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Questions and Answers
What are the three essential characteristics of law?
What are the three essential characteristics of law?
The three essential characteristics of law are: *Right to declare rules exist. *Rules are expressed with source identified. *A right to enforce rules must be provided.
What is the definition of the term "law" as related to nursing?
What is the definition of the term "law" as related to nursing?
In nursing, "law" refers to a rule of conduct pronounced by a controlling authority, which can be enforced. This means it defines the boundaries of nursing practice and guides nurses' actions in patient care.
What is Nursing Jurisprudence?
What is Nursing Jurisprudence?
Nursing Jurisprudence is the field of law that comprises all legal rules and principles affecting the practice of nursing. It involves the study, interpretation, and application of these rules and principles in regulating the practice of nursing.
What are the two main functions of law in the nursing profession?
What are the two main functions of law in the nursing profession?
The first Nursing Law in the Philippines was passed in 1915.
The first Nursing Law in the Philippines was passed in 1915.
The first board examination for nurses in the Philippines was held in 1920.
The first board examination for nurses in the Philippines was held in 1920.
Republic Act 877 was passed in 1953 and regulated nursing practice in the Philippines.
Republic Act 877 was passed in 1953 and regulated nursing practice in the Philippines.
What is the reason for designating the last week of October as Nurses' Week in the Philippines?
What is the reason for designating the last week of October as Nurses' Week in the Philippines?
Republic Act 7164, passed in 1991, replaced Republic Act 4704.
Republic Act 7164, passed in 1991, replaced Republic Act 4704.
Republic Act 9173, known as the Philippine Nursing Act of 2002, replaced Republic Act 7164.
Republic Act 9173, known as the Philippine Nursing Act of 2002, replaced Republic Act 7164.
What are the legal liabilities that a nurse might encounter in their profession?
What are the legal liabilities that a nurse might encounter in their profession?
What is the main source of legal guidance for nurses in the Philippines?
What is the main source of legal guidance for nurses in the Philippines?
Nurses are expected to be familiar with the Philippine Nursing Law, standards of nursing care, and other related laws that affect their practice, and their code of ethics.
Nurses are expected to be familiar with the Philippine Nursing Law, standards of nursing care, and other related laws that affect their practice, and their code of ethics.
Nurses working in institutions or hospitals directly report to their supervisor.
Nurses working in institutions or hospitals directly report to their supervisor.
Private duty nurses are independent practitioners and are held to the same standard of conduct as nurses working in institutions or hospitals.
Private duty nurses are independent practitioners and are held to the same standard of conduct as nurses working in institutions or hospitals.
What does the term "responsibility" refer to in the context of nursing?
What does the term "responsibility" refer to in the context of nursing?
What does the term "accountability" refer to in the context of nursing?
What does the term "accountability" refer to in the context of nursing?
What is "liability" in the context of nursing?
What is "liability" in the context of nursing?
What is "professional negligence" in the context of nursing?
What is "professional negligence" in the context of nursing?
Which of the following is NOT an element of professional negligence?
Which of the following is NOT an element of professional negligence?
What does the term "malpractice" usually imply in the context of nursing?
What does the term "malpractice" usually imply in the context of nursing?
Who is authorized to prescribe drugs in the Philippines according to R.A. 6675?
Who is authorized to prescribe drugs in the Philippines according to R.A. 6675?
A prescription for drugs must always include the patient's name, age, sex, and the date of the prescription.
A prescription for drugs must always include the patient's name, age, sex, and the date of the prescription.
According to R.A. 6675, drugs should be written in their generic names in prescriptions.
According to R.A. 6675, drugs should be written in their generic names in prescriptions.
A nurse can legally follow verbal orders from a physician if they are clear and specific and the physician has signed the corresponding document.
A nurse can legally follow verbal orders from a physician if they are clear and specific and the physician has signed the corresponding document.
A nurse is ethically obligated to carry out a physician's order even if they believe it may harm the patient.
A nurse is ethically obligated to carry out a physician's order even if they believe it may harm the patient.
