Ethical/Legal

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Questions and Answers

What is the primary purpose of the principle of autonomy in nursing practice?

To allow the nurse to make decisions on behalf of the patient

To mandate compliance with medical recommendations

To ensure patients receive care regardless of their decisions

To empower patients to make personal decisions about their care (correct)

Which ethical principle relates to taking actions that promote kindness and welfare in patient care?

Nonmaleficence

Veracity

Beneficence (correct)

Justice

What does the principle of nonmaleficence emphasize in nursing practice?

Preventing harm and promoting safety for patients (correct)

Being honest and transparent with patients

Keeping promises made to patients

Treating all patients fairly regardless of their background

The concept of social justice in nursing ethics primarily focuses on what?

Providing equal access to healthcare for all patients Signup and view all the answers

Which provision emphasizes the nurse's primary commitment to the patient?

Provision 2 Signup and view all the answers

Why is fidelity an important principle in nursing ethics?

It requires nurses to fulfill their promises and commitments Signup and view all the answers

Which of the following responsibilities is NOT outlined in the Code of Ethics for Nurses?

Conduct business for personal profit Signup and view all the answers

What is the focus of Provision 4 in the ANA Code of Ethics for Nurses?

Authority and accountability in nursing practice Signup and view all the answers

What role does veracity play in the relationship between nurses and patients?

It fosters trust through honesty and transparency Signup and view all the answers

What does the ANA Code of Ethics signify for nurses?

It outlines the professional standards and ethical obligations for nursing practice Signup and view all the answers

Self-reflection in ethical nursing practice primarily involves which aspect?

Preserving wholeness of character and integrity Signup and view all the answers

Which provision addresses the nurse's role in establishing an ethical work environment?

Provision 6 Signup and view all the answers

Self-reflection in ethical practice primarily helps nurses to:

Understand their own values and how these affect patient care Signup and view all the answers

In the ANA Code of Ethics, which provision relates to the advancement of the nursing profession?

Provision 7 Signup and view all the answers

Which of these actions would be considered a violation of the nursing Code of Ethics?

Checking a neighbor's child's test results Signup and view all the answers

Which statement reflects a key aspect of advocacy in nursing?

Nurses must protect the rights and safety of the patient. Signup and view all the answers

Under what circumstances is a nursing student expected to provide care with guidance from faculty?

When the student is in the STUDENT role and faculty is present at the clinical site Signup and view all the answers

What does the Health Information Portability and Accountability Act (HIPAA) emphasize?

Protecting patient privacy and data Signup and view all the answers

Which of the following statements best describes professional ethics in nursing?

Professional ethics govern behaviors and relationships in nursing based on professional standards and values Signup and view all the answers

What is the primary role of advocacy in nursing?

Defending and representing the cause of the patient based on their values Signup and view all the answers

Why is self-reflection important in ethical nursing practice?

It allows nurses to examine their own beliefs and values, which guide their actions Signup and view all the answers

Which principle of biomedical ethics emphasizes fairness in healthcare delivery?

Justice Signup and view all the answers

What is an essential component of ethical behavior in nursing?

Advocating for the patient’s best interest Signup and view all the answers

In the context of ethical nursing practice, where do personal beliefs typically originate?

From individual character and morality Signup and view all the answers

What is expected of nurses in relation to their personal beliefs when providing patient care?

They should acknowledge and navigate potential conflicts with patients' values Signup and view all the answers

Study Notes

Lakeland Community College Nursing Program

The Lakeland Community College Nursing Program has a specific policy regarding clinical guidance for students.
This policy applies when:
- The student is enrolled in a Lakeland Community College Nursing program course clinical.
- The nursing faculty is physically present at the clinical site.
- The student is in the STUDENT role during the time the nursing faculty is present.
- The student is providing care at their current level of education and requests guidance and assistance to provide safe, quality patient care.
This policy was implemented in 1996.

