Objective 3

Question 1

expression of values that guide practice

Answer 1

ethics

Question 2

system of ethics with the central concepts of reason and duty

Answer 2

deontology

Question 3

used in relation to ethical dilemmas surrounding health care

Answer 3

bioethics

Question 4

what are the 6 principles of bioethics?

Answer 4

autonomy
nonmaleficence
beneficence
justice
principle of impossibility
fidelity

Question 5

respecting the rights of others to make their own decisions

Answer 5

autonomy

Question 6

doing no wrong to a pt

Answer 6

nonmaleficence

Question 7

the duty to promote good

Answer 7

beneficence

Question 8

the duty to distribute resources or care equally

Answer 8

justice

Question 9

that rights or obligations that cannot be met in the circumstances are no longer obligations

Answer 9

principle of impossibility

Question 10

maintaining loyalty and commitment

Answer 10

fidelity

Question 11

what are the guidelines for ensuring adherence to standards of care?

Answer 11

Student nurses and practicing nurses have a
legal duty to report risks for harm from
Negligence, irresponsibility, or impairment
Unethical or illegal practices

Question 12

what are the core responsibilities for Canadian nurses?

Answer 12

providing safe, compassionate, competent and ethical care
promoting health and well-being
promoting and respecting informed decision-making
preserving dignity
maintaining privacy and confidentiality
promoting justice
being accountable

Question 13

Provides Competent Professional
Care Through the Development of a Therapeutic
Relationship

Answer 13

Standard I

Question 14

Performs/Refines Client
Assessments Through the Diagnostic and
Monitoring Function.

Answer 14

standard II

Question 15

Administers and Monitors
Therapeutic Interventions.

Answer 15

standard III

Question 16

Effectively Manages Rapidly
Changing Situations

Answer 16

standard IV

Question 17

intervenes Through the Teaching-
Coaching Function

Answer 17

standard V

Question 18

Monitors and Ensures the Quality
of Health Care Practices

Answer 18

standard VI

Question 19

Practices Within Organizational
and Work-Role Structure.

Answer 19

standard VII

Question 20

The domain of international human rights and
declarations and the protection of these covenants

Answer 20

international/national

Question 21

Provinces & territories each establish mental health
legislation
Distinctions exist with regard to involuntary admission
criteria, the right to refuse treatment, and who has the
authority to authorize treatment

Answer 21

provencial/territorial

Question 22

what are the pts rights under the law?

Answer 22

Right to treatment/authorization of treatment
Consent
Competency (legal guardian)
Right to refuse treatment
Community treatment orders (CTO’s)
Involuntary admission criteria
Provision of least restrictive type of care
Advance Directive
Guardianship
Confidentiality
Duty to warn
Duty to protect
Reporting of child abuse (Box 7.7)
Confidentiality of communicable diseases
Confidentiality after death
Protection of patients

Question 23

A record’s usefulness is determined by evaluating—
when the record is read later—how accurately and
completely it portrays the patient’s behavioural status
at the time it was written
Used by the facility for quality improvement
Used as evidence
Electronic documentation

Answer 23

documentation of care

Question 24

A civil wrong for which money
damages may be collected by the
injured party (plaintiff) from the
responsible party (the defendant)

Answer 24

tort

Question 25

Willful or intentional acts that violate another person’s rights or property

Answer 25

intentional tort

Question 26

what are the types of intentional torts

Answer 26

assault battery false imprisonment invasion of privacy defamation of character

Question 27

Unintended acts against another that produce injury or harm

Answer 27

unintentional tort

Question 28

what are the types of unintentional torts?

Answer 28

negligence malpractice

Question 29

refers to the process (section 241.1 of the Criminal Code) where an eligible healthcare provider:  Prescribes and administers a medication to a client, at their request, that causes their death; or  Prescribes or provides a medication to a client, at their request, so that they may self-administer the substance and in doing so cause their own death

Answer 29

MAID

Question 30

who is permitted to determine who is eligible for MAID?

Answer 30

LPNs are NOT permitted to determine who is eligible for MAiD, this is the responsibility of the Physician

Question 31

what is the criteria for MAID?

