Week 9 Nursing Ethics
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Questions and Answers

What is a possible consequence for a nurse if a complaint is deemed unsupported?

  • No action taken (correct)
  • Referral to a professional ethics board
  • Mandatory remedial programs
  • Immediate license suspension
  • Which principle emphasizes the necessity of not sharing any patient information?

  • Professionalism
  • Accountability
  • Integrity
  • Confidentiality (correct)
  • Which of the following is NOT a recommended risk mitigation strategy for nurses on social media?

  • Accepting patient friend requests (correct)
  • Separating personal and professional lives
  • Avoiding posting workplace issues
  • Setting proper privacy settings
  • What is a key requirement for maintaining professional boundaries in a therapeutic nurse-client relationship?

    <p>Maintaining separate personal and professional accounts</p> Signup and view all the answers

    What should a nurse do if they become aware of a confidentiality breach?

    <p>Report it immediately</p> Signup and view all the answers

    Which principle of healthcare ethics emphasizes the importance of treating all patients fairly and equally?

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

    What does the ethical principle of beneficence primarily focus on in nursing?

    <p>Promoting patient wellbeing</p> Signup and view all the answers

    Which ethical value is associated with supporting self-determination in healthcare decisions?

    <p>Client Choice</p> Signup and view all the answers

    In the ethical decision-making framework, which step involves reflecting on possible outcomes of actions considered?

    <p>Reflect on outcomes</p> Signup and view all the answers

    What is the main focus of the professional responsibility aspect of ethics in nursing?

    <p>Maintaining professional standards and competence</p> Signup and view all the answers

    Which ethical value emphasizes the protection of patient information and maintaining dignity?

    <p>Privacy &amp; Confidentiality</p> Signup and view all the answers

    Which of the following is NOT a component of the principle of autonomy in healthcare?

    <p>Promoting equity among patients</p> Signup and view all the answers

    When analyzing ethical dilemmas, which step directly follows the identification of the ethical issue?

    <p>Gather relevant information</p> Signup and view all the answers

    Which type of nursing theory focuses on the social dynamics of nurse-patient interactions?

    <p>Interactionist Theories</p> Signup and view all the answers

    What aspect does the 'Metaparadigm' concept primarily address in nursing?

    <p>The core concepts defining the discipline</p> Signup and view all the answers

    Which component of the nursing process is focused on organizing gathered information?

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

    What is the main purpose of a conceptual model in nursing?

    <p>To show relationships between different concepts</p> Signup and view all the answers

    Which theory type is characterized by its broad coverage of nursing discipline concerns?

    <p>Grand Theory</p> Signup and view all the answers

    How is health defined in the context of nursing's core metaparadigm concepts?

    <p>Holistic well-being, including mental health</p> Signup and view all the answers

    Which theory emphasizes individual self-care needs in nursing?

    <p>Dorthea Orem Self Care Theory</p> Signup and view all the answers

    Which component of the nursing process involves prioritizing issues and creating a care plan?

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

    What is the first step in the Evidence-Informed Decision Making (EIDM) process?

    <p>Form clear clinical question</p> Signup and view all the answers

    What is the primary purpose of the Health Care Consent Act and Substitute Decisions Act in relation to patient care?

    <p>To ensure informed consent is obtained before treatment</p> Signup and view all the answers

    Which theory emphasizes the client-nursing relationship?

    <p>Simultaneity Theory</p> Signup and view all the answers

    Which of the following is NOT a component of the CRAAP Test for evaluating sources?

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

    Which of the following is NOT one of the seven key characteristics of Quality Practice Settings?

    <p>Personal financial management strategies</p> Signup and view all the answers

    Under what act are nurses expected to maintain professional conduct?

    <p>Regulated Health Professions Act</p> Signup and view all the answers

    In the PICO format, which element represents the group of individuals being studied?

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

    What is a common example of professional misconduct?

    <p>Inappropriate behavior towards patients</p> Signup and view all the answers

    What is a requirement for maintaining fitness to practice according to the Code of Ethics?

    <p>Withdrawal from care provision when necessary</p> Signup and view all the answers

    Which step is NOT part of the complaint process regarding professional misconduct?

    <p>Immediate termination of the nurse's license</p> Signup and view all the answers

    Which of the following factors can impair a nurse's fitness to practice?

    <p>Problematic substance use</p> Signup and view all the answers

    Which form is a requirement for submitting a complaint to the College of Nurses of Ontario?

    <p>Written or recorded form with contact information</p> Signup and view all the answers

    Which database is recommended for finding peer-reviewed research?

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

    What is the role of the Inquiries, Complaints and Reports Committee (ICRC) in the CNO Fitness to Practice process?

    <p>Conduct inquiries into reported concerns</p> Signup and view all the answers

    Which of the following actions is considered a conflict of interest for a nurse?

    <p>Accepting a gift from a patient</p> Signup and view all the answers

    What is one possible outcome from the resolution methods in a misconduct complaint?

    <p>Alternative Dispute Resolution</p> Signup and view all the answers

    What is the primary role of nursing regulatory bodies in Canada?

    <p>Protect the public by enforcing practice standards</p> Signup and view all the answers

    What amount of liability coverage is required for a Registered Nurse according to the College of Nurses of Ontario?

    <p>$1 million per claim</p> Signup and view all the answers

    Which of the following support resources offers anonymous access for mental health assistance to nurses?

    <p>Crisis support through FRONTLINE text service</p> Signup and view all the answers

    What method does the Plan-Do-Study-Act (PDSA) cycle emphasize for continuous improvement in nursing?

    <p>Evidence-based strategy development and outcome evaluation</p> Signup and view all the answers

    Which category of nursing does not require a mandatory professional liability protection according to CA law?

    <p>Unregulated Care Providers</p> Signup and view all the answers

    Which of the following is an example of a nursing union in Ontario?

    <p>Ontario Nurses Association</p> Signup and view all the answers

    What is a significant challenge currently faced by nurses in the mental health crisis?

    <p>Unrealistic workloads</p> Signup and view all the answers

    What does a claims-made professional liability policy cover?

    <p>Claims filed during the active policy regardless of when the incident occurred</p> Signup and view all the answers

    Which type of organization primarily focuses on the professional development and specialty practice of nurses?

    <p>Nursing specialty practice organizations</p> Signup and view all the answers

    What is a necessary practice for maintaining appropriate privacy settings for nurses on social media?

    <p>Implementing strong privacy settings and limiting exposure</p> Signup and view all the answers

    Which of the following actions is most likely to breach professional boundaries in nursing?

    <p>Referring patients to personal social media accounts</p> Signup and view all the answers

    What outcome is mandated if a nurse is found guilty of professional misconduct?

    <p>Potential license suspension or revocation</p> Signup and view all the answers

    What is the primary risk associated with accepting friend requests from patients on social media?

    <p>Mixed personal and professional identities</p> Signup and view all the answers

    Which statement best reflects the principle of accountability in the nursing profession?

    <p>Nurses are responsible for their online behavior and its impact</p> Signup and view all the answers

    What is the primary function of a conceptual model in nursing?

    <p>To facilitate the presentation of interrelated concepts</p> Signup and view all the answers

    Which type of nursing theory primarily addresses the social dynamics of nurse-patient interactions?

    <p>Interactionist Theory</p> Signup and view all the answers

    What distinguishes midrange theories in nursing from grand theories?

    <p>Midrange theories apply to specific nursing situations</p> Signup and view all the answers

    Which one of the following concepts does NOT belong to the core nursing metaparadigm?

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

    Which ethical principle focuses on ensuring fairness and equality in patient treatment?

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

    What is the main purpose of research in professional nursing?

    <p>To enhance knowledge and improve patient outcomes</p> Signup and view all the answers

    What is the initial step in the ethical decision-making framework?

    <p>Identify the ethical issue</p> Signup and view all the answers

    Which component of the nursing process directly follows the assessment phase?

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

    Which CNO ethical value emphasizes the importance of client autonomy in making healthcare decisions?

    <p>Client Choice</p> Signup and view all the answers

    In the context of nursing theories, what is a 'metatheory' primarily concerned with?

    <p>Examining theories about theory development</p> Signup and view all the answers

    Which theory would likely focus on the overall well-being of a patient rather than merely the absence of disease?

    <p>Needs Theory</p> Signup and view all the answers

    In the context of the ethical principles of healthcare, what does beneficence primarily address?

    <p>Promoting patient well-being</p> Signup and view all the answers

    Which of the following is NOT one of the CNO ethical values?

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

    What does the ethical principle of non-maleficence entail in nursing practice?

    <p>Avoiding harm to patients</p> Signup and view all the answers

    Which ethical framework step involves evaluating potential outcomes of different courses of action?

    <p>Reflect on outcomes</p> Signup and view all the answers

    Which key ethical value highlights the importance of protecting client information and maintaining their dignity?

    <p>Privacy &amp; Confidentiality</p> Signup and view all the answers

    Which of the following best describes a critical step in Evidence-Informed Decision Making?

    <p>Integrate evidence with expertise</p> Signup and view all the answers

    What is the purpose of the CRAAP Test in evaluating sources of evidence?

    <p>To assess the source's credibility and relevance</p> Signup and view all the answers

    Which of the following components is NOT part of the PICO format for quantitative research?

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

    Which action is critical for a nurse's fitness to practice according to the Code of Ethics?

    <p>Seeking help when unable to practice safely</p> Signup and view all the answers

    In the Evidence-Informed Practice steps, what is the final step after integrating evidence and expertise?

    <p>Determine and disseminate results</p> Signup and view all the answers

    What impact can problematic substance use have on a nurse's professional practice?

    <p>It may impair decision-making and safety</p> Signup and view all the answers

    Which of the following is a requirement for employers reporting concerns regarding a nurse's practice?

    <p>They must report within 30 days</p> Signup and view all the answers

    What is the role of the 6S Pyramid Tool in research evidence evaluation?

    <p>To provide a visual representation of evidence levels</p> Signup and view all the answers

    What is a consequence of a nurse failing to maintain standards of practice?

    <p>Disciplinary proceedings by the CNO</p> Signup and view all the answers

    Which method is NOT part of the resolution process for complaints against nurses?

    <p>Intervention by professional peers</p> Signup and view all the answers

    What is a main function of the College of Nurses of Ontario?

    <p>To regulate nursing practice and protect public interest</p> Signup and view all the answers

    Which of the following is listed as a category of professional misconduct?

    <p>Inadequate Documentation &amp; Record Keeping</p> Signup and view all the answers

    What principle is critical for maintaining patient confidentiality in nursing practice?

    <p>Privacy protection protocols</p> Signup and view all the answers

    Which aspect is NOT emphasized within quality practice settings for nursing?

    <p>High turnover rates</p> Signup and view all the answers

    Which statement best describes informed consent in healthcare?

    <p>It ensures patients are fully aware of treatment risks and options.</p> Signup and view all the answers

    Which of the following actions could be considered a conflict of interest in nursing?

    <p>Accepting gifts from patients</p> Signup and view all the answers

    What type of nursing organization primarily works to negotiate collective agreements for safe working conditions and fair pay?

    <p>Nursing Unions</p> Signup and view all the answers

    Which of the following is NOT a common mental health challenge faced by nurses currently?

    <p>Increased collaboration with other healthcare professionals</p> Signup and view all the answers

    Which of the following statements correctly describes a requirement for maintaining fitness to practice?

    <p>Utilizing staff health programs is recommended.</p> Signup and view all the answers

    What is a significant component of the Plan-Do-Study-Act (PDSA) cycle in quality improvement?

    <p>Developing evidence-based strategies</p> Signup and view all the answers

    Under which classification does a Registered Nurse's professional liability protection fall?

    <p>General/Temporary Class</p> Signup and view all the answers

    What is a common misconception regarding the type of coverage provided by claims-made professional liability policies?

    <p>It covers incidents occurring after the policy has ended.</p> Signup and view all the answers

    Which of the following support resources provides mental health assistance with anonymous access?

    <p>Wellness Together Canada platform</p> Signup and view all the answers

    What key obligation must nurses fulfill regularly to maintain fitness to practice?

    <p>Conduct regular self-assessments of practice capability</p> Signup and view all the answers

    What should occur following the assurance of public safety regarding practice restrictions for a nurse?

    <p>Removal of restrictions documented in the public register</p> Signup and view all the answers

    Which of the following statements is correct regarding the scope of coverage needed for professional liability protection?