Before administering any medication, a nurse must understand the action of the drug, its minimum and maximum dosages, the route of administration, and possible side effects.
Before administering any medication, a nurse must understand the action of the drug, its minimum and maximum dosages, the route of administration, and possible side effects.
A nurse is obligated to explain tests and treatments to the patient so they can understand the procedure and provide informed consent.
A nurse is obligated to explain tests and treatments to the patient so they can understand the procedure and provide informed consent.
Any unfavorable psychological or physical reaction to treatment must be immediately reported to the physician for appropriate action.
Any unfavorable psychological or physical reaction to treatment must be immediately reported to the physician for appropriate action.
Patients have the right to refuse medical treatment, even if the refusal may have negative consequences for their health.
Patients have the right to refuse medical treatment, even if the refusal may have negative consequences for their health.
Telephone orders pose legal risks because they can be misunderstood or misinterpreted and lack the physician's signature for verification.
Telephone orders pose legal risks because they can be misunderstood or misinterpreted and lack the physician's signature for verification.
Nurses who administer intravenous therapy do not need special training and can give injections according to established protocol.
Nurses who administer intravenous therapy do not need special training and can give injections according to established protocol.
If a nurse is administering intravenous therapy, they are only obligated to follow the policies established by their agency.
If a nurse is administering intravenous therapy, they are only obligated to follow the policies established by their agency.
A nurse is not legally obligated to conduct intravenous therapy if the hospital does not allow them to do so.
A nurse is not legally obligated to conduct intravenous therapy if the hospital does not allow them to do so.
According to the Board of Nursing Resolution No. 8, any registered nurse who administers intravenous injections without specific training is liable for either criminal or administrative charges, or both, even if no injury or death occurs.
According to the Board of Nursing Resolution No. 8, any registered nurse who administers intravenous injections without specific training is liable for either criminal or administrative charges, or both, even if no injury or death occurs.
What is informed consent in the context of medical and surgical procedures?
What is informed consent in the context of medical and surgical procedures?
What are the three essential elements of informed consent?
What are the three essential elements of informed consent?
Consent for medical or surgical procedures can only be obtained at the time of admission.
Consent for medical or surgical procedures can only be obtained at the time of admission.
Consent for initial assessment and treatment upon admission can be given by the patient, their legal guardian, or their authorized representative.
Consent for initial assessment and treatment upon admission can be given by the patient, their legal guardian, or their authorized representative.
If a patient is unconscious and requires emergency medical care, consent for the procedure is not required.
If a patient is unconscious and requires emergency medical care, consent for the procedure is not required.
The patient must be fully informed about the procedure and treatment, including the potential risks and consequences, before they can provide informed consent.
The patient must be fully informed about the procedure and treatment, including the potential risks and consequences, before they can provide informed consent.
The intentional touching or unlawful beating of another person without authorization is a form of battery.
The intentional touching or unlawful beating of another person without authorization is a form of battery.
Who is typically responsible for obtaining informed consent from a patient?
Who is typically responsible for obtaining informed consent from a patient?
It is legal for a nurse to perform procedures or administer treatment without obtaining informed consent if the patient is over 18 years old.
It is legal for a nurse to perform procedures or administer treatment without obtaining informed consent if the patient is over 18 years old.
A signed consent form from a patient at the time of admission covers all subsequent procedures and treatments.
A signed consent form from a patient at the time of admission covers all subsequent procedures and treatments.
A patient can legally refuse any medical treatment without providing a reason.
A patient can legally refuse any medical treatment without providing a reason.
If a patient refuses to consent to a medical or surgical procedure, a nurse should try to convince them to change their mind.
If a patient refuses to consent to a medical or surgical procedure, a nurse should try to convince them to change their mind.
A patient can legally refuse a blood transfusion if they have religious beliefs against it.
A patient can legally refuse a blood transfusion if they have religious beliefs against it.
The legal framework in the Philippines requires a signed, individualized consent form for procedures such as x-rays, blood transfusions, operations, cobalt therapy, or chemotherapy.
The legal framework in the Philippines requires a signed, individualized consent form for procedures such as x-rays, blood transfusions, operations, cobalt therapy, or chemotherapy.
The person giving consent for procedures on a minor can be the minor's parent or guardian.
The person giving consent for procedures on a minor can be the minor's parent or guardian.
A minor can legally consent to a medical procedure if they are married or emancipated.
A minor can legally consent to a medical procedure if they are married or emancipated.
A mentally incompetent person can legally consent to medical or surgical procedures.
A mentally incompetent person can legally consent to medical or surgical procedures.
In emergency situations, consent for immediate medical treatment is not required as inaction in such situations could cause greater harm.
In emergency situations, consent for immediate medical treatment is not required as inaction in such situations could cause greater harm.
A patient can legally refuse a medical or surgical procedure, even if there is a significant risk to their life or health, if they are of legal age and sound mind.
A patient can legally refuse a medical or surgical procedure, even if there is a significant risk to their life or health, if they are of legal age and sound mind.
Nurses are required to provide information beyond diagnosis and the explanation of the condition to ensure a patient's informed consent.
Nurses are required to provide information beyond diagnosis and the explanation of the condition to ensure a patient's informed consent.
Sterilization is the permanent termination of the ability to produce offspring and requires consent from both the patient and their legal guardian.
Sterilization is the permanent termination of the ability to produce offspring and requires consent from both the patient and their legal guardian.
In cases of abruptioplacenta, ectopic pregnancies, or ruptured uterus, where sterilization is medically necessary and an incidental outcome, the patient's consent alone is sufficient; consent from the legal guardian or partner is not required.
In cases of abruptioplacenta, ectopic pregnancies, or ruptured uterus, where sterilization is medically necessary and an incidental outcome, the patient's consent alone is sufficient; consent from the legal guardian or partner is not required.
Medical records are valuable only for legal purposes.
Medical records are valuable only for legal purposes.
Medical records serve as a legal protection for hospitals, doctors, and nurses by documenting the patient's condition and treatment.
Medical records serve as a legal protection for hospitals, doctors, and nurses by documenting the patient's condition and treatment.
Nurses are expected to record only medications and treatments given, not observations, in patient's medical records.
Nurses are expected to record only medications and treatments given, not observations, in patient's medical records.
Patient records are not confidential and can be accessed by anyone who requests them.
Patient records are not confidential and can be accessed by anyone who requests them.
Nurses must gain permission from hospital authorities before accessing a patient's chart for any information.
Nurses must gain permission from hospital authorities before accessing a patient's chart for any information.
Nursing students in the Philippines are fully responsible for the quality of care they provide during their clinical rotations and are held to the same standards as registered nurses.
Nursing students in the Philippines are fully responsible for the quality of care they provide during their clinical rotations and are held to the same standards as registered nurses.
Nursing students are never expected to perform procedures for the first time without their clinical instructor present.
Nursing students are never expected to perform procedures for the first time without their clinical instructor present.
A nursing student should seek guidance from their clinical instructor if they are uncertain about a procedure.
A nursing student should seek guidance from their clinical instructor if they are uncertain about a procedure.
Frequent assessment of nursing students' performance during clinical rotations helps identify their strengths and weaknesses, allowing for improvement.
Frequent assessment of nursing students' performance during clinical rotations helps identify their strengths and weaknesses, allowing for improvement.
Regular conferences with nursing students during clinical rotations provide a space for open discussions about their experiences and potential challenges. This helps address any doubts or concerns and promotes effective learning.
Regular conferences with nursing students during clinical rotations provide a space for open discussions about their experiences and potential challenges. This helps address any doubts or concerns and promotes effective learning.
When a clinical instructor countersigns a student's chart, they are verifying that they have personally reviewed the information and that it is accurate and authentic.
When a clinical instructor countersigns a student's chart, they are verifying that they have personally reviewed the information and that it is accurate and authentic.
What is the primary purpose of incident reports?
What is the primary purpose of incident reports?
An incident report indicates that a mistake has been made.
