Nurse Investigations and Complaints
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Questions and Answers

Which of the following best describes values?

  • Strong persona beliefs (correct)
  • Are at the 'heart of ethics'
  • Dosn't change throughout life
  • Un-challengable

    • What influences personal values?

  • Cultural and religious influences
  • Family experience and relationships
  • Individual experiences
  • All of the above (correct)

    • Why is value clarification important, Which listed below isn't part of clarification?

  • To decide priorities and make decisions
  • To modify attitudes and behavior
  • To resolve conflict with Relational communication
  • To change someone else's point of view (correct)

    • What is required for self-awareness?

    <p>Consciousness of your own values and biases</p> Signup and view all the answers

    Why should healthcare professionals respect diverse values systems?

    <p>To understand the impact on health and wellness</p> Signup and view all the answers

    Which of the following best describes morals?

    <p>Internal understanding of how we believe we ought to act</p> Signup and view all the answers

    What are the key principles of bioethics related to self-governance and informed consent?

    <p>All of the Above</p> Signup and view all the answers

    Which ethical theory focuses on inequalities between people and power dynamics?

    <p>Feminist Ethics</p> Signup and view all the answers

    What is the term used to describe a situation where there are equally compelling reasons for and against multiple courses of action?

    <p>Ethical dilemma</p> Signup and view all the answers

    Why can ethical or moral dilemmas lead to moral distress?

    <p>There is no right answer or solution</p> Signup and view all the answers

    According to the Code of Ethics, what is the purpose of the ethical values of nurses?

    <p>To provide guidance when nurses are working through an ethical challenge</p> Signup and view all the answers

    What principles are identified as most important for nurses practicing in Ontario according to the Code of Conduct?

    <p>All of the above</p> Signup and view all the answers

    What is considered professional misconduct according to the CNO?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is not a source of law in Canada?

    <p>International law</p> Signup and view all the answers

    What is the role of a nursing regulatory body according to the Nursing Act?

    <p>To ensure safe, competent, and ethical nursing care</p> Signup and view all the answers

    Which piece of legislation deals with decision-making about personal care or property on behalf of incapable persons?

    <p>Substitute Decisions Act (SDA)</p> Signup and view all the answers

    What is the definition of an unintentional tort?

    <p>An act or omission causing unintentional injury or harm to another person</p> Signup and view all the answers

    What is the main purpose of the Health Care Consent Act (HCCA)?

    <p>To set explicit rules on when consent is required for treatment</p> Signup and view all the answers

    What is the definition of informed consent?

    <p>Receiving information about treatment that a reasonable person would require</p> Signup and view all the answers

    Who assesses the capacity of a client to make a decision concerning treatment, admission, or personal assistance service?

    <p>The healthcare provider</p> Signup and view all the answers

    Which of the following can cause legal problems in nursing practice due to an inadequate number of nurses to provide care?

    <p>Short staffing</p> Signup and view all the answers

    What should nurses do if they believe a physician's order is in error, violates agency policy, or is harmful to patients?

    <p>Question the order</p> Signup and view all the answers

    What is the role of nurses in administering medications?

    <p>Knowing the purpose and effect of medications</p> Signup and view all the answers

    What legislation governs health care information privacy in Ontario?

    <p>Personal Health Information Protection Act</p> Signup and view all the answers

    According to the Personal Health Information Protection Act, 2004 (PHIPA), in what circumstances can't practitioners disclose personal health information without obtaining consent?

    <p>If the disclosure is needed to provide health care and consent cannot be obtained ever</p> Signup and view all the answers

    What must nursing students do in order to avoid legal liability?

    <p>Answer A and B</p> Signup and view all the answers

    Who is accountable for the actions of a nursing student? Right or Wrong.

    <p>All of the above</p> Signup and view all the answers

    What is the definition of ethics?

    <p>Philosophical ideals of right and wrong and is a reflection of what matters most to people or professions</p> Signup and view all the answers

    What are the CNO guidelines for the learner in hospital settings?

    <p>All of the above</p> Signup and view all the answers

    True or false: The Personal Health Information Protection Act, 2004 (PHIPA) allows practitioners to disclose personal health information without obtaining consent in certain circumstances.

    <p>True</p> Signup and view all the answers

    True or false: Nursing students are not accountable for their own actions to the patient, their educational institutions, and placement organization.

    <p>False</p> Signup and view all the answers

    True or false: The CNO Guidelines for the Learner recognize the individual knowledge, skills, and judgment of nursing students.

    <p>True</p> Signup and view all the answers

    True or false: The CNO Practice Standard allows nurses to disclose personal health information without consent

    1. to eliminate or reduce a significant risk of harm to a person
    2. to contact a relative or friend of an injured, incapacitated, or ill client for consent
    3. to confirm that a client is a resident or client in a facility and provide his/her location and comment on his/her general health status Lastly, 4. if disclosure is needed to provide health care, and consent cannot be obtained quickly

    <p>True</p> Signup and view all the answers

    True or false: The CNO Practice Standard does not permit nurses to disclose personal health information without consent in any circumstances.

    <p>False</p> Signup and view all the answers

    Study Notes

    Nursing Values and Ethics

    • Values are strong personal beliefs about the worth of an ideal, influencing behavior and varying among people.
    • Values and beliefs are reflected in actions, behaviors, and decisions, and can be challenged or evolve over time.
    • Personal values may reflect cultural, ethnic, social, religious influences, and individual experiences.
    • As future nurses, internalizing the values of the profession is important for professional values formation.
    • Values clarification involves appraising one's values to decide priorities and make decisions.

    Morals vs. Ethics

    • Morals refer to internal, personal understanding of right and wrong, reflecting individual opinions and values.
    • Ethics involve philosophical ideals of right and wrong, varying for different people, professions, and organizations.

    Ethical Theories

    • Utilitarianism (Consequentialism): the value of something is determined by its usefulness; greatest good for the greatest number; end justifies the means.
    • Deontology: right or wrong is determined by the nature of the act itself; actions are guided by morals.
    • Bioethics: guided by four principles: respect for autonomy, beneficence, non-maleficence, and justice.

    Canadian Nurses Association (CNA) Code of Ethics

    • Provides guidance on ethical values and responsibilities for nurses in Canada.
    • Includes seven values: providing safe, compassionate, and competent care; promoting health and wellbeing; promoting and respecting informed decision-making; preserving dignity; maintaining privacy and confidentiality; promoting justice; and being accountable.

    College of Nurses of Ontario (CNO) Code of Conduct

    • Identifies six principles for nurses practicing in Ontario: respecting clients' dignity; providing inclusive and culturally safe care; providing safe and competent care; working respectfully within the healthcare team; acting with integrity in clients' best interests; and maintaining public confidence in the nursing profession.

    Ethical Decision-Making

    • Involves considering personal values, ethical theories, and principles to make decisions in practice.
    • Challenges and barriers may arise, including conflicts between personal and professional values, and limited resources.
    • Fiduciary relationship: a professional relationship based on trust, where the nurse provides services that require specialized knowledge and integrity.
    • Sources of law: Constitution of Canada, civil law, common law, statute law, and precedent.

    The Nursing Act (1991) and CNO

    • Provincial/territorial legislation grants authority to a nursing regulatory body (CNO).
    • Regulatory body ensures safe, competent, and ethical nursing care.

    Professional Conduct and Misconduct

    • Acts that constitute a breach or abuse of the nurse-client relationship are considered professional misconduct.
    • Conduct that demonstrates a lack of integrity, such as harm or abuse of power, is not consistent with expected professional standards.
    • Unintentional tort (negligence): a civil wrong committed against a person or property, usually due to unintentional harm or injury.
    • Intentional torts: willful acts that violate a person's rights, such as breach of privacy or confidentiality.
    • Informed consent is required for all routine treatment, hazardous procedures, and some other treatments.
    • The person must have legal and mental capacity to make a treatment decision, and the consent must be given voluntarily without coercion.

    Abandonment, Assignment, and Contract Issues

    • Abandonment: illegally leaving a client without care or support.
    • Floating: temporarily reassigning a nurse to another unit or area.
    • Physician's orders: must be followed unless the nurse believes an order is in error, violates agency policy, or is harmful to patients.
    • Abortion
    • Drug regulations and nurses
    • Communicable diseases
    • End-of-life issues and Medical Assistance in Dying (MAID)
    • Advance directives
    • Organ donation
    • Mental health crisis situations
    • Public health issues
    • Staffing ratios
    • Harm reduction programs

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    Nurs 1P12 Week 6 Class Slides PDF

    Description

    Test your knowledge of the legal aspects of nurse investigations and complaints. Learn about the process, mandatory reporting, and the criteria for initiating investigations.

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