Ethical and Legal Issues in Caring-Based Practice

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Questions and Answers

What aspect of nursing education is emphasized for improvement in the nursing profession?

Reducing the number of nursing schools

More focus on theoretical knowledge

Limited academic progression

Higher levels of education and training (correct)

Which core competency is NOT part of the Institute of Medicine's Five Core Educational Competencies?

Use comprehensive marketing strategies (correct)

Provide patient-centered care

Work in interdisciplinary teams

Apply quality improvement

In what manner should nurses participate in healthcare redesign?

Only in direct patient care roles

As full partners with other health care professionals (correct)

As aides for physicians only

By taking a backseat to administrative decisions

What is a critical requirement for effective workforce planning in healthcare?

Improved data collection and information infrastructure Signup and view all the answers

What is defined as a situation where there are several unequally satisfying solutions or a conflict between one’s values?

Dilemma Signup and view all the answers

What is a primary commitment of a nurse according to the A N A’s Code of Ethics?

To the patient Signup and view all the answers

Which question relates to healthcare reform concerning long-term cost savings?

Does preventive care produce significant long-term cost savings? Signup and view all the answers

Which of the following is NOT included in the responsibilities owed by the nurse to themselves according to the A N A’s Code of Ethics?

Maintain high financial standards Signup and view all the answers

What does bioethics primarily focus on?

Moral choices in the healthcare domain Signup and view all the answers

Which provision emphasizes the nurse’s role in improving the moral environment of the workplace?

Establishing quality health care conditions Signup and view all the answers

According to the A N A’s Code of Ethics, nurses have authority and responsibility for which of the following?

Providing optimal care Signup and view all the answers

In which areas are nurses expected to contribute to the advancement of the profession?

Research, practice, education, or administration Signup and view all the answers

Which provision highlights the need for nurses to prioritize the dignity and worth of every individual?

Practicing with respect and compassion Signup and view all the answers

What ethical principle emphasizes the importance of truth-telling in healthcare?

Veracity Signup and view all the answers

Which ethical principle requires positive action to benefit the patient?

Beneficence Signup and view all the answers

What does nonmaleficence primarily focus on in healthcare?

Avoiding harm to patients Signup and view all the answers

Which ethical principle relates to the concept of fairness and individual rights?

Justice Signup and view all the answers

What is a significant concern of confidentiality within healthcare?

Disclosure of patient information without consent Signup and view all the answers

In ethical decision-making, what does autonomy emphasize?

Patient capacity to make informed choices Signup and view all the answers

What does fidelity in nursing ethics refer to?

Keeping promises made to patients Signup and view all the answers

Which approach in ethics is aligned with 'the greatest amount of happiness and least amount of harm'?

Teleology Signup and view all the answers

What does the principle of justice aim to address within healthcare policies?

Elimination of health disparities Signup and view all the answers

What does paternalism restrict when considering patient autonomy?

Patient's right to choose treatments Signup and view all the answers

What is an essential step in the ethics resolution guideline when making a decision about ventilator allocation?

Humanize by making a decision tree Signup and view all the answers

Which statement accurately describes the relationship between ethics and law?

Situations can be both illegal and unethical Signup and view all the answers

What should advanced practice registered nurses (APRNs) be aware of regarding their practice?

The duties and responsibilities of their license Signup and view all the answers

What does the model established by the APRN Consensus Work Group emphasize?

Licensure, Accreditation, Certification, and Education Signup and view all the answers

What should APRNs understand about prescriptive authority?

It involves different regulations and restrictions Signup and view all the answers

What are the three components necessary to establish malpractice?

Duty to patient, standard of care deviation, and resultant harm Signup and view all the answers

What is one of the recommendations from the IOM report for nursing practice?

Nurses should practice to the full extent of their education and training Signup and view all the answers

Which issue is a common legal challenge faced by APRNs?

Unequal pay and reimbursement Signup and view all the answers

Study Notes

Ethical Issues

Ethics refers to moral principles that dictate what one ought to do, while bioethics specifically pertains to ethical dilemmas in healthcare.
Dilemma: A scenario containing multiple solutions that are not equally satisfying, often involving a conflict of values.

A N A’s Code of Ethics: Nine Provisions

Nurses are committed to practicing compassionately and respecting the dignity of every individual, without bias.
Advocacy for patient rights, health, and safety is a primary responsibility of nurses.
Nurses must maintain self-respect and health while promoting quality care and a positive work environment.
Contribution to the nursing profession occurs through research, education, and policy development.
Collaboration with other professionals is crucial for promoting human rights and integrating social justice into health policies.

Theoretical Approaches

Deontology (Immanuel Kant): Focuses on the principle of universalizability, where the morality of an action is based on rules rather than consequences.
Teleology: Utilitarianism (John Stuart Mill) emphasizes achieving the greatest happiness and the least harm, justifying actions by their outcomes.

Ethical Principles

Autonomy: Emphasizes self-determination and respect for individuals, often limited by paternalism, necessitating informed consent.
Beneficence: Involves positive actions balancing harms and benefits, applicable in scenarios like caring for contagious patients.
Nonmaleficence: The principle of "do no harm," fundamental to healthcare practices, allowing for the omission of action when necessary.
Veracity: Truth-telling, ensuring communication is understood by the patient, relevant in discussing advance directives.
Confidentiality: Protecting patient information is essential under HIPAA regulations, maintaining trust in healthcare relationships.
Fidelity: Upholding commitments and avoiding creating false expectations, critical in patient-nurse relationships.
Justice: Fair treatment and addressing individual rights, challenging in situations like organ transplants and resource allocation.

Resolution Guidelines

Examine data and think of relevant stakeholders to make ethical decisions using a decision-making framework.

Relationship Between Ethics and Law

Legal actions are not always ethical, and vice versa; some situations can be both, while others can be both illegal and unethical.

Scope of Practice

Understanding the responsibilities of one's nursing license and being familiar with the State Practice Act are essential for compliance.

Model for Advanced Practice

A P R N Consensus Work Group established standards for Advanced Practice Registered Nurses covering Licensure, Accreditation, Certification, and Education.

Legal Issues

Knowledge of prescriptive authority is crucial to avoid medication errors, as is understanding reimbursement challenges in practice.

Malpractice

Establishing malpractice requires demonstrating a duty to the patient, deviation from standard care, and resulting harm.

I O M Report: Future of Nursing

Promote full utilization of nurses' training, improve educational infrastructure for career advancement, and enhance collaboration among healthcare professionals.
Effective healthcare policy requires better data collection.

I O M Five Core Educational Competencies

Focus on patient-centered care, teamwork, evidence-based practices, quality improvement, and informatics in nursing education.

Questions for Health-Care Reform

Exploration of preventive care cost-effectiveness, employer roles in coverage, the impact of tort reform on malpractice, and strategies for managing drug prices.

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Description

Explore the critical ethical and legal considerations surrounding caring-based practice through this comprehensive quiz. Delve into definitions and frameworks such as bioethics and dilemmas, while also examining the ANA's Code of Ethics. This quiz is essential for understanding responsible healthcare practices.