Ethical and legal considerations Flashcards

1
Q

What does the code of ethics refer to?

A

A set of ideals, duties, and obligations that we as nurses must adhere to.

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2
Q

What are the four elements to the International Council of Nurses (ICN) Code of Ethics for Nurses?

A
  1. Duty of care
  2. The practice of nursing
  3. Professional responsibilities as a nurse
  4. Collaborative relationships
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3
Q

What do provisions 1-3 of the code of ethics refer to?

A

Fundamental values of the nursing profession and the nurse’s commitment to those they care for.

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4
Q

What do provisions 4-6 of the code of ethics refer to?

A

The duty of the nurse as well as their loyalty to their patients and themselves.

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5
Q

What do provisions 7-9 of the code of ethics refer to?

A

How you as a nurse should behave outside of patient encounters.

  • Promotion of research
  • Participation in development of standards of practice
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6
Q

What does autonomy refer to in the nursing profession?

A

Respecting the patient’s right to make their own decisions about the healthcare they are receiving.

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7
Q

What does the ethical principle of beneficence refer to?

A

It is about minimizing harm to your patient.

Going above and beyond for your patient.

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8
Q

What does the ethical principle of nonmaleficence refer to?

A

Do no harm.

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9
Q

What does the ethical principle of veracity refer to?

A

Provide truthful and accurate information to your patient.

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10
Q

What does the ethical principle of fidelity refer to?

A

Being loyal to your patient through keeping promises and upholding commitments.

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11
Q

What does the ethical principle of justice refer to?

A

Nurses obligation to provide treatments, care, resource allocation that is impartial, fair, and equitable to ALL patients.

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12
Q

In terms of the five professional values of nursing, altruism refers to?

A

Being selfless and doing things that are beneficial for someone other than yourself.

Going out of your way for your patient, as well as team members.

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13
Q

In terms of the five professional values of nursing, human dignity refers to?

A

You respect someone regardless of who they are.

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14
Q

In terms of the five professional values of nursing, integrity refers to?

A

Being honest and real with your patient.

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15
Q

In terms of the five professional values of nursing, autonomy refers to?

A

Respecting your patient’s wishes in how they want things done.

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16
Q

In terms of the five professional values of nursing, social justice refers to?

A

Protecting the rights of your patient.

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17
Q

Step 1 of the ethical decision making process is…

A

Is there an ethical dilemma?

18
Q

Step 2 of the ethical decision making process is…

A

Clearly identify the ethical dilemma.

19
Q

Step 3 of the ethical decision making process is…

A

Identify possible solutions.

20
Q

Step 4 of the ethical decision making process is…

A

Apply ethical principles to the solutions.

21
Q

Step 5 of the ethical decision making process is…

A

Include all relevant individuals.

22
Q

Step 6 of the ethical decision making process is…

A

Decide on a solution.

23
Q

Step 7 of the ethical decision making process is…

A

Review the decision.

24
Q

Step 8 of the ethical decision making process is…

A

Put the decision into action.

25
Q

What was EMTALA enacted to do?

A

Direct emergency personnel to take care of someone regardless of their status in society. Essentially the ED cannot refuse treatment to anyone.

26
Q

What are the three major provisions of EMTALA?

A
  1. All patients must have a medical screening evaluation.
  2. If the patient is having an emergency, the hospital must stabilize the patient and transfer to them to a facility that can meet their needs.
  3. In the event the patient cannot be stabilized, then another provider must verify and approve the need for transfer of the unstable patient.
27
Q

What does tort refer to?

A

Carrying out an act or failing to to act accordingly, resulting in injury or harm to a patient.

28
Q

(T/F) Tort law encompasses both unintentional and intentional torts.

A

True.

29
Q

What are the two types of advanced directives?

A
  1. Living will
  2. Durable power of attorney
30
Q

What is the nurses role in the advanced directive process?

A

Encourage the patient to have frequent, ongoing discussions with their provider about their wishes if they should become incapacitated and are unable to communicate their wishes.

31
Q

What is the purpose of the Good Samaritan law?

A

To protect people, including nurses, from getting sued for helping someone in an emergency situation, regardless of the outcome.

32
Q

What are some diseases that must be reported?

A

Anthrax, Chlamydia, Hepatitis, Influenza, Covid, Rubeola, TB, and etc.

33
Q

What is a sentinel event?

A

An event that results in permanent disability, temporary severe injury, or death.

34
Q

What are the five rights of delegation?

A
  1. Right task
  2. Right circumstance
  3. Right person
  4. Right directions/communications
  5. Right supervision/evaluation
35
Q

A nurse truthfully answering a patient’s questions about upcoming therapy is an example of what type of ethical principle?

A

Veracity.

36
Q

A nurse who stops inserting an NG tube when a patient refuses is an example of what type of ethical principle?

A

Autonomy.

37
Q

A nurse who provides the same amount of time to all patients regardless of condition is an example of what type of ethical principle?

A

Justice

38
Q

Spending extra time reorienting a patient who is experiencing hallucinations is an example of what type of ethical principle?

A

Beneficence.

39
Q

Describing the purpose, action, and side effect of a medication is an example of what type of ethical principle?

A

Veracity.

40
Q

Taking a continuing education course to learn to recognize risk factors for suicide risk follows what ethical principle?

A

Fidelity.