QUESTIONS AND ANSWERS
What is said in the code of ethics for nurses Provision 3.1? ANSWER - "...the nurse has a duty to
maintain confidentiality of all patient information, both personal and clinical in the work setting and off
duty in all venues, including social media and any other means of communication... Nurses are
responsible for providing accurate, relevant data to members of the health care team and others who have
a need to know" (ANA, 2015).
When was the first federal privacy standard governing protection of patients' medical records? ANSWER
– 1996
What ways does HIPPA regulations protect individually identified health information? ANSWER –
- paper
- electronically
- oral communication
True or False: A nurse’s guide to the use of social media places significant limitations on the content of
nurses' social media activities and comments by confidentiality and HIPAA regulations. ANSWER - True
Organizational Polices place to govern the use of what? ANSWER - social media
What is the definition of assault? ANSWER - threat or attempt to make bodily contact with another
person without permission
What is the definition of battery? ANSWER - the assault carried out; the impermissible, unprivileged
touching of one person by another
What must acute care and long-term facilities do? ANSWER - - provide written info to patients about
their rights under state law
- ensure institutional compliance with state laws on advance directives
- provide education for staff and community on advance directives
- document in medical record whether the patient has an advance directive
How to limit the possibility of legal action? ANSWER - - safe setting
- communication with other hcps, patients, and families, documentation
- meet standard of care
- carry and understand liability insurance
- promote positive relationships
Steps in ethical decision making? ANSWER - 1. Clarify the dilemma
2. Gather additional data
3. Identify options
4. Make a decision
5. Act
, 6. Evaluate
What are dilemmas and ethical issues ANSWER - - personal value systems
- issues, peers' and other professionals' behavior issues
- patients' rights issues
- immigration and migration
- institutional and social issues
- patient data access issues
What can pervade a nurses practice and have the potential to compromise quality of care if not resolved?
ANSWER - ethical conflicts
What are the guiding ethical principles that assist in decision making? ANSWER - autonomy, justice,
beneficence
Clinical judgment is a combination of: ANSWER - research, clinical expertise, and patient preference
What are some clinical judgement components? ANSWER - - recognizing and analyzing cues
- developing and prioritizing hypotheses
- generating solutions
- nursing interventions
- evaluating outcomes
What is the goal-based decision-making model? ANSWER - utilitarian
What is the duty-based decision-making model? ANSWER - deontological
True or false: laws are ethical dilemmas ANSWER - true
Bioethical principles include the following ANSWER - - autonomy vs medical paternalism
- beneficence and nonmaleficence
- justice (scare tx, unnecessary tx, social worth, veracity)
Critical thinking step 1: ANSWER - Process
- situational factors
- bio-physical data
- pt preferences
- seek info
Critical thinking step 2: ANSWER - Act
- interpret problem
- diagnose/goals
- ethical values
- implementation
Critical thinking step 3: ANSWER - Reflect
- evaluate outcomes