Autonomy correct answers Right to make one's own decisions; the right to self-
determination, a person's independence, or self-reliance
Inward autonomy correct answers If individuals have the ability to make choices
Outward autonomy correct answers If choices are not limited or imposed by others
Respect for autonomy correct answers The commitment to include patients in decisions about
all aspects of care as a way of acknowledging and protecting a patient's independence
Honoring the principle of autonomy correct answers The nurse respects a client's right to
make decisions even when those choices seem to the nurse not to be in the client's best
interest
Justice correct answers Refers to the principle of fairness; reflects a commitment to fair
treatment and fair distribution of health care resources
Fidelity correct answers Refers to keeping promises; based on the virtue of caring; promotes
your obligation as a nurse to follow through with the care offered to patients
Beneficence correct answers Active steps to help others; guides the decisions in which the
benefits of a treatment pose a risk to the patient's well-being or dignity; actively seeking
benefits or the promotion of good
Nonmaleficence correct answers Duty to do no harm (whether intentional or not); actively
seeking to do no harm; avoidance of harm or hurt
D. Nonmaleficence correct answers Your patient is about to undergo a controversial
orthopedic procedure. The procedure may cause periods of pain. Although nurses agree to do
no harm, this procedure may be the patient's only treatment choice. This example describes
the ethical principle of...
A. Autonomy
B. Fidelity
C. Justice
D. Nonmaleficence
common law correct answers decisions made by judges (Roe v Wade)
statutory law correct answers statutes made by goverment (ADA 1995)
nurse practice act correct answers statutes enacted by state legislature
State Board of Nursing correct answers Who has the power to suspend or revoke a nurse's
license if the nurse's conduct violates provisions of the licensing statute?
HIPAA correct answers Health Insurance Portability and Accountability Act 1966; this act
sets standards regarding the exchange of private and sensitive health information
, ADA correct answers Americans with Disabilities Act; broad civil rights statute regarding
access and equality for disabled. Includes patients with HIV and AIDS.
Yes correct answers Can criminal law violations unrelated to nursing jeopardize a nurse's
license status?
EMTALA correct answers Emergency Medical Treatment and Active Labor Act 1986;
"patient-dumping act"; hospitals must treat and stabilize all patients before transfer/discharge
PSDA correct answers Patient Self-Discrimination Act 1991; requires health care institutions
to provide written info to patients concerning their rights to make decisions, refuse treatment,
make advance directives, etc.
Standards of care are defined by which four things? correct answers State Nurse Practice Acts
State and federal hospital licensing laws and accreditation rules
Professional and specialty organizations (ANA)
Written policies and procedures of health care facilities
What four things must a plaintiff prove in order to establish malpractice? correct answers -
Nurse owed duty to pt
-Nurse breached that duty
-Pt was injured because of breach
-Pt accrued damages as result of injury
Where should you document deviations from standard of care (incidents)? correct answers
Incident report NOT nurse's notes
Good Samaritan Laws correct answers -Encourage nurses to assist in emergency situations
-Limit liability and offer legal immunity
-Allow nurses to treat minors without parental consent
-Require nurses to act within accepted standards for their level of training
-DO NOT abandon the patient
When is informed consent necessary? correct answers Needed before special procedures, on
admission to health care facility
The person performing the procedure correct answers Who is responsible for obtaining
informed consent before a procedure and making sure the patient understands?
Informed consent (3 things that make it up) correct answers Patient signature
Witness signature
Date and time of signing
Health care provider correct answers Assumes the responsibility/legally assumes the duty of
obtaining informed consent, even when nurse assumes responsibility of witnessing a
signature on consent form.
Minnesota and Vermont correct answers Two states that REQUIRE nurses to stop and help in
an emergency situation