Nursing Ethics Chapter 3 Flashcards

Questions and Answers

What ethical issue is demonstrated when Dorothy, a nursing assistant, makes fun of the way one of her residents speaks English?

Ethical

What legal issue is represented by Dennis taking a book from a resident with dementia?

Legal

What ethical issue is present when Lisa is ten minutes late for work and does not inform her supervisor?

Ethical

What legal issue does Paula face when she fabricates a blood pressure reading on a resident's chart?

Legal Signup and view all the answers

What does the Omnibus Budget Reconciliation Act (OBRA) set minimum standards for?

Nursing assistant training Signup and view all the answers

According to OBRA, nursing assistants must complete at least __ hours of training before employment.

75 Signup and view all the answers

What required topic must be covered during nursing assistant (NA) training per OBRA?

Promoting residents' legal rights Signup and view all the answers

What is the purpose of the Minimum Data Set (MDS)?

Assessing residents and solving resident problems Signup and view all the answers

How often must an MDS be completed for each resident?

Any time there is a major change in a resident's condition Signup and view all the answers

Which residents' right is violated when staff allows a visually-impaired resident to go without glasses?

Services and activities to maintain a high level of wellness Signup and view all the answers

What right is being violated when Mr. Gallerano is told he cannot have dinner until he takes his medication?

The right to participate in their own care Signup and view all the answers

Which residents' right is violated when Jim denies Ms. Mayes the option to wear her favorite sweater?

The right to make independent choices Signup and view all the answers

What residents' right is being violated when Amy shares funny stories about her residents with her family?

The right to privacy and confidentiality Signup and view all the answers

What right is being violated when Laura physically reprimands Mr. Young during dinner?

The right to dignity, respect, and freedom Signup and view all the answers

Which right is violated when James borrows Mrs. Hart's bracelet without her knowledge?

The right to security of possessions Signup and view all the answers

What residents' right is being violated when Anne prevents Ms. Land from seeing her daughter?

The right to visits Signup and view all the answers

What right is violated when Pete threatens a resident not to report an incident?

The right to complain Signup and view all the answers

What is the definition of abuse in the context of elderly care?

Purposeful mistreatment that causes physical, mental, or emotional pain or injury to someone Signup and view all the answers

What is active neglect?

The purposeful failure to give needed care, resulting in harm to a person Signup and view all the answers

What is the definition of assault?

A threat resulting in a person feeling fearful that he or she will be harmed Signup and view all the answers

What is defined as battery?

The intentional touching of a person without his or her consent Signup and view all the answers

Define domestic violence.

Physical, sexual, or emotional abuse by spouses, intimate partners, or family members Signup and view all the answers

What constitutes false imprisonment?

Unlawful restraint that affects a person's freedom of movement Signup and view all the answers

What is financial abuse?

The improper or illegal use of a person's money, possessions, property, or other assets Signup and view all the answers

What does involuntary seclusion refer to?

The separation of a person from others against the person's will Signup and view all the answers

What is malpractice?

Injury to a person due to professional misconduct through negligence, carelessness, or lack of skill Signup and view all the answers

Define neglect.

The failure to provide needed care that results in physical, mental, or emotional harm to a person Signup and view all the answers

What is negligence?

Actions, or the failure to act or provide the proper care, that result in unintended injury to a person Signup and view all the answers

What is passive neglect?

The unintentional failure to provide needed care, resulting in physical, mental, or emotional harm to a person Signup and view all the answers

What is physical abuse?

Any treatment, intentional or not, that causes harm to a person's body Signup and view all the answers

Define psychological abuse.

Emotional harm caused by threatening, frightening, isolating, intimidating, humiliating, or insulting a person Signup and view all the answers

What is sexual abuse?

The forcing of a person to perform or participate in sexual acts Signup and view all the answers

Define sexual harassment.

Any unwelcome sexual advance or behavior that creates an intimidating, hostile, or offensive working environment Signup and view all the answers

What is substance abuse?

The repeated use of legal or illegal drugs, cigarettes, or alcohol in a way that harms oneself or others Signup and view all the answers

What is verbal abuse?

The use of spoken or written words, pictures, or gestures that threaten, embarrass, or insult a person Signup and view all the answers

Define workplace violence.

Verbal, physical, or sexual abuse of staff by other staff members or residents Signup and view all the answers

What are mandated reporters?

People who are legally required to report suspected or observed abuse or neglect Signup and view all the answers

If a resident wants to make a complaint of abuse, what must a nursing assistant do?

The NA must help in every way, including telling them of the process and their rights Signup and view all the answers

When performing a procedure on a resident, what should the nursing assistant (NA) do?

Explain the procedure fully before performing it Signup and view all the answers

What is the best response by a nursing assistant if a resident refuses to take a bath?

The NA should respect the resident's wishes, but report the refusal to the nurse Signup and view all the answers

What should a nursing assistant say when asked to share personal details about a resident?

Explain that she cannot talk about the resident Signup and view all the answers

What should a nursing assistant do if they suspect a resident is being abused?

Report it to the nurse immediately Signup and view all the answers

What normally happens immediately when a report of abuse against a nursing assistant is made?

The nursing assistant will be notified of any complaint made about him or her to NATCEP Signup and view all the answers

What is one task of an ombudsman?

Investigate and resolve resident complaints Signup and view all the answers

An ombudsman is assigned by law as the ______ advocate for residents.

Legal Signup and view all the answers

Who do ombudsmen assist and support?

Residents Signup and view all the answers

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

To protect and secure the privacy of health information Signup and view all the answers

What is included under protected health information?

Patient's social security number Signup and view all the answers

What should a nursing assistant do if someone not directly involved with a resident's care asks for the resident's PHI?

Tell them that information is confidential and cannot be given out Signup and view all the answers

Which is one way to keep private health information confidential?

Using confidential rooms for reporting on residents Signup and view all the answers

What is the abbreviation for the law that provides protection and security of consumers' electronic health records?

HITECH Signup and view all the answers

What is an advance directive?

Legal document that allows people to convey their decisions about end-of-life care ahead of time Signup and view all the answers

What is a durable power of attorney for health care?

A signed, dated, and witnessed paper that appoints someone else to make the medical decisions for a person Signup and view all the answers

What is a do-not-resuscitate (DNR) order?

A medical order that instructs medical professionals not to perform CPR if breathing or heartbeat stops Signup and view all the answers

What is a living will?

Outlines the medical care a person wants, or does not want, if they become unable to make those decisions Signup and view all the answers

What does a Physician Orders for Life-Sustaining Treatment (POLST) do?

Specifies treatments a person wants when very ill; decisions based on conversations with healthcare providers Signup and view all the answers

Study Notes

Legal and Ethical Issues in Healthcare

Ethical concerns arise when caregivers treat residents disrespectfully, such as mocking their communication skills.
Legal issues may involve unauthorized taking of personal items from residents, impacting care quality.

Residents' Rights

The Omnibus Budget Reconciliation Act (OBRA) mandates nursing assistant training standards.
Minimum training hours required by OBRA is 75, including competency evaluations.
Required training topics under OBRA include promoting residents' legal rights and maintaining wellness.

Assessments and Care Compliance

The Minimum Data Set (MDS) is essential for assessing residents and addressing their health issues.
The MDS should be updated with any major changes in a resident's condition to ensure adequate care.

Violations of Residents' Rights

Residents have the right to wellness services; denying this violates their rights.
Caregivers cannot force residents to take medication as it infringes on their participation rights.
Residents are entitled to make personal choices, including clothing selections, which must be respected.
Privacy and confidentiality must be upheld; discussing residents outside of care settings breaches their rights.

Types of Abuse

Abuse is defined as purposeful harm leading to physical or emotional injury.
Active neglect refers to a failure to provide essential care, intentionally harming the resident.
Battery involves unwanted physical contact, while assault instills fear of potential harm.
Financial, psychological, and physical abuses undermine residents' dignity and security.

Legal Terminologies and Actions

False imprisonment is unlawful confinement affecting movement freedom.
Malpractice stems from negligence or lack of skill causing harm during professional duties.
Nursing assistants must suspect and report any form of resident abuse promptly.

Reporting and Confidentiality

Mandated reporters are legally required to report observed neglect or abuse.
Nursing assistants must support residents wishing to make complaints about abuse, ensuring they know their rights.
Obligation to report includes notifying nurses about suspected abuse incidents immediately.

Health Information Protection

The Health Insurance Portability and Accountability Act (HIPAA) safeguards the privacy of health information.
Protected health information encompasses social security numbers and other sensitive data.
Nursing assistants must protect confidential health information, refusing to disclose it to unauthorized individuals.

Advance Directives

Advance directives, including durable power of attorney for health care, guide medical decision-making for incapacitated individuals.
Do-not-resuscitate (DNR) orders prohibit CPR for patients whose heart or breathing stops, ensuring their end-of-life choices are honored.
Living wills specify desired treatment preferences if a person cannot make decisions.
Physician Orders for Life-Sustaining Treatment (POLST) provides actionable medical orders based on patient-physician discussions.

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Description

Test your knowledge of legal and ethical issues in nursing with these flashcards from Chapter 3. Each scenario will challenge your understanding of appropriate behavior and decision-making in healthcare settings. Learn to differentiate between ethical and legal responsibilities in nursing practice.