Nursing Ethics and Professional Standards
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Questions and Answers

Which of the following best describes the ethical principle of beneficence in nursing?

  • Keeping promises made to patients and upholding agreements.
  • Ensuring that medical interventions are performed competently and do not cause harm.
  • Treating all patients fairly and with equal respect, regardless of their circumstances.
  • Protecting patient confidentiality by only sharing information with their consent.
  • Acting in a way that prioritizes the patient's well-being and promotes their good. (correct)

    • What is the purpose of the National Patient Safety Goals (NPSGs)?

  • To promote research and innovation in healthcare technology.
  • To improve patient safety and reduce preventable medical errors. (correct)
  • To create a comprehensive code of ethics for nurses to follow.
  • To establish standardized nursing education requirements across all institutions.

    • Which of the following is NOT a core competency outlined in the Quality and Safety Education for Nurses (QSEN) initiative?

  • Teamwork and collaboration
  • Patient-centered care
  • Evidence-based practice
  • Financial management and resource allocation (correct)

    • Which ethical principle is most directly related to the concept of informed consent?

    <p>Autonomy (C)</p> Signup and view all the answers

    Which of the following is a common condition that places a patient at a higher risk for falls?

    <p>Unsteady gait (C)</p> Signup and view all the answers

    What is the main purpose of a Code of Ethics for nurses?

    <p>To outline the ethical principles and standards that guide nursing conduct. (A)</p> Signup and view all the answers

    Which of the following fall prevention techniques focuses on modifying the physical environment?

    <p>Removing tripping hazards and ensuring adequate lighting (B)</p> Signup and view all the answers

    Which of the following BEST describes the relationship between the ethical principle of beneficence and non-maleficence?

    <p>Beneficence and non-maleficence are separate but complementary principles. (B)</p> Signup and view all the answers

    What is the primary purpose of a 'central line bundle'?

    <p>To prevent infection in patients with central lines (C)</p> Signup and view all the answers

    Which of the following is NOT a component of seizure precautions?

    <p>Administering medication to prevent seizures (B)</p> Signup and view all the answers

    What is the primary reason for the 'R' in the RACE acronym for fire safety?

    <p>Rescuing patients in immediate danger (D)</p> Signup and view all the answers

    What is the PRIMARY purpose of the 5 Rights of Delegation?

    <p>To ensure that patients receive safe and effective care (B)</p> Signup and view all the answers

    Which of the following tasks is generally INAPPROPRIATE to delegate to an unlicensed assistive personnel (UAP)?

    <p>Performing a physical assessment (C)</p> Signup and view all the answers

    Which of the following is a key component of obtaining informed consent?

    <p>The patient must understand the risks, benefits, and alternatives of the procedure (B)</p> Signup and view all the answers

    Which of the following BEST describes the legal concept of 'negligence' in healthcare?

    <p>Failure to provide reasonable care that results in injury (B)</p> Signup and view all the answers

    What is the primary purpose of the Health Insurance Portability and Accountability Act (HIPAA)?

    <p>To regulate the use and disclosure of protected health information (C)</p> Signup and view all the answers

    Which of the following is NOT a component of PHI (Protected Health Information)?

    <p>Patient's favorite color (B)</p> Signup and view all the answers

    What is the PRIMARY purpose of a 'living will'?

    <p>To outline end-of-life care preferences in case of incapacitation (D)</p> Signup and view all the answers

    Which of the following is a true statement regarding the use of physical restraints in healthcare?

    <p>Restraints should be utilized for the shortest duration possible (A)</p> Signup and view all the answers

    What is the primary purpose of the 'Morse Fall Scale'?

    <p>To predict a patient's risk of experiencing a fall (A)</p> Signup and view all the answers

    What does the acronym 'PASS' stand for related to fire safety?

    <p>Pull, Aim, Squeeze, Sweep (D)</p> Signup and view all the answers

    Which of the following is NOT a safety risk associated with home environments?

    <p>Social isolation of the patient (C)</p> Signup and view all the answers

    What is the PRIMARY purpose of the Nurse Practice Acts?

    <p>To establish the legal scope of nursing practice within each state (A)</p> Signup and view all the answers

    How do Nurse Practice Acts help distinguish nursing from other healthcare professions?

    <p>They define the specific tasks that only nurses can perform (B)</p> Signup and view all the answers

    Which of the following is NOT a component of the Affordable Care Act?

    <p>Mandated government-run healthcare for all citizens (C)</p> Signup and view all the answers

    Flashcards

    Advocacy

    Process where a nurse provides patients with necessary information and supports their decisions.

    Autonomy

    The ability or tendency to function independently.

    Beneficence

    The ethical principle of doing good or promoting good within healthcare.

    Code of Ethics

    A formal statement outlining a profession's guidelines for ethical behavior.

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    Confidentiality

    Act of keeping patient information private and secret.

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    Justice

    Ethical standard focusing on fairness within healthcare.

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    Quality Improvement

    Monitoring and evaluating healthcare processes to identify improvement opportunities.

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    National Patient Safety Goals

    A set of goals designed to improve patient safety in healthcare.

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    Environment-Related Fall Risks

    Factors that increase the likelihood of patient falls, including wet floors, clutter, and medical equipment use.

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    CAUTI

    Catheter-associated urinary tract infection, preventable with protocols for early removal.

