ATI leadership chapter 3: Professional
Responsibilities
Nurses must be knowledgeable in which areas in order to meet their professional
responsibilities?
client rights
advocacy
informed consent
advanced directives
confidentiality and information security
legal practice
disruptive behavior
ethical practice
What are client rights?
-legal guarantees that clients have in regards to their health care
>in health care setting: The Patient Care Partnership
>In nursing facilities (residents): Resident Rights
What are situations in which nurses need to pay much attention to in regards to client rights?
-informed consent
-refusing treatment
-advance directives
-confidentiality
-informed security
What is the nurse's role in regards to client rights?
-MUST protect these rights
-make sure pt is informed and understands their rights
Each client has the right to:
-be informed about all aspects of their care
-be involved in decision making process of their plan of care
-accept, refuse, or request modification in their plan of care
-receive car by competent individuals
, In regards to client rights, what does the patient Self-Determination Act (PSDA) state?
on admission the client is informed about their right to accept or refuse treatment (if competent
adult)
What are the steps if a patient decides to refuse a treatment or procedure?
-Asked to sign a doc that states they understand the risks of refusing tx and that they have
chosen to refuse tx
-decided to leave w/o discharge order? nurse notify provider and discusses w pt the risks of
leaving before discharge
-nurse documents the information that was provided
-they sign an AMA form (Against Medical Advice)
-They refuse to sign AMA form? nurse documents
If a client refuses a treatment, what are some of the things that he/she must be informed about?
-complications and those complications that can lead to death
-permanent physical or mental impairment or disability
What does advocacy in nursing refer to?
supporting clients by
-making sure they have all info to make decisions
-their rights are respected
-they are receiving the proper level of care
-act on their behalf when the action of others aren't are not in the client's best interest or when
changes need to be made in the plan of care
-act even when they disagree w the pt
-support and advocate for legislation that promotes public policies that protect clients as
consumers
-create a safe environment
What are situations in which nurses may need to be advocate for their patients?
-end of life decisions
-access to health care
-protection of client privacy
-informed consent
Responsibilities
Nurses must be knowledgeable in which areas in order to meet their professional
responsibilities?
client rights
advocacy
informed consent
advanced directives
confidentiality and information security
legal practice
disruptive behavior
ethical practice
What are client rights?
-legal guarantees that clients have in regards to their health care
>in health care setting: The Patient Care Partnership
>In nursing facilities (residents): Resident Rights
What are situations in which nurses need to pay much attention to in regards to client rights?
-informed consent
-refusing treatment
-advance directives
-confidentiality
-informed security
What is the nurse's role in regards to client rights?
-MUST protect these rights
-make sure pt is informed and understands their rights
Each client has the right to:
-be informed about all aspects of their care
-be involved in decision making process of their plan of care
-accept, refuse, or request modification in their plan of care
-receive car by competent individuals
, In regards to client rights, what does the patient Self-Determination Act (PSDA) state?
on admission the client is informed about their right to accept or refuse treatment (if competent
adult)
What are the steps if a patient decides to refuse a treatment or procedure?
-Asked to sign a doc that states they understand the risks of refusing tx and that they have
chosen to refuse tx
-decided to leave w/o discharge order? nurse notify provider and discusses w pt the risks of
leaving before discharge
-nurse documents the information that was provided
-they sign an AMA form (Against Medical Advice)
-They refuse to sign AMA form? nurse documents
If a client refuses a treatment, what are some of the things that he/she must be informed about?
-complications and those complications that can lead to death
-permanent physical or mental impairment or disability
What does advocacy in nursing refer to?
supporting clients by
-making sure they have all info to make decisions
-their rights are respected
-they are receiving the proper level of care
-act on their behalf when the action of others aren't are not in the client's best interest or when
changes need to be made in the plan of care
-act even when they disagree w the pt
-support and advocate for legislation that promotes public policies that protect clients as
consumers
-create a safe environment
What are situations in which nurses may need to be advocate for their patients?
-end of life decisions
-access to health care
-protection of client privacy
-informed consent
