QUIZ 5

Question 1

Legal issue

Answer 1

resolved by referencing the law

Question 2

ethical issue

Answer 2

issues of behavior and character

Question 3

Ethical process

Answer 3

• balance between science and morality
• code of ethics

Question 4

values

Answer 4

what we believe to be important, good, and meaningful drives our behavior

Question 5

ethical dilemmas

Answer 5

problems involving more than one choice and stems from differences in values and beliefs

Question 6

autonomy

Answer 6

pt is involved in decision making process

Question 7

veracity

Answer 7

telling the truth

Question 8

beneficence

Answer 8

selfless act, promotes good

Question 9

nonmaleficence

Answer 9

do no harm

Question 10

fidelity

Answer 10

fulfillment of promises

Question 11

justice

Answer 11

fairness in care and use of resources

Question 12

ANA code of ethics

Answer 12

all members of a profession accept the code

Question 13

advocacy

Answer 13

support pt health, wellness, safety, wishes, wellness, and rights

Question 14

responsibilty

Answer 14

accept obligations and follow through

Question 15

accountability

Answer 15

answer ones own actions

Question 16

confidentiality

Answer 16

protection of privacy

Question 17

moral distress

Answer 17

actions taken are different from what the nurse considers ethically correct

Question 18

legal responsibilities in nursing help

Answer 18

protect pt rights and reduce the risk of nursing liability

Question 19

nurses are accountable for

Answer 19

• practicing within the confines of law to shield from liability
• advocate for pt rights
• provide care within nurses scope
• provide safe proficient care

Question 20

federal regulations in nursing practice

Answer 20

• HIPPA
• EMTALA
• ACA

Question 21

EMTALA

Answer 21

emergency personnel provide equal care to pt regardless of insurance or financial status

Question 22

3 major provisions of EMTALA

Answer 22

1. all pt must see provider
2. in emergency hospital must stabilize pt. If they cannot provide care pt must be transferred
3. if pt cannot be stabilized in ED, physician must verify and sign off

Question 23

What does HIPPA do

Answer 23

• provides rights to pt
• protects employees
• standards regarding accountability in health care
• establishes pt rights regarding privacy of their health info and records

Question 24

ACA

Answer 24

“obamacare”
- mandates every American to have health insurance
- can be fined if you dont
- forbids insurance to deny pt w/ preexisting conditions

Question 25

4 components of ACA

Answer 25

1. consumer rights and protection 2. affordable health coverage 3. increases access to care 4. quality of care that meets needs of pt

Question 26

PSDA

Answer 26

- right to refuse treatment

Question 27

advance directives

Answer 27

document by pt that provides info about to do tasks before, during, and after their death

Question 28

nurse practicing acts

Answer 28

standards of care or legal guidelines of care

Question 29

tort law

Answer 29

- an individual carries out an act or fails to carry out an act that results in injury or harm to the pt - civil wrong committed against an individual - intentional of unintentionally

Question 30

intentional torts

Answer 30

- assault - battery - false imprisonment

Question 31

quasi-intentional torts

Answer 31

- acts where a person may not intend to cause harm but does - invasion of privacy, slander

Question 32

malpractice

Answer 32

nurse actions aren't consistent w/ best practice standards and harm is caused to pt

Question 33

implied and informed consent

Answer 33

Implied: by actions Informed: must be provided/educate about risks, benefits and alternatives

Question 34

good Samaritan law

Answer 34

- nurse cannot be held liable for deciding not to provide care - protect nurse from being held responsible for harm

Question 35

civil and common issues

Answer 35

- roe vs wade - heartbeat laws - assisted suicide (need 2 physician consents)

Question 36

whistleblowing

Answer 36

act where person reports on illegal wrongdoing or unethical practice

Question 37

what is palliative care?

Answer 37

provides relief of symptoms and improves quality of life for a pt living w/ a serious illness

Question 38

palliative care goals

Answer 38

1. pt and family focused 2. minimize suffering 3. assist w/ complex medical decision making 4. establish goals of care 5. support effective communication and understanding 6. not mutually exclusive of disease directed therapies

Question 39

advanced care planning conversations

Answer 39

- what is important to the pt - hopes, goals, what is important for their future - realities facing the pt - diagnosis, abilities, limitations, and resources - completing documents and arrangements

Question 40

legal aspects

Answer 40

- advance directives - living will - power of attorney

Question 41

palliative care factors include

Answer 41

1. physical wellbeing 2. psychological wellbeing 3. social wellbeing 4. spiritual wellbeing

Question 42

Biological sex

Answer 42

persons anatomy

Question 43

gender identity

Answer 43

individuals sense of being a certain gender

Question 44

gender expression

Answer 44

way we show our gender

Question 45

sexual orientation

Answer 45

physical, emotional, romantic attraction to others

Question 46

cisgender

Answer 46

gender identity matches sex assigned at birth

Question 47

nonbinary

Answer 47

person that doesn't identify as man or women

Question 48

two spirit

Answer 48

identify as combination of male and female

Question 49

considerations of LGBTQ youth

Answer 49

- family support/ lack of support - support at school/ accommodations - possible conflict w/ religious beliefs - lack of sexual education - "conversion therapy"

Question 50

considerations of LGBTQ elders

Answer 50

- dual discrimination (age/identity) - poverty/mental health - issues due to lifetime of unique stressors associated w/ being a minority - family support/ lack of support - social isolation - end of life care/ housing insecurity