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    CLABSI

    Central line-associated bloodstream infection, minimized by following central line bundles.

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    RACE acronym

    A protocol for responding to fires in healthcare settings: Rescue, Activate, Contain, Extinguish.

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    PASS acronym

    Instructions for using a fire extinguisher: Pull, Aim, Squeeze, Sweep.

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    Physical Restraint Types

    Types of restraints implemented for safety, including mittens and belts; used minimally.

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    Chemical Restraints

    Medications like narcotics and sedatives used to manage patient behavior.

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    5 Rights of Delegation

    Principles ensuring proper delegation: Right task, circumstance, person, direction, supervision.

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    Nurse Practice Acts

    State laws defining nursing standards and scope of practice.

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    Informed Consent

    Process of informing a patient about risks/benefits before a procedure.

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    DNR

    Do Not Resuscitate order indicating a patient does not want life-saving measures.

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    HIPAA

    Law protecting patient health information and ensuring privacy.

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    EMTALA

    Law preventing patient dumping by ensuring appropriate screening and stabilization in emergency.

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    Negligence

    Careless act leading to injury, due to omission or commission.

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    Advanced Directive

    Document stating a person's wishes regarding medical treatment in incapacitation.

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    Study Notes

    Nursing Ethics and Professional Standards

    • Advocacy: Nurses objectively provide patients with necessary information and support their choices.
    • Autonomy: The ability to make independent decisions.
    • Beneficence: Acting to promote good; a core ethical principle.
    • Code of Ethics: A formal document outlining ethical conduct for a profession.
    • Confidentiality: Keeping patient information private; sharing requires consent.
    • Fidelity: Keeping promises.
    • Justice: Ethical fairness.
    • Non-maleficence: Doing no harm; closely related to beneficence.
    • Value: Personal beliefs about the worth of something.
    • Quality & Safety: The Institute of Medicine (IOM) provides focus for nursing education in quality, safety, and competencies.
    • QSEN (Quality and Safety in Education of Nurses): Commitment to the 6 QSEN competencies, including: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.

    Patient Safety and Quality Improvement

    • QSEN: Focuses on quality and safety in nursing education.
    • Quality Improvement: Monitoring and evaluating healthcare processes to identify areas for improvement.
    • National Patient Safety Goals: Seven goals for improving patient safety.
    • The Joint Commission: A national non-profit group driving quality improvement and patient safety.
    • Fall prevention: Techniques include removing tripping hazards, adequate lighting, medication precautions, handrails, and mobility assistance. Patients at higher risk include those with incontinence, unsteady gait, cognitive changes, or visual/hearing difficulties. Environment-related risks include medical equipment, wet floors, and clutter. Assessment tools are available (e.g., John Hopkins Fall Risk Assessment Tool).
    • CAUTI (Catheter-Associated Urinary Tract Infection): Preventable through nurse-driven protocols.
    • CLABSI (Central Line-Associated Blood Stream Infection): Preventable using central line bundles.
    • Seizure Precautions: Includes having rescue equipment, padding side rails, IV access, a lowered and locked bed, removing unnecessary items, educating caregivers, protecting the head, and removing nearby furniture.
    • Fire Safety: The RACE acronym (Rescue, Activate, Contain, Extinguish) and PASS acronym (Pull, Aim, Squeeze, Sweep) are used for fire emergencies.
    • Physical Restraints: Used only if necessary for safety concerns (self or staff), for the shortest duration, with alternative activities provided. Types include mittens, soft wrist restraints, ankle restraints, belt restraints, and 4-point restraints.
    • Chemical Restraints: Use of narcotics or sedatives.
    • Nursing Considerations (Restraints): Explain the need to the patient and family, obtain verbal consent, and document assessment at least hourly, as well as repositioning/nutrition every 2 hours. Ensure restraints aren't too tight.
    • Restraint Assessment: Continuous safety checks and assessments (at least every hour).
    • Five Rights of Delegation: Right task, right circumstance, right person, right direction/communication, right supervision.
    • Actions Not Delegated: Assessment, teaching, and evaluation. Delegation considerations: Routine tasks, taught skills, job descriptions, routine care, care of stable patients with predictable outcomes.
    • Legal Considerations: Includes Durable Power of Attorney for Health Care, Informed Consent, Malpractice, Neglect, Negligence, Nurse Practice Acts, Scope of Nursing Practice, HIPAA, EMTALA, Advanced Directives/Living Wills, DNR orders (Do Not Resuscitate) and the Affordable Care Act.

    Additional Considerations

    • Home Safety: Factors include assistance with activities of daily living (ADLs), medication management, fall risks, living situations, and potential hazards.
    • Risks in the Home Environment: Chemical, medication, accidental, and other environmental concerns.
    • Patient Health Information (PHI): Name, address, date of birth, and social security number, photos, fingerprints, medical record number, fax and telephone numbers, and driver's license.
    • TAKE MORE NOTES FROM SHEPATH (This is a call for further note-taking from an additional source - not an actionable piece of information for the student)

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    Description

    Explore the vital principles of nursing ethics and professional standards. This quiz covers key concepts such as advocacy, autonomy, beneficence, and the importance of confidentiality. Understanding these principles is crucial for effective nursing practice and ensuring patient care.

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