Term
these are all examples of ____________ issues
in vitro fertilization, artificial insemination, surrogate motherhood, cloning, organ donation, stem cell research, abortion, and advance directives |
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a system of standards or moral principles that direct actions as being right or wrong |
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deal with right or wrong behavior (conduct) or character |
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the worth you assign to an idea or action; freely chosen and affected by age and maturity |
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the values and ethical principles governing nursing practice, conduct and relationships |
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defends choices in behavior and actions you take as a nurse, they are the laws that govern nursing practice |
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florida statutes are located on these two pages in the florida board of nursing practice act |
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you must always follow the ________; no matter what your personal beliefs may be. |
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always present statement of objection to employer ______ starting your employment |
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personal ethics and nursing ethics are (DIFFERENT/THESAME) |
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all patients must be cared for _______ |
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evolution of nursing ethics; the nurses purpose WAS: |
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to follow physician's orders; advocacy was more for physician than for patient |
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evolution of nursing ethics; the nurses purpose NOW involves |
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critical thinking; patient advocacy; encouraging patients to become involved with their care and assisting them in doing so |
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issues the ethics committee deals with |
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multidisciplinary, religious, and cultural issues |
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consent or refuse treatments; cannot speak for others |
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keeping the patient informed; support and teaching done by RN or physician; answer questions; support patient decisions |
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the ___________ is accountable to: themselves, the patient, the Rn, the physician, the instructor, institution, nursing standards |
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reporting peers if they are displaying potentially harmful behaviors; ie impaired, theft, patient abuse, asking peers to cover mistakes |
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these are the _________________ ___ _______: nonmaleficence, beneficence, autonomy, fidelity, and justice |
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rule of 6 for medications |
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Plz MR, DidnT Do (it) patient, medication, route, dose, time, documentation |
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at the hospital the side rails must be (UP/DOWN) |
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at the LTC facility, the side rails must be (UP/DOWN) |
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difference between beneficence and nonmaleficence |
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beneficence is preventing harm, nonmaleficence is doing no harm. |
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nursing duties: always put patient ______- |
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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 |
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thinking through all the facts; deciding independently and voluntarily; acting based on their decision |
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jehovahs witnesses cannot |
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accept other blood into their body |
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in the middle east, the (MALE/FEMALE) makes all the decisions |
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quality vs. quantity of life |
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deciding to forgo recommended treatment for advanced stage of disease even if it will extend quantity of life |
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acting in a patients best interest when they are no long able to do so on their own |
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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 |
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who can you speak with about patient |
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medical professionals directly involved in this patient's care; instructor |
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disrespectful attitude towards the patient and patient's input regarding their own thoughts and beliefs related to their own care |
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it is advised to develop plan of care without the patients input (T/F) |
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steering the patients decisions in a different direction than what they may have chosen is not "okay" (T/F) |
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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) |
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your legal guideline for as a long as you practice nursing in the state of florida |
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florida nurse practice act |
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(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 |
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definitions of nursing, lpn, use of lpn title, scope of practice, elements of unprofessional conduct, and function of state board of nursing |
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nursing care that can be safely performed by lpn, based on knowledge and skills gained during the educational program |
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patients medical condition is predictable; medical and nursing orders are not changing continuusly- require nly basic nursing care |
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the (RN/LPN) assesses if the situation is basic or complex |
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patients situation is not predictable; medical and nursing orders are changing continously- expectations of care beyond scope of LPN practice |
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complex patient situation |
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physicians order is given to an RN or LPN |
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delegate medical act (depends on facility's policy) |
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states that the rn gives nursing orders to lpn |
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supervisor is continously present to coordinate, direct, or inspect nursing care; must be on the premises |
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supervisor has same supervision responsibilities but can be on premises or accessible by phone |
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funcitons of the board of nursing: |
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committees of councils decide whether specific activities are within scope of practice |
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each (STATE/HOSPITAL) has their own board of nursing |
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practicees can differ from (HOSPITAL TO HOSPITAL/ STATE TO STATE) |
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where to call if you think there is abuse |
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8 categories (specific reasons to seek disciplinary action via nurse practice act) |
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fraud, negligence, discipline by another jurisdiction, unethical conduct, criminal activity, violation of nurse practice act, incompetence, alohol drug abuse |
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written complaint that damages reputation |
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spoken complaint that damages reputation |
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Responsible for own actions includinh negligent behavior |
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Responsible fir actions of others |
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The nurse becomes temporarily employee of the physician. Physician controls nurses actions that may have lead to harm caused to the patient |
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Captain of the ship doctrine |
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Legal document and subject to subpoena |
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Are all common causes of ________ ________ Lack of safety knowledge skill observation reporting |
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The patient, yourself, and instructor |
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_________ is your priority |
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Liability of student nurses and instructors |
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Responsible to read about patient Be aware of all patients medications Create your own plan of care Request assistance if /when needed |
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Make the patient /student assignments Reasonable supervision of students Provide ongoing support during clinical experience |
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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 |
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The nondisclosure of information regarding patients |
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Information that must be revealed to health department |
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Communicable diseases Adverse reactions related to vaccines Criminal acts Equipment related injuries Clear and present danger to patient Abuse /neglect Incompetence /unprofessional acts |
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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 |
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Took effect in 2003, gives patient rights over their health information |
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Health insurance portability and accountability act (hipaa) |
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Three basic parts of Hippaa law |
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Protection of privacy-Protected health information Administrative simplification- Reduction of paperwork for reimbursement Security standards- security standards for protection of information (password protected) |
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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 |
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Notice of privacy practices HIPPA |
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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 |
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Hipaa notice of privacy practices |
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How much information can be released |
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..18 years pregnant or married female Self supporting minor (emancipated) Competent in eyes of the law |
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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 |
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Obtained on admission, may be revoked verbally or in writing |
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