Health Information Portability and Accountability Act (HIPAA)

HIPAA was enacted in 1996.
It aims to minimize exclusion based on pre-existing conditions.
It provides provisions for privacy and data protection.
HIPAA established a national standard for protecting sensitive health information, minimizing breaches of patient privacy and confidentiality.
It serves as a framework for protecting patient data.

Ethics, Morality, and Professional Nursing

Ethics refers to principles of right and wrong that influence human behavior.
Ethics are applied in professional nursing.
Professional ethics are a system of moral principles that govern actions and interactions within the nursing profession.
Morality represents personal standards of right and wrong in conduct, character, and attitude.

Advocacy in Nursing

Advocacy is defending or representing the cause of another.
Nurses advocate for the best interests of their patients, prioritizing patient values over their own.
There are many forms of advocacy, including: speaking up on a patient's behalf, supporting a patient’s right to self-determination, or challenging policies that negatively impact patient care.
Advocacy is a fundamental component of ethical nursing practice.

Ethical Nursing Practice

Ethical nursing practice necessitates self-reflection.
Nurses must understand their values, beliefs, morals, and ethics, as these influence their actions and behaviors.
Nurses must develop “a professional ethical self” that does not impose their personal beliefs or values on patients, their families, or other healthcare providers.
It’s important to continuously review and clarify ethical values as a nurse.
Ethical self-reflection is crucial for providing patient-centered care.

ANA Code of Ethics for Nurses

The ANA developed a Code of Ethics for Nurses that expresses nursing’s commitment to society.
This code has 9 provisions divided into 3 categories:
- Most fundamental values and commitments of the nurse:
  - Compassion
  - Respect for the inherent dignity
  - Recognition of the unique attributes of every person
- Boundaries of duty to the patient:
  - Accountability
  - Responsibility
  - Nursing judgment
  - Professional nurse-patient relationship
- Focus on the nurse’s responsibility to the nursing profession and society:
  - Membership in professional nursing organizations
  - Participation in social policy development

ANA Ethics Provisions

Provision 1: The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.
Provision 2: The nurse’s primary commitment to the patient, whether an individual, family, group, community, or population.
Provision 3: The nurse promotes, advocates for, and protects the rights, health, and safety of the patient.
Provision 4: The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care.
Provision 5: The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth.
Provision 6: The nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality healthcare.
Provision 7: The nurse, in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy.
Provision 8: The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities.
Provision 9: The profession of nursing, collectively through its professional organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy.

Code of Ethics - Violation Example

Checking results of a throat culture for a neighbor’s child constitutes a violation of the code for sharing protected health information (PHI).

Ethical Nursing Practice - Key Considerations

It is critical to not impose on a patient's or anyone else's values and beliefs as a nurse.

Autonomy: Respecting a patient's right to make decisions about their healthcare.
Beneficence: Promoting actions that benefit the patient, aiming to do good.
Nonmaleficence: Avoiding harm and promoting safety for the patient.
Justice: Ensuring fair and equitable treatment across all patients with respect for their individuality.
Fidelity: Maintaining faithfulness to promises made to patients.
Veracity: Being truthful and honest with patients.
Altruism: Concern for the welfare of others.
Human Dignity: Recognizing the inherent worth and uniqueness of individuals.
Integrity: Acting in accordance with the appropriate code of ethics and standards.
Social Justice: Ensuring fairness on a social level.

American Nurses Association (ANA) Code of Ethics for Nurses

Codes of ethics are fundamental to every profession.
ANA's Code of Ethics outlines the ethical values, obligations, and duties for all nurses.
It serves as a nonnegotiable ethical standard for the nursing profession.
The ANA Code of Ethics functions as a social contract with the public.
Florence Nightingale was the first to establish a code for nurses.
The ANA Code serves as a roadmap for ethical decision-making in nursing.

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Description

This quiz covers key aspects of the Lakeland Community College Nursing Program policies regarding clinical guidance for students and an overview of the Health Information Portability and Accountability Act (HIPAA). Understand the significance of these guidelines implemented in 1996 to ensure safe and equitable patient care. Test your knowledge about nursing practices and patient privacy regulations.