NURS 308 Final Exam - UNBC Nursing, Questions with answers, 100% Accurate, Graded A

NURS 308 Final Exam - UNBC Nursing, Questions with answers, 100% Accurate, Graded A Document Content and Description Below NURS 308 Final Exam - UNBC Nursing, Questions with answers, 100% Accurate, Graded A Who owns medical records? - The organization who created the record. The patient owns the information i nside and has a right to see it. What are the four concepts of ethical decision making? - advocacy, accountability/responsibility, cooperation, caring Define uniqueness - Understanding who you are & your place in the world. Changes throughout life. Define interconnectedness - Encompasses interdependence. Relying on others for some need. Reciprocal relationship. Health professionals in BC are governed by which Act? - Health Professions Act Who is responsible for ensuring nurses adherence to the professional standards? - Nurses themselves, employers, and CRNBC What are the 7 sections of the Code of Ethics for Registered Nurses? - 1: Providing safe, compassionate and ethical care 2: Promoting health and wellbeing 3: Promoting and respecting informed decision making 4: Honouring dignity 5: Maintaining privacy and confidentiality 6: Promoting justice 7: Being accountable Define virtue ethics - Virtues act in a way that benefit those who possess the virtue as well as society Define Deontology - Moral system that focuses on moral duties. Do not focus on how much good could be accomplished by the action but rather societies rules surrounding the action. Define Utilitarianism - Morality of an action is determined by the outcome. Happiness or pleasure is the only worthwhile pursuit. Action producing the greatest sum of happiness or pleasure is the correct action. Name the bioethical principles and their definitions - Autonomy - promotion of independant choice Beneficence - to do or promote good Non maleficence - to do no harm Justice - to promote fair and equal treatment AND Fidelity - one's number one loyalty to lie with the client Veracity - to tell the truth What are the four types of ethical concerns? - Ethical uncertainty - sense an ethical problem but unsure of ethically correct action Ethical distress - aware of the right action, but constraints make it impossible. Ethical dilemma - 2 or more ethical values conflict in a situation Ethical outrage - when someone else acts in an unethical manner and the nurse is powerless to stop it. What is the definition of 'Law' - The body of rules that dictates the behaviour of society and is recognized and enforced by the government. At the basic level Law is about what? - Relationships What are the five levels of sources of Law? - 1: Statute Law - statute, legislation (written laws) 2: Common Law - individual court decisions 3: Administrative Law - decisions of tribunals 4: Doctrine - articles, textbooks 5: Custom - principles, rules of a particular trade By whom are statute laws passed? - The government (federal or provincial) Statute law is applied and interpreted through ______ - Common Law How is common law determined? - By judges What is a precedent and who must follow it? - Decision made by a judge, all lower levels of court must follow the decision in future similar cases How do judges come to decisions in case (common) law? - First looking at legislation, then by previous precedents What 3 things must be in place for a precedent to be required to follow? - Decision was made by a higher court Same jurisdiction Based on similar facts Define administrative law - Decisions of administrative boards and tribunals - such as workers compensation Define doctrine law - includes articles, textbooks, other materials written by legal scholars and academics authors comment on statute and case law and discuss the legal principles at play + implications Which is the least authoritative type of law? - Custom law. Judges look to it as a last resort. Differentiate between legislation and legislatures - Legislation - Laws made by legislatures Legislatures - Assemblies of people who meet to discuss and make laws. How does legislation differ from case law? - Legislation - condensed and to the point, can be applied broadly, most made within last century, can be changed, more accesible than case law. Describe Canada's basic governmental structure - 1. The queen 2. The senate 3. The house of commons What is the purpose of the senate? - To review legislation passed through the house of commons What are the 5 steps to making of federal statutes? - 1. Preparation of the bill 2. Approval of bill by house of commons 3. Approval by the senate 4. Assent by the governor general 5. Proclamation Describe the 3 readings a bill must go through - First reading: Bill is introduced to house of commons or senate Second reading: Most important reading. Figure out intent of bill. Careful review of the bill. Third reading: Bill formally read, and voted upon. What is the purpose of regulations (subordinate legislation)? - To provide detailed rules needed to actually implement the broad social policy intent of the law What are some issues with regulations? - No independant review. Way too many of them. What are some advantages of regulations? - faster to create more flexible amended more quickly can be changed with changing society Differentiate between criminal and civil law - Criminal law - protection of society by punishment of offenders and restricting their activites. Civil law - Protection of society through compensation to victims Which 2 types of law are important in any court case and provide brief descriptions - Substantive Law - Rules that govern behaviour and set limits on conduct Procedural Law - How rights and obligations are enforced Which type of law is tort law? - Private law Briefly define tort law - Injured party sues wrong doer for compensation related to their wrongful conduct. Divided into unintentional torts and intentional torts Define negligence - involves inadvertent or careless conduct causing injury or loss to another - has 3 components: duty of care fell below standard of care resulting in injury or loss Uses reasonable person test What is vicarious liability? - Employers responsible for torts commited by employees. Who are nurses accountable to? - the State (government) their professional body (CRNBC) their employer their patients society themselves According to the health professionals act what is required to allow a person to call themselves a nurse? - Registration with CRNBC How do you become a registered nurse in BC? - Must pass NCLEX Complete Jurisprudence learning module provided through CRNBC Define the standards, limits and conditions of scope of practice - standards - desired and achievable level of performance; benchamark of acceptable standard of practice limits - specifies what RN's are allowed to do conditions - sets out the circumstances under which an RN may carry out an activity What are restricted activities? - Not requiring an order Requiring an order Requiring extra certification What are the 4 professional standards? - 1. Professional responsibilty and accountabilty 2. Knowledge based practice 3. Client focused practice 4. Ethical practice What are the three categories of reportable professional misconduct? - 1. incompetence or impaired practice 2. ethical/professional conduct issues 3. fitness to practice What is the difference between professional misconduct and negligence? - Professional misconduct is handled by CRNBC Negligence is handled by the courts What are the 3 elements of negligence? - 1. you must owe the other person a duty of care 2. you must breach that duty of care by not meeting the standard of care 3. your negligent act (or omission) must cause harm to that person What 3 things should be considered when deciding to delegate? - Care needs of the client The care environment The unregulated care giver Describe the process of delegation - determine agency policy establish knowledge and skill of unregulated care giver establish supervision and support mechanisms establish type and amount of ongoing nursing care required by the client clarify responsibility and accountability written instructions for the delegation must be provided evaluate outcome What are the 3 tests to determine causation? (with definitions) - But for test - but for the respondents negligence, the patient would not have suffered harm Forseeability test Thin skull rule - you take your victim as you find him, along with all his quirks and vulnerabilities What does the Limitation Act do? - Defines limitation periods - 2 years from the date the person knew or ought to have known about