Pearson Chpt 4 NCLEX-PN

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Pearson Chpt 4 NCLEX-PN
2012-07-28 20:09:58
Pearson Chpt4 NCLEX PN Legal Ethical

Pearson Chpt 4 NCLEX PN Legal and Ethical
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  1. this group provides guidance to nurses and protection for clients and families
  2. Freedom to make decisions that affect self and to take action for self;
  3. is self-governing and includes 4 basic elements: respect for others, ability to determine person goals, complete understanding of choice, and freedom to implement plan or choice
  4. to do no harm, either intentional or unintentional
  5. to act in the best interest of others; to contribute to the well-being of others; includes client advocacy, has three major components: to promote good, prevent harm or evil, and remove harm or evil
  6. fair, equitable, and appropriate treatment; resources are distrubuted equally to all
  7. raminaing faithful to ethical principles and ANA  Code of Ethics for Nurses; keeping commitments and promises
  8. to tell the truth, which has added benefit of promoting trust between client and nurse
  9. being answerable to self and others of one's actions; includes the concept of responsibiltiy, a specific type of accountability for duties performed within a specific role
  10. legal limits of nursing are dictated by state and federal laws and guidelines are are regulate by who?
    each state's Board of Nursing
  11. determines the scope of practice for a professional nurse in a specifice state
    Nurse Practice Act
  12. Type of law:
    law of the land; defines structure, power and limits of government; guarantees fundamental rights and liberty.  Example due process or equal protection
  13. Type of Law:
    Law enacted by legislative branch of government; regulatory agencies are established through statutes.  Example:  Nurse practice act, informed consent, living wills, reporting abuse, and sexual harassment
    Statutory laws
  14. Type of law:
    judge made law, derived from court decision that establish a precedent by which other cases are judged.  Example:  Resoulution of a dispute between two parties
    Common laws
  15. Type of law:
    Authority of administrative agencies to create rules and regulations to enforce statutory laws.  Example:  Rules and regulations of a State Board of Nursing
    Administrative Laws
  16. Type of law:
    laws affecting safety and welfare of public.  Example  Homicide, theft, arson, sexual assault, euthanasia
    Criminal Law
  17. Type of law:
    Law that applies to relationship between private individuals; includes contract law and tort law. 
    Private or civil law
  18. nurses are responsible and accountable for incorrect or inappropriate actions or inactions
  19. unintentional failure to act as a reasonable person in similar circumstances would act that results in injury to another
  20. nurse has responsibility to care for and watch over clients as a componenet of employment; it indicates legal relationship between clients and nurses
  21. nurse fails to complete this duty; this can include acts of commission (activities nurses did) or omission (activities nurse failed to do)
    Breech of duty
  22. client has suffered physical, emotional, or financial injuries
    injury occured
  23. there is a reasonable close causal connection between nurse's conduct and resulting injury
    proximate cause
  24. negligence by a professional; professional failure to carry out or perform duties that result in injury to another; acting outside one's scope of practice
  25. threat of harm or unwanted contact with client that causes the client fear
  26. a purposeful touching of client without that client's consent
  27. can result from violations of confidentiality
    invasion of privacy
  28. deliberately deceiving client for purpose of unlawful gain
  29. sharing client information with a third party that results in damage to client's reputation; can occur in the form of slander (oral) or libel (in writing)
    defamation of character
  30. prohibiiting a client from leaving a health care facility with no legal justification
    false imprisionment
  31. using chemical or physical restraints without satisfactory clinical evidence of need
    false imprisionment
  32. a legal protection of client's right to choose type of care desired and make own decision about health care
    informed consent
  33. There are two types:  living will or health care proxy (also called durable power of attorney for health care)
    Advance directives
  34. outlines medical treatment client wishes to refuse (e.g. intubation) if client unable to communicate wishes at that time
    living will
  35. appoints someone (usually family or trusted friend) to make health care decisions if client unable to do so
    Health care proxy (also called durable power of attorney)
  36. do not put a copy of this report in the clients records or make reference to incident report in client  record
    incident reports
  37. clients in mental health setting do not relinquish right to this upone admission; may still accept or refuse specific aspects of treatment or care
    informed consent
  38. extremely important also in psychiatric mental health nursing