secondary principle

Answer 6

NON-MALEFICENCE

Test taking technique:
-Negatively stated
-Avoid
-Not to do
-Prevent
-Decline
-Do no
HARM

Question 7

-telling the truth
-acceptability of deceit
-patient bound to tell truth; Dx
-coordinate plan of care

Answer 7

Veracity

Question 8

what to divulge to patient?

Answer 8

Permission from physician

Question 9

Withhold information, otherwise can cause further emotional harm.

Answer 9

Benevolent Deception

Question 10

-Freedom to make decisions, free from coercion

Answer 10

Autonomy

Question 11

Free & rational act that presupposes the knowledge of procedure.
Explain:
-Condition
-First line treatment & alternatives
-Risk & benefits
-Complications if left untreated
-what the client may feel during procedure

Answer 11

INFORMED CONSENT

Question 12

-Explains procedure
-obtain signature/ informed consent

Answer 12

PHYSCIAN
SURGEON

Question 13

ROLE OF NURSES WITH CONSENT

Answer 13

Verify the ff:
-Understanding of patient.
-Qualified to sign the consent

Witness
-explanation of physician
-Signing of patient
-Signing of patient does not guarantee understanding informed consent.

Question 14

Qualification to sign consent:

Answer 14

-Legal age
-sound-mind
-Conscious/Coherent

Question 15

Not qualified to sign consent

Answer 15

-Minor
-Unsound mind (declared by court Psychologic problem)
-Under influence of drug/alcohol
-Unconscious/ Emergency

Question 16

Minor allowed to sign consent:

Answer 16

-Pregnant
-Emancipated: Stand alone
-Members of military
-Married

Question 17

Types of informed consent:

Answer 17

Express consent:
-Oral
-Written

Question 18

Type of informed consent
-Oral
-Written

Answer 18

Express consent

Question 19

Type of consent
-During an emergency when pt is unable to give consent for life-saving treatment.
-AKA “ER Doctrine”

Answer 19

Implied Consent

Question 20

Elements of Informed Consent

Answer 20

-Voluntary
-Competent: Practitioner
-Detailed: Manner

Question 21

-Overriding of the autonomy of the patient.
-4 situations: Minor, Mentally ill, Unconscious during emergency,
-Living will: Document DPA (Durable power of attorney); Pt is incapacitated.

Answer 21

Paternalism

Question 22

2 types of paternalism

Answer 22

-Advance Directives
-DPA (Durable power of attorney

Question 23

Type of paternalism where there is written document made by patient

Answer 23

-Advance directives

Question 24

-Type of paternalism authorizes someone to transact on behalf
-Health care could be proxy

Answer 24

DPA; Durable Power of Attorney

Question 25

LINE OF CONSENT

Answer 25

1st: Spouse 2nd: Child/ offspring (legal age) 3rd: parents 4th: siblings 5th: legal guardian (lola-lolo) 6th: relatives (tito-tita) 7th: medical director

Question 26

-Non-disclosure of information -privileged communication: based on trust *Husband-Wife *Doctor-Pt *Lawyer-Client

Answer 26

Confidentiality

Question 27

Grave Cause; Confidentiality ends:

Answer 27

When Public Danger Begins: R: Rape/incest A: A communicable dse P: Plan to kill self/others; Public Safety compromised E: Elder/ Child Abuse

Question 28

-Fair or Equal -Allocation of resources: Human or Material

Answer 28

Justice

Question 29

Being faithful to: Patient- Keep one's promises Profession- CPD; stick to career;

Answer 29

Fidelity

Question 30

Protect clients right with welfare

Answer 30

Advocate

Question 31

VAWC

Answer 31

RA 9262

Question 32

-Violation of civil code relationship: Fine, Damages -Actual damage: Hospitalization -Moral damage: Incapable of exactness -Loss of income: years of diability

Answer 32

CIVIL CRIMES

Question 33

Serious injury

Answer 33

>30 days

Question 34

Less serious injury

Answer 34

10-30 days

Question 35

Slight physical Injury

Answer 35

<9 days

Question 36

Civil Wrongdoing against personal/property

Answer 36

Tort

Question 37

Right to travel

Answer 37

Liberty to abode

Question 38

No right to travel

Answer 38

-Court order; criminal -Communicable dse

Question 39

Imprisonment w/o valid basis

Answer 39

false imprisonment/ illegal detention

Question 40

Imminent threat to bodily harm

Answer 40

Assault

Question 41

unconsented touch -restraint -Except: therapeutic touch

Answer 41

Battery

Question 42

Restraint least to most restrictive:

Answer 42

1st: Verbal Restraint 2nd: Physical Restraint: using equipment 3rd: Chemical Restraint: Tranquilizer & Anxiolytics Monitor for chemical restraint: 1st: RR 2nd: Liver Toxicity 3rd: Rashes: steven's johnson

Question 43

Right to be left alone; free from unwarranted publicity

Answer 43

Privacy

Question 44

2 types of violation

Answer 44

Invasion of privacy: Personal life & private part Breech of confidentiality : Condition (Medical Related Information)

Question 45

type of violation r/t Personal life & private part

Answer 45

Invasion of privacy

Question 46

type of violation r/t Condition (Medical Related Information)

Answer 46

Breech of confidentiality

Question 47

-Damaging of good reputation -it may be factual or fictitious

Answer 47

Defamation

Question 48

Verbal Defamation

Answer 48

Slander

Question 49

Written, Posted, or Picture

Answer 49

Libel

Question 50

-Agreed to an online post -Shared with additional Caption

Answer 50

Cyber Libel

Question 51

Nursing Management for Restraint:

Answer 51

1st: Check doctor's order 2nd: Obtain consent 3rd: Check circulation; every 30 minutes Rotate-Release; Rotate-Release: every 2 hours 4th: Never leave pt when you release restraint 5th: Proper documentation ***Renew every 8 hours checked by MD