An incident report indicates that a mistake has been made.
The term "nonmaleficence" refers to the principle of "do no harm".
The term "nonmaleficence" refers to the principle of "do no harm".
The principle of "nonmaleficence" encompasses physical, psychological, social, mental, spiritual, and symbolic harm to a patient.
The principle of "nonmaleficence" encompasses physical, psychological, social, mental, spiritual, and symbolic harm to a patient.
The principle of "nonmaleficence" is a positive action.
The principle of "nonmaleficence" is a positive action.
According to Hippocrates, what is the primary ethical duty of a healthcare provider?
According to Hippocrates, what is the primary ethical duty of a healthcare provider?
The principle of "beneficence" emphasizes doing good and preventing or removing harm.
The principle of "beneficence" emphasizes doing good and preventing or removing harm.
In healthcare, "beneficence" involves actions that benefit the patient, such as providing care and compassion.
In healthcare, "beneficence" involves actions that benefit the patient, such as providing care and compassion.
Beneficence is an extraordinary action that is only undertaken in extreme circumstances.
Beneficence is an extraordinary action that is only undertaken in extreme circumstances.
The urgency for taking action based on beneficence should be proportionate to the relationship between the doer and the person at risk.
The urgency for taking action based on beneficence should be proportionate to the relationship between the doer and the person at risk.
Flashcards
What is law?
What is law?
A rule of conduct enforced by a controlling authority.
What is nursing jurisprudence?
What is nursing jurisprudence?
The legal rules and principles specifically related to the practice of nursing.
What are the functions of law in nursing?
What are the functions of law in nursing?
Clarifies the scope of nursing practice, distinguishes nursing responsibilities, establishes boundaries for independent nursing actions, and helps maintain standards of practice.
When did the first Philippine law related to nursing exist?
When did the first Philippine law related to nursing exist?
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What is the significance of R.A. 877?
What is the significance of R.A. 877?
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What is Act 2808?
What is Act 2808?
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What is the current law governing nursing practice in the Philippines?
What is the current law governing nursing practice in the Philippines?
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When does a nurse's legal responsibility commence?
When does a nurse's legal responsibility commence?
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What does having a nursing license signify?
What does having a nursing license signify?
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What does responsibility mean for a nurse?
What does responsibility mean for a nurse?
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What is accountability in nursing?
What is accountability in nursing?
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What is liability for a nurse?
What is liability for a nurse?
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What is professional negligence?
What is professional negligence?
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What is malpractice?
What is malpractice?
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What is the rule regarding medical orders for a nurse?
What is the rule regarding medical orders for a nurse?
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Why should verbal medical orders be limited?
Why should verbal medical orders be limited?
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When is consent not always needed in healthcare?
When is consent not always needed in healthcare?
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What are the nurse's responsibilities regarding medications?
What are the nurse's responsibilities regarding medications?
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What is consent?
What is consent?
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What is informed consent?
What is informed consent?
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Why is written consent important?
Why is written consent important?
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Who gives consent for medical treatment?
Who gives consent for medical treatment?
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Does consent for minors always come from their parents?
Does consent for minors always come from their parents?
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How does consent differ for mentally incompetent persons?
How does consent differ for mentally incompetent persons?
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What are the key considerations for a nurse administering IV injections?
What are the key considerations for a nurse administering IV injections?
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What is the nurse's responsibility regarding patient records?
What is the nurse's responsibility regarding patient records?
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What is important for nurses to document?
What is important for nurses to document?
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What are the responsibilities of nursing students?
What are the responsibilities of nursing students?
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What are the guidelines for tasks performed by nursing students?
What are the guidelines for tasks performed by nursing students?
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What is respondeat superior?
What is respondeat superior?
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What is the rationale behind respondeat superior?
What is the rationale behind respondeat superior?
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What is the purpose of tort law?
What is the purpose of tort law?
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Study Notes
Philippine Nursing Law
- The word "law" is a rule of conduct enforced by a controlling authority. All laws have the right to declare the rule, state the rule, and enforce the rule.