Answer 31

is eligible for health services in Canada  is 18 years of age and capable of making decisions with respect to their health  has a grievous and irremediable medical condition  makes a voluntary request for MAiD that was not made as a result of external pressure  gives informed consent to receive MAiD If you have a physical disability and wish to seek medical assistance in dying, you may be eligible  Eligibility is assessed on an individual basis  If a mental illness is the only medical condition leading you to consider MAID, you are not eligible to seek MAID at this time. Under the new changes made to the law, the exclusion will remain in effect until March 17, 2023

Question 32

what is the role of LPNS in MAID?

Answer 32

To have the knowledge, skill, ability and judgement to provide care  To provide safe, competent, compassionate, and ethical care  Work within LPN Standards, Regulations, and Employer policies

Question 33

what are the guidelines provided by CLPNNL for LPNs and MAID?

Answer 33

1. LPNs can aid in MAiD under the direction of a medical practitioner or nurse practitioner 2. If requested, LPNs may support access to accurate and objective information about MAiD to clients so that they may make informed decisions about their care 3. LPNs must not initiate a discussion on MAiD with clients 4. LPNs must have the knowledge, skill, ability and judgement to provide safe, competent, ethical and compassionate end of life care 5. If the LPN has reason to believe that the client does not meet the eligibility criteria, or all mandatory safeguards are not in place, the LPN must immediately discuss this with the client’s health care team. 6. LPNs can insert an intravenous line that will be used for the administration of the medication that will cause death 7. LPNs are NOT authorized under any circumstances to administer the substance that causes the death 8. LPNs can be present to provide end of life nursing care during the administration of the medication that will cause death 9. LPNs must document their involvement in MAiD in accordance with the standards of practice and employer policy

Question 34

what is the CMHA position on MAID?

Answer 34

CMHA does not believe that mental illnesses are irremediable, though they may be grievous or unbearable  CMHA recognize that people with Mental Illnesses can experience unbearable psychological suffering as a result of their illness, but there is always the hope of recovery  CMHA’s position on MAiD is that people with a mental health problem or illness should be assisted to live an thrive

Question 35

Ability of nurses to apply knowledge and skill appropriately in cross - cultural situations

Answer 35

cultural competence

Question 36

what are the 5 constructs of cultural competence?

Answer 36

1. Cultural awareness 2. Cultural knowledge 3. Cultural encounters 4. Cultural skill 5. Cultural desire

Question 37

colonization ethnocentrism

Answer 37

cultural safety

Question 38

immigration policy refugees in Canada

Answer 38

multicultural contexts

Question 39

what are mental health concerns of refugees?

Answer 39

 Post-traumatic stress  Adjustment disorders  Depression  Suspiciousness and distrust of authorities  Needs for culturally relevant and appropriate services (including for those without dominant language skills, or for English or French as an additional language)

Question 40

what are the barriers to quality mental health services?

Answer 40

Communication barriers  Stigma of mental illness  Misdiagnosis Culture-bound syndromes  Genetic variations in pharmacodynamics  Populations at Risk of Mental Illness and Inadequate Care * Immigrants * Refugees * Cultural “minorities”

Question 41

Identity found in individuality * Values Autonomy, Independence & Self-reliance * Mind and body separate entities * Disease has a cause, treatment is aimed at cause * Time is linear * Success is obtained in preparing for the future

Answer 41

western tradition

Question 42

Family basis for identity * Body–mind–spirit one entity * Time is circular and recurring * Born into a fate; duty to comply * Disease caused by fluctuations in opposing forces

Answer 42

eastern tradition

Question 43

The Indigenous world view of mental health acknowledges the connection between an individual and the collective. It is reflective of the balance that is achieved between physical, emotional, cognitive, and spiritual dimensions.

Answer 43

indigenous population

Question 44

an ancient symbol that can be interpreted in many ways: the four directions, the four grandfathers, the four components of human nature (physical, mental, spiritual, and emotional).

Answer 44

medicine wheel

Question 45

Places significance on place of humans in natural world * Basis of identity is the tribe * Person is an entity only in relation to others

Answer 45

indigenous culture

Question 46

lack of harmony between individual and env

Answer 46

disease

Question 47

what are mental health concerns of indigenous peoples?

Answer 47

intergenerational trauma hopelessness and suicide family violence, family separation, and community violence substance use needs for culturally relevant and appropriate services