    <p>Mandatory for all practice settings regardless of role.</p> Signup and view all the answers

    Study Notes

    Week 9 Nursing Ethics

    • Ethics involves the study of right and wrong, guided by philosophical ideals. Nursing ethics reflects core professional values, including:
      • Values: Strong personal beliefs and ideals
      • Professional responsibilities: Reliability, dependability, and duty to perform actions
      • Advocacy: Acting on behalf of others, promoting equity, and accountability
    • Principles of Healthcare Ethics include:
      • Autonomy: Freedom of self-determination
      • Beneficence: Promoting patient well-being
      • Non-maleficence: Avoiding harm
      • Justice: Fair and equal treatment of all patients
    • CNO Ethical Values include:
      • Client Well-being: Promoting health and preventing harm, balancing benefits and risks, respecting client perspectives
      • Client Choice: Supporting self-determination, providing informed decision-making support, and working with substitute decision makers when needed
      • Privacy & Confidentiality: Protecting personal information, maintaining dignity, and sharing only when necessary
      • Respect for Life: Honoring client values about life and quality of life, providing dignified end-of-life care, and arranging alternative care when values conflict
      • Maintaining Commitments: Putting client needs first, recognizing personal limitations, upholding professional standards, and advocating for improvement
      • Truthfulness: Providing complete information

    Ethical Decision-Making

    • Framework for analyzing dilemmas:
      • Identify the ethical issue
      • Gather relevant information
      • Examine personal values
      • Define the problem
      • Consider possible actions
      • Reflect on outcomes
      • Evaluate results
    • Consent and confidentiality are governed by the Healthcare Consent Act and Substitute Decisions Act
    • Informed consent is required for treatment
    • Maintaining privacy of health information is crucial
    • Balancing information sharing with privacy protection is necessary.
    • Quality practice settings have seven key characteristics:
      • Professional development systems
      • Leadership
      • Organizational supports
      • Response systems
      • Equipment and facilities
      • Communication systems
      • Care delivery processes

    Week 10 Professional Boundaries/Misconduct & Social Media Use

    • Professional Misconduct includes:
      • Failure to maintain standards of practice
      • Working while impaired
      • Abusive conduct
      • Theft
      • Failure to obtain client consent
      • Inadequate documentation & record keeping
      • Misrepresentation
      • Failure to meet legal/professional obligations
      • Conflict of interest
      • Inappropriate business practices
      • Disgraceful, dishonourable, and unprofessional conduct

    Complaint Process

    • Complaints must be written or recorded and include the complainant's contact information
    • The college acknowledges receipt and explains the process
    • Resolution methods may include Alternative Dispute Resolution or Formal Investigation
    • Disciplinary proceedings may follow
    • Potential outcomes include no action if unsupported or advice, caution, mandatory remedial programs, referral to discipline committee, or fines, suspension, or revocation of license

    Week 11 Nursing Theories, Research, & Evidence-Based Practice

    • Key terms related to nursing theories are defined.
    • Theories and conceptual frameworks in nursing practice are described.
    • Components of nursing theories are identified.
    • Research's role in professional nursing is understood, and skills for critiquing research are developed.
      • Evidence-based decision-making in nursing is explained.
      • Sources of evidence for clinical practice are understood

    Week 12

    • Learning Outcomes include understanding fitness to practice, applying it to nursing, self-regulation and public protection
    • Recognizing symptoms, causes, and effects of practice-impairing stressors and methods for maintaining fitness to practice are explored
    • Fitness to practice encompasses qualities that could impair nursing practice, including cognitive, physical, psychological conditions, and substance dependencies
    • Maintaining fitness to practice, following the code of ethics, includes the need to withdraw from care if unable to practice safely, and take steps to regain fitness

    Week 13

    • Learning Outcomes include identifying nursing organizations and comparing regulatory bodies, professional organizations, and examining the benefits of membership, importance of navigating professional liability protection as well as nursing union roles.
    • Overview of nursing organizations in Canada, and different categories like Registered Nurses, Registered Practical Nurses, Nurse Practitioners, and Registered Psychiatric Nurses are defined.
    • Examples of Professional Organizations such as College of Nurses of Ontario are explored.
    • Role and importance of Nursing specialty practice organizations is discussed, including Pediatric Oncology Group
    • Professional liability protection (PLP) and key requirements (mandatory coverage in cases of malpractice), types of coverage (occurrence-based, claims-made), and important considerations for all practice settings are explained. PLP covers incidents during active coverage. Claims-made coverage covers claims during the policy period.

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    Description

    Explore the vital aspects of nursing ethics, which encompass essential values and principles guiding healthcare professionals. This quiz covers topics such as autonomy, beneficence, and the core ethical responsibilities of nurses. Test your understanding of how these ethical standards impact nursing practice and patient care.

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