Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

@Nur 180 Exam 3 > Ethics and Legal Standards > Flashcards

Ethics and Legal Standards Flashcards

1
Q
  • General codes of ethics
  • *guide for a profession’s membership, social contract with public that it serves
  • American Nurses Association (ANA) Code of Ethics for Nurses.
  • International Council of Nurses (ICN) Code of Ethics
A

Nursing Codes of Ethics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  1. The right to self determination. This requires the nurse to be knowledgeable about the patients moral and legal rights.
  2. The nurses primary commitment is to the patient.
  3. The nurse promotes, advocates for and strives to protect the health, safety and rights of the patient both privacy and confidentiality.
  4. The nurse is responsible and accountable for their actions and judgements as an individual.
  5. The nurse owes the same duties to self as to others.
  6. The nurse’s goal is to create, promote, and maintain an ethical environment.
  7. The nurse participates in the advancement of the profession. (Get your bachelors degree)
  8. The nurse collaborates with other health professionals.
  9. The profession of nursing as represented by associations and their members is responsible for articulating nursing values.
A

ANA’s code of ethics for nurses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The nurse is asked to give a medication to a client that will terminate the clients pregnancy. The nurse is opposed to this method of abortion. The following strategy is the appropriate action of the nurse.

A

Have self-awareness of value and beliefs.

***Recognize that this is an ethical issue and encourage the client to discuss her feelings.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

a mode of ending life in which the intent is to cause the patient’s death in a single act (also called mercy killing).

A

active euthanasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

the ending of life by the deliberate withholding of drugs or other life-sustaining treatment.

A

passive euthanasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

client or family gives consent

A

Voluntary euthanasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

against client and family’s wishes

A

Involuntary euthanasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

they make decisions and sign consents only when patient is not capable

A

Healthcare proxy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

identified person to make decisions when patient becomes unable to speak for themselves.

A

Durable Power of attorney

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  • improves quality of life of clients, families,
  • Physical, psychosocial, spiritual support
  • Should be provided to all clients.
  • Important for older adults with acute life-threatening illness
  • For children with chronic disorder, should begin at time of dx.
  • Allows dying clients to die with dignity.
A

Palliative Care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  • Provides comfort care for clients in last phase of incurable disease
  • End-of-life care at home, long-term care facility or hospital
  • Added to Medicare program
  • Routine visits to client’s home
  • Continuous care available for client in crisis
A

Hospice Care

[palliative care]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  • No CPR-No Code
  • This is a physician’s order
  • the decision is usually made between the patient and family
  • States the clients wishes to withhold cardiopulmonary resuscitation (CPR)
  • Only covers CPR it does not pertain to any other treatment
A

DNR#1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Patient will be treated as medically indicated, using therapies except those initiated to prevent cardiac or pulmonary arrest. If pulmonary or cardiac arrest happen, no efforts will be made to resuscitate.

  • NO CPR
  • Do not provide artificial ventilation
  • Do not provide Dysrhythmia protocol
  • Do not provide vasoactive agents
  • Do not provide artificial nutrition via NG/PEG
  • Do not provide artificial hydration via NG/PEG
  • Do not provide blood or blood products
  • Do not provide surgical/invasive procedures
  • Do not perform dialysis
  • Do not provide ABX
A

DNR #2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Pt will receive nursing and medical treatment necessary for hygiene and comfort. Provide treatments of comfort even if they contribute to cardiac or respiratory depression. Life sustaining therapies already initiated may be discontinued by written order. If cardiac or pulmonary arrest occurs, no efforts will be taken to resuscitate.

A

DNR #3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

They have the right to:

  • Be treated as a living human being until I die
  • Maintain a sense of hopefulness
  • Express my feelings and emotions about my approaching death in my own way
  • Participate in decisions concerning my care
  • Expect continuing medical and nursing attention even though cure goals must be changed to comfort goals.
A

The Dying Person’s Bill of Rights

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q 
I have the right to: 
Not die alone
To be free from pain
To have my questions answered honestly
Not to be deceived
To have help from and for my family in accepting my death
To die in peace and with dignity
A

The Dying Person’s bill of rights

17
Q

I have the right:

  • To remain my individuality and not be judged for my decisions, which may be contrary to the beliefs of others.
  • to be cared for by caring, sensitive, knowledgeable people who will attempt to understand my needs and will be able to gain some satisfaction in helping me face my death.
A

The dying person’s bill of rights

18
Q
  • Reasonable access to care
  • Receive care that is considerate and to be respected for his/her personal values and beliefs
  • To be informed and participate in decision making regarding their care.
  • To have personal information secured, and confidential
  • To designate decision maker if unable to do so for themselves
  • To the hospital methods of informing the patient of these issues identified.
  • to the hospital methods of education staff about patient rights and their roll in supporting those rights
  • To access protective services
A

Patients Bill of Rights

Living patient

19
Q
  • High quality nursing care
  • Respect and Non-discrimination
  • A clean safe environment
  • Involvement in their care
  • Protection of their privacy
  • Help when leaving the hospital (d/c home, health care needs)
  • Help with billing claims (complaints and appeals)
A

Patients Bill of Rights

Living Patient

20
Q 
Pain and symptom management
Hygiene care
Therapeutic communication
Clergy visit or religious rituals
Family, friends
A

Nursing expectations

21
Q 
Client's pain level
State of awareness
-closed awareness
-suspected awareness
-mutual pretense awareness
-open awareness
Spiritual, emotional needs
A

Assess

22
Q

Following a motor vehicle crash, the parents refuse to permit withdrawal of life support from their child, who has no apparent brain function. Although the nurse believes the child should be allowed to die and organ donation considered, the nurse supports their decision. Which moral principle provides the basis for the nurses action?

A

Respect for Autonomy

23
Q

*When a patient wishes to donate and the family does not agree.
Some states have a law that mandates that a request for organ donation be made at the time of death.
Written consent and hospital policies/procedures must be followed.
There is no financial cost to the patient or their families.

A

Organ Donation

24
Q

-Consent under Uniform Anatomical Gift Act
-Organ procurement and transplantation Network (OPTN): Delaware’s Organ Procurement Organization (OPO).
OPTN is a contracted service of the US Department of health and human services
Maintains the only national patient waiting list for organ transplantation.

A

Organ Procurement

25
Q
  • When the principle of beneficence is called into question.
  • Medical care or treatment to a patient when there is no reasonable hope of a cure or benefit
  • Care is never futile, but medical interventions sometimes are
A

Futility of Care

26
Q 
Formal mechanism for monitoring ethics.
Written organizational code of conduct.
Nursing leads professions viewed as honest and ethical.
Daily ethical situations.
-Behavior
-Conflicts
-Staffing issues
Resources for ethical practice
-Supportive colleagues, educators
-Approachable responsible managers
A

Creating an ethical work environment

27
Q
  • Right to informed consent guaranteed by federal law
  • States have additional laws protecting clients
  • Healthcare facilities patient bill of rights
  • ANA Standards of Practice, Code of Ethics
  • Joint Commission standards for accreditation; speak up program.
A

Patient Rights & Organizational Ethics

28
Q
  • The systemic investigation into and study of materials and sources in order to establish facts and reach new conclusions.
  • Currently there is a gap between theory and practice that results in inadequate patient/client care.
A

Research Legal/Ethics

29
Q

-Problem identification: this is the first step in beginning research. Identify and describe the problem of interest.
-Literature review: This is a long process of reviewing.
Peer reviewed articles and other research topics that are the same or similar to the topic that is being researched.
-Research design: Here is where it is determined whether the study will be qualitative or quantitative approach will be used.

A

Research Process

30
Q
  • Data Collection and Analysis gathering of pertinent information that is relevant to the research question and analyzing the information.
  • Research Dissemination: Getting the information out to the masses. Either getting the research published or for use within the facility for use by the staff.
A

Research Process cont.

31
Q

EBP: is an interdisciplinary approach to clinical practice that has been gaining ground following its formal introduction in 1992.
*EBP: is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient.

A

Evidence Based Practice

32
Q
  • Institute revue board is required to evaluate and permit/deny permission for any experimental study to take place that involves human subjects.
  • The National Research Act, passed in 1974, mandated that all federally funded proposed research with human subjects be approved by an institutional review board (IRB)-Tuskegee experiment and Standford prison experiment.
A

IRB (Institute Revue Board)

33
Q 
Assessments
Change in condition
Objective descriptions
Statements
Interventions
use of safety devices/equipment
Deviations or achievement of outcomes
MD notifications
Procedures
Consultations
Involvement of family/others
Activities
A

What to document in chart

34
Q 
Gaps
Bias
Deviation from policy an procedure
Safety/Security of information contained on/in computer
Does not reflect patient needs
No descriptions of events/situations that are out of the ordinary
Content is incomplete/inconsistent
Handwriting/signature is illegible
A

Documenting Pitfalls

35
Q 
Begin at start of each shift
Document accurately
Know the requirements for your facility
Provide details about client condition
Remember that it is a permanent record and all information within is confidential
Document as soon as you provide care or make an observation
Chart chronologically
Date and time all notes
Use a pen; blue or black 
Use a single line to mark out an error.
A

Documenting Do’s!!

@Nur 180 Exam 3 (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions