WEEK 13

Question 1

nursing principles most commonly cited

Answer 1

autonomy, beneficence, fidelity, justice, nonmaleficence, veracity

Question 2

deontological

Answer 2

“What is my duty”

Question 3

teleological/utilitarianism

Answer 3

“What action will promote the greatest good with the least harm?”

Question 4

casuistry

Answer 4

case-based reasoning, what did we do last time

Question 5

ethics of relationship

Answer 5

ethic of care/feminist

Question 6

When you are unable to act upon what you believe is the
morally appropriate action to take or when you otherwise
act in a manner contrary to your personal and professional
values due to perceived institutional, procedural or social
constraints

Answer 6

moral distress

Question 7

The ability to grow and even gain confidence from adverse
and complex ethical problems

Answer 7

moral resilience

Question 8

A problem is an ethical dilemma when:

Answer 8

A review of scientific data is not enough to solve it
 It involves a conflict between two moral imperatives
 The answer will have a profound effect on the situation
and the client

Question 9

patient protection and affordable care act

Answer 9

Characterized by 4 themes

-consumer rights/protectons
-affordable healthcare coverage
-increased access to care
-stronger medicare to improve care for those most vulnerable

Question 10

Americans with disabilities act

Answer 10

prohibits discrimination on the basis of disability

Question 11

EMTALA

Answer 11

patients must be stabilized prior to transfer to another facility

Question 12

mental health parity

Answer 12

no lifetime or annual limit on mental health care. involuntary and voluntary admission. suicidal tendencies-supervision

Question 13

Patient Self-Determination Act (1991)

Answer 13

Requires health care institutions to
provide written information to patients
concerning their rights under state law
to make decisions, including the right to
refuse treatment and formulate advance
directives

Question 14

forbids the purchase or sale of
organs

Answer 14

National Organ Transplant Act of
1984

Question 15

Health Insurance Portability &
Accountability Act of 1996 (HIPAA)

Answer 15

provides patient’s right to privacy and protects employees from losing health insurance when changing jobs

Question 16

Health Information Technology Act

Answer 16

HITECH Act of 2009)
 Social Media

Question 17

The Omnibus Budget Reconciliation Act
(1986)

Answer 17

addressed the use of both physical
and chemical restraints.

Question 18

2 Standards for determination of
death

Answer 18

Cardiopulmonary
 Whole-Brain

Question 19

The Oregon Death with Dignity Act of
1994- first statute for PAS

Answer 19

Death with Dignity or Physician
Assisted Suicide

Question 20

Five Elements are necessary to prove
negligence

Answer 20

1. Duty to provide care as defined by a
   standard
2. Breach of duty by failure to meet
   standard
3. Foreseeability of harm
4. Breach of duty has potential to cause
   harm
5. Harm occurs

Question 21

Agreement by a
client to accept a course of
treatment or procedure after being
provided with complete information
regarding benefits and risks,
alternative treatments, and
prognosis if not performed

Answer 21

Informed Consent

Question 22

oral/written
agreement

Answer 22

Expressed Consent

Question 23

nonverbal
behavior indicates agreement

Answer 23

Implied Consent

Question 24

Three groups cannot supply informed
consent

Answer 24

Minors (children)
 Lacks capacity (need consent of
guardian)
 Unconscious or injured client unable to
give consent.

Question 25

telephone consent requires two
nurses to

Answer 25

witness

Question 26

May refuse assignment before relationship established
with patient when

Answer 26

The nurse lacks the knowledge or skill to provide competent
care
2. Care exceeding the nurse practice act is expected
3. Health of the nurse or the nurse’s unborn child is directly
threatened by the type of assignment
4. Orientation to the unit has not been completed and safety is at
risk
5. The nurse clearly states and documents a conscientious
objection on the basis of moral, ethical, or religious grounds
6. The nurse’s clinical judgment is impaired as a result of fatigue,
resulting in a safety risk for the patient