M4 Ethical & Legal

Question 1

Advocacy goal

Answer 1

Helping others to grow and self actualize

Question 2

In nursing, managers advocate for

Answer 2

Self
Patient
Subordinates
Workplace

Question 3

Advocacy in action

Answer 3

Inform others of their rights
Be sure they have adequate info to make decision

Question 4

Whistleblowing

Answer 4

Act of drawing attention to a wrongdoing

Question 5

Internal whistleblowing

Answer 5

within an organization, reporting up the chain of command

Question 6

External whistleblowing

Answer 6

reporting to media or elected officials

Question 7

When to whistleblow

aka violations of

Answer 7

Patient rights
Working conditions
Nursing practice
Management conduct
Specific behavior (assault, abuse, etc.)

Question 8

Whistleblowing can be averted by organizations sponsoring a culture of

Answer 8

Accountability
Transparency
Integrity

Question 9

Bad organizational practices that could lead to whistleblowing

Answer 9

Poor top down structure
Poor bureaucracy
Defensiveness
Maintaining status quo
Emergency cover ups

Secrecy
Silence
Blame
Fear

Question 10

As a manager you must _ for the whistleblower

Answer 10

Advocate

Question 11

Whistleblowing guidelines

Answer 11

Make sure there is a problem
Seek validation from colleagues
Follow chain of command
Have evidence

Know your rights by state

Question 12

Do TJC of National committee of quality assurance offer protection

Answer 12

NO

Only the State and National regulations do

Question 13

Key to whistleblowing

Answer 13

Documentation

Question 14

Safe harbor is a

Answer 14

Nurse peer review process

Question 15

Who may invoke safe harbor

Answer 15

PN
RN
APRN
any nurse

Question 16

When to call safe harbor

Answer 16

When asked to do something that would violate the NPA or their duty to a patient

Question 17

Safe harbor good faith

Answer 17

protects employee from employer and BON retaliation

Question 18

Safe harbor must be invoked…

or

Answer 18

PRIOR to engaging in the assignment

at any time when INITIAL assignment changes

Question 19

During safe harbor litigation do we engage in requested conduct

Answer 19

Yes, care for your pts

Question 20

Can you be reported to the BON while pending peer review

Answer 20

NO

Question 21

Can you disciplined by the BON while pending peer review

Answer 21

NO

Question 22

Does the ability to invoke safe harbor change depending on whether you refuse or accept the assignment

Answer 22

NO

Question 23

When must safe harbor be invoked

Answer 23

PRIOR to accepting assignment

Question 24

Nurse may not engage in care even after safe harbor if the request is

Answer 24

Criminal
Unprofessional
Nurse lacks knowledge

Question 25

Do safe harbor protections have expirations

Answer 25

NO

Question 26

Safe harbor is protected against what retaliation actions

Answer 26

Demotion Forced shift change Pay cut All really

Question 27

What does safe harbor protect

Answer 27

A nurses ability to retain a license

Question 28

2 types of nursing peer review

Answer 28

Safe harbor Incident based

Question 29

What do peer reviews check

Answer 29

Nursing services Qualification of nurse Quality of care Merit of complaint

Question 30

What do incident based peer reviews determin

Answer 30

If nurse can be remediated with training or is not at fault due to extenuating circumstances or If nurse will be reported to BON

Question 31

Who is on the committee for peer review

Answer 31

3/4 nurses (RN LVN APRN) At least 2/3 are RNs and only they may vote At least 1 RN with working familiarity to the same area as being reviewed

Question 32

Incident peer review boards and administrative authority

Answer 32

May NOT participate in peer review, unless called on as a witness

Question 33

Safe harbor review boards and CNOs Nurse Managers and individuals with authority

Answer 33

May ONLY appear before committee as witnesses

Question 34

ANA provision 2

Answer 34

Nurses primary commitment is to the patient

Question 35

ANA provision 5

Answer 35

Nurse owes same responsibility to self as to others including Integrity Competence Personal/professional growth

Question 36

How many nurses are impaired or in recovery

Answer 36

1 in 10

Question 37

Factors that increase substance abuse risks

Answer 37

Staffing shortages Unprofessional administrators/Drs Rotating shifts Long hours Bullying

Question 38

Disorders that co-occur with substance abuse

Answer 38

Depression PTSD Genetics Fatigue Stress

Question 39

Drugs abused by nurses

Answer 39

Alcohol - most common opioids, stimulants, CNS depressants

Question 40

If you or a nurse you know needs help it is your _/_ duty to report

Answer 40

ethical/LEGAL

Question 41

Students should report to Practicing nurses should report to

Answer 41

Faculty Managment

Question 42

Going through a SUD rehabilitation program can

Answer 42

Save your nursing license

Question 43

Barriers to reporting substance abuse

Answer 43

Self-denial Culture or norms Feeling of betrayal Fear of retaliation, ostracization, loss of license, litigation

Question 44

Are you legally required to report suspicion of substance abuse

Answer 44

YES

Question 45

Who will take action against you for not reporting

Answer 45

TXBON

Question 46

If you, in good faith, report a suspicion of substance abuse you reserve

Answer 46

immunity from civil or criminal liability immunity from retaliation

Question 47

TPAPN Texas Peer Assistance Program

Answer 47

Help nurses with SUD, anxiety, depression, bipolar disorder, and schizophrenia

Question 48

TPAPN helps both

Answer 48

Nurses and Patients

Question 49

Marginal Employee

Answer 49

Employee with poor performance who also is not benefited from teaching reinforcement or discipline