Chapter 4 Objectives

Front 1

define the following medical-legal terms: crime, felony, misdemeanor, liability, tort, negligence, malpractice, assault, battery, informed consent, libel and slander

Back 1

crime-a wrong committed against a person or property
felony-is a serious crime; most serious such as murder, ins fraud.
misdemeanor-is a crime that is considered not as serious as felony.
liability-is the legal responsiblity for one's actions or failure to act appropriately.
tort- is an injury that occurred because of another person's intentional or unintentional actions or failure to act.
negligence-is defined as harm done to a client as a result of neglecting duties, procedures or ordinary precautions
malpractice-is the improper, injurious or faulty treatment of a client that results in illness or injury.
assault-is a threat or attempt to do bodily harm.
battery-is physical contact with another person without that person's consent.
informed consent means that tests, treatment and medication have been explained to the person, as well as outcomes, possible complications.
libel-is written statement or photograph that is false or damaging.
slander is malicious verbal statements that are false/damagi

Front 2

discuss the concept of false imprisonment and related the discussion to your daily nursing practice.

Back 2

false imprisonment is the use o unnecessary restraints or solitary confinement and is illegal unless a client is a criminal or a court order exist. Even if a client is rowdy and will not be still for treatment you cannot restrain client.

Front 3

explain at least three implications for nurses for the issues of abandonment of care, invasion of privacy and confidentiality.

Back 3

Abadonment of care implies that the healthcare professional has prematurely stopped caring for a client. EX: leaving client alone who is not ready;if home care client has infection or stops meds. To avoid this charge you NEVER leave your employment or clinical assignment w/o notifying supervisor. invasion of privacy and confidentiality are important legal aspects of providing medical care. Implications are trespassing if you invade client's right to privacy or illegal search and siezure or releasing private information to the public even if it is true.

Front 4

state at least five special healthcare issues and relate them to nursing

Back 4

duty to provide treatment=if client can't pay they should still receive treatment
abortion and sterilization=laws vary from state to state regarding consent forms and length of gestation
Experimentation=humans must give informed consent
release from liability=a person may refuse treatment or leave against medical advice (ama)
death in the hospice facility=laws relating to prnouncement of death are different for hospice clients

Front 5

define and discuss the purpose of the Nurse Practice Act

Back 5

Nurse Practice Act outlines the laws that define and regulate the practice of nursing in the United States. These laws define the title of "nursing" and regulate the many aspects of the field of nursing.

Front 6

State at least four components of a Nurse Practice Act

Back 6

(1) definition of practical and registered nursing
(2) nursing functions protected by the law.
(3) requirements for an approved school of nursing establishment of requirements for licensure
issuing and (4) renewing nursing license

Front 7

State at least three functions of a state board of nursing

Back 7

to initiