Shared Flashcard Set

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Ethics and Laws
Ch 19 Success
83
Nursing
Not Applicable
08/01/2013

Additional Nursing Flashcards

 


 

Cards

Term
these are all examples of ____________ issues

in vitro fertilization, artificial insemination, surrogate motherhood, cloning, organ donation, stem cell research, abortion, and advance directives
Definition
ethical
Term
a system of standards or moral principles that direct actions as being right or wrong
Definition
ethics
Term
deal with right or wrong behavior (conduct) or character
Definition
morals
Term
the worth you assign to an idea or action; freely chosen and affected by age and maturity
Definition
values
Term
the values and ethical principles governing nursing practice, conduct and relationships
Definition
nursing ethics
Term
defends choices in behavior and actions you take as a nurse, they are the laws that govern nursing practice
Definition
the nurse practice act
Term
florida statutes are located on these two pages in the florida board of nursing practice act
Definition
ch.. 464
ch. 64b9
Term
you must always follow the ________; no matter what your personal beliefs may be.
Definition
law
Term
always present statement of objection to employer ______ starting your employment
Definition
before
Term
personal ethics and nursing ethics are (DIFFERENT/THESAME)
Definition
different
Term
all patients must be cared for _______
Definition
equally
Term
evolution of nursing ethics; the nurses purpose WAS:
Definition
to follow physician's orders; advocacy was more for physician than for patient
Term
evolution of nursing ethics; the nurses purpose NOW involves
Definition
critical thinking; patient advocacy; encouraging patients to become involved with their care and assisting them in doing so
Term
issues the ethics committee deals with
Definition
multidisciplinary, religious, and cultural issues
Term
freedom to choose
Definition
individual autonomy
Term
consent or refuse treatments; cannot speak for others
Definition
individual rights
Term
keeping the patient informed; support and teaching done by RN or physician; answer questions; support patient decisions
Definition
patient advocacy
Term
the ___________ is accountable to:
themselves, the patient, the Rn, the physician, the instructor, institution, nursing standards
Definition
lpn student
Term
reporting peers if they are displaying potentially harmful behaviors; ie impaired, theft, patient abuse, asking peers to cover mistakes
Definition
peer reporting
Term
these are the _________________ ___ _______:
nonmaleficence, beneficence, autonomy, fidelity, and justice
Definition
principles of ethics
Term
do no harm
Definition
nonmaleficence
Term
do good
Definition
beneficence
Term
free to choose
Definition
autonomy
Term
be true
Definition
fidelity
Term
fair to all
Definition
justice
Term
rule of 6 for medications
Definition
Plz MR, DidnT Do (it)
patient, medication, route, dose, time, documentation
Term
at the hospital the side rails must be (UP/DOWN)
Definition
up
Term
at the LTC facility, the side rails must be (UP/DOWN)
Definition
DOWN
Term
difference between beneficence and nonmaleficence
Definition
beneficence is preventing harm, nonmaleficence is doing no harm.
Term
nursing duties: always put patient ______-
Definition
first
Term
autonomy DOES NOT MEAN
Definition
patients can do or act as they want; patients can dictate how, when, or by whom care will be delivered; choose segments of plan of care to have and/or refuse
Term
autonomy DOES MEAN
Definition
thinking through all the facts; deciding independently and voluntarily; acting based on their decision
Term
jehovahs witnesses cannot
Definition
accept other blood into their body
Term
in the middle east, the (MALE/FEMALE) makes all the decisions
Definition
male
Term
quality vs. quantity of life
Definition
deciding to forgo recommended treatment for advanced stage of disease even if it will extend quantity of life
Term
acting in a patients best interest when they are no long able to do so on their own
Definition
fidelity
Term
breaching fidelity
Definition
could cost you your job!!!
do not discuss patient in public; patients name does NOT have to be mentioned if circumstances are known by others
Term
who can you speak with about patient
Definition
medical professionals directly involved in this patient's care; instructor
Term
disrespectful attitude towards the patient and patient's input regarding their own thoughts and beliefs related to their own care
Definition
beneficient paternalism
Term
it is advised to develop plan of care without the patients input (T/F)
Definition
FALSE
Term
steering the patients decisions in a different direction than what they may have chosen is not "okay" (T/F)
Definition
TRUE
Term
giving an opinion of what you believe would benefit the patient most without allowing them to consider all the options is never okay (t/f)
Definition
true
Term
your legal guideline for as a long as you practice nursing in the state of florida
Definition
florida nurse practice act
Term
(T/F) no person or agency can legally authorie you to do something in your capacity of a nurse that is not covered by the nurse practice act
Definition
true
Term
FNPA includes
Definition
definitions of nursing, lpn, use of lpn title, scope of practice, elements of unprofessional conduct, and function of state board of nursing
Term
nursing care that can be safely performed by lpn, based on knowledge and skills gained during the educational program
Definition
basic nursing care
Term
patients medical condition is predictable; medical and nursing orders are not changing continuusly- require nly basic nursing care
Definition
basic patient situation
Term
the (RN/LPN) assesses if the situation is basic or complex
Definition
rn
Term
patients situation is not predictable; medical and nursing orders are changing continously- expectations of care beyond scope of LPN practice
Definition
complex patient situation
Term
physicians order is given to an RN or LPN
Definition
delegate medical act (depends on facility's policy)
Term
states that the rn gives nursing orders to lpn
Definition
delegated nursing act
Term
supervisor is continously present to coordinate, direct, or inspect nursing care; must be on the premises
Definition
direct supervision
Term
supervisor has same supervision responsibilities but can be on premises or accessible by phone
Definition
general supervision
Term
funcitons of the board of nursing:
Definition
committees of councils decide whether specific activities are within scope of practice
Term
each (STATE/HOSPITAL) has their own board of nursing
Definition
state
Term
practicees can differ from (HOSPITAL TO HOSPITAL/ STATE TO STATE)
Definition
STATE TO STATE
Term
where to call if you think there is abuse
Definition
1-800-96-ABUSE
Term
_________ IS LIVELYHOOD
Definition
LICENSE
Term
8 categories (specific reasons to seek disciplinary action via nurse practice act)
Definition
fraud, negligence, discipline by another jurisdiction, unethical conduct, criminal activity, violation of nurse practice act, incompetence, alohol drug abuse
Term
written complaint that damages reputation
Definition
libel
Term
spoken complaint that damages reputation
Definition
slander
Term
Responsible for own actions includinh negligent behavior
Definition
Personal liability
Term
Responsible fir actions of others
Definition
Vicarious liability
Term
The nurse becomes temporarily employee of the physician. Physician controls nurses actions that may have lead to harm caused to the patient
Definition
Captain of the ship doctrine
Term
Legal document and subject to subpoena
Definition
Medical chart
Term
Are all common causes of ________ ________
Lack of safety knowledge skill observation reporting
Definition
Nursing liability
Term
You are accountable to
Definition
The patient, yourself, and instructor
Term
_________ is your priority
Definition
Patient
Term
Liability of student nurses and instructors
Definition
Responsible to read about patient
Be aware of all patients medications
Create your own plan of care
Request assistance if /when needed
Term
Instructor liabilities
Definition
Make the patient /student assignments
Reasonable supervision of students
Provide ongoing support during clinical experience
Term
The right to be left alone and free from intrusion : choose care based on personal feelings attitudes and beliefs, accept /reject treatment, control how sensitive information is shared
Definition
Privacy
Term
The nondisclosure of information regarding patients
Definition
Confidentiality
Term
Information that must be revealed to health department
Definition
Communicable diseases
Adverse reactions related to vaccines
Criminal acts
Equipment related injuries
Clear and present danger to patient
Abuse /neglect
Incompetence /unprofessional acts
Term
Ethical document (not legal), includes high quality hospital care, clean /safe environment, involvement in own care, protection of your privacy, help when leaving the hospital, help with billing claims
Definition
Patients bill of rights
Term
Took effect in 2003, gives patient rights over their health information
Definition
Health insurance portability and accountability act (hipaa)
Term
Three basic parts of Hippaa law
Definition
Protection of privacy-Protected health information
Administrative simplification- Reduction of paperwork for reimbursement
Security standards- security standards for protection of information (password protected)
Term
Must be available to all patients employees and health related companies with whom the provider of care does business with, patient reads and signs, NOT THE SAME as signing consent for treatment
Definition
Notice of privacy practices HIPPA
Term
Gives access ti medical records, ammendments to medical records, restriction on use of health information, access to accounting, confidential communications (identity), complaints about hippa violations
Definition
Hipaa notice of privacy practices
Term
How much information can be released
Definition
Minimum necessary rule
Term
Determining g competency
Definition
Legal or clinical
Term
Legal competency
Definition
..18 years
pregnant or married female
Self supporting minor (emancipated)
Competent in eyes of the law
Term
Clinical competency
Definition
Indentify the problem for which they are seeing a physician for,
Understand options of care (pros /cons)
Make decisions related to care
Support reasons for their choice
Term
Obtained on admission, may be revoked verbally or in writing
Definition
Implied consent
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