- Nursing jurisprudence includes the legal principles and rules that impact nursing practice.
Functions of Law in Nursing
- Establishes legal nursing actions in patient care.
- Outlines nurse responsibilities compared to other professionals.
- Sets boundaries for nurses' independent actions.
- Holds nurses accountable to the law and legal standards.
Brief History of the Philippine Nursing Law
- Initial legislation regarding nursing practice (Act No. 2493, 1915) regulated medicine, including nurse examinations and registration in the Philippines.
- Act No. 2808 (1919) is considered the "First True Nursing Law", establishing a board of examiners for nurses.
- First board exam in the Philippines was in 1920.
- Republic Act 877 (1953) regulated nursing practice in the Philippines.
- Nurses' Week in the Philippines is observed the last week of October.
- Subsequent amendments and acts, such as R.A. 4704 (1966), R.A. 7164 (1991), and R.A. 9173 (2002) further shaped the legal framework for nursing practice.
- Legal mandates exist for punishing medical malpractice within the Philippines.
Legal Liabilities in Nursing
- Nurses' licenses attest to their legal qualification to practice nursing.
- The Philippine Nursing Act of 1992 defines the scope of nursing practice.
- Nurses must understand the nursing standards of care and other relevant laws related to nursing.
- Nurses are responsible for the quality of their work, and accountability lies foremost with them.
- In agency/institutional settings, nurses are accountable to their supervisor.
- Independent nurses are held to standards of conduct and responsibilities expected from prudent nurses.
Accountability
- Nurses have responsibility for their actions.
- Nurses are accountable to themselves, patients, their profession, the employing institution, and society.
Professional Negligence
- Negligence in a professional context is the improper or negligent execution of duties.
- Elements: duty, breach of duty, foreseeable harm, and resulting harm to the patient.
Medical Orders, Drugs, and Medications
- Only registered medical, dental, or veterinary practitioners are permitted to prescribe medications.
- All prescriptions must include: prescriber’s name, address, and registration number, client's name, age, and sex, and date of prescription.
- Prescriptions are written using generic names.
Legal implications of telephone orders
- Telephone orders pose risks due to potential errors in transcription or misinterpretations.
- There should be a verified signature from the medical provider.
Intravenous Therapy and Legal Implications
- Nurses now participate in complex IV therapy.
- Intravenous injections require special training according to established protocols.
- Nurses must adhere to their agency's policies regarding intravenous injections.
Consent to Medical and Surgical Procedures
- Proper consent is a pre-requisite before any surgery or medical procedure.
- Patient or legal guardian must consent prior to any intervention/treatment.
- Emergency conditions supersede consent requirements.
- All medical treatments/procedures necessitate explicit consent for all procedures.
Informed Consent
- Adults of sound mind have the right to refuse treatment.
- Informed consent involves explaining the procedure, outlining potential risks, and providing alternative options.
- Critical elements: diagnosis, condition explanation, procedure description, and alternative options, and potential outcomes.
Nature of Consent
- Consent is authorization for a touching that transforms non-consensual contact into consensual.
- Initial care typically requires consent but should be well documented.
- Emergency situations allow treatment to be initiated without consent.
Consent for Sterilization
- Consent is required for sterilization procedures unless medically necessary, like in emergency conditions.
- Both partners must consent to sterilization as a primary purpose.
Medical Records
- Medical records are both scientifically and legally relevant.
- Records prevent duplication of future cases and aid swift treatments.
- They are legal protection for facilities, doctors, and nurses, reflecting the patient's condition and treatment.
- Nurses are legally and ethically required to accurately document observations (and actions) during a client's stay.
Nonmaleficence
- Do no harm.
Beneficiance
- Act in a way that promotes good.
Justice
- Fair distribution of benefits and burdens.
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Description
This quiz explores the essential aspects of the Philippine Nursing Law, including its role in defining legal standards for nursing practice. It discusses the history, functions, and responsibilities of nurses under this legislation. Test your understanding of nursing jurisprudence and its implications for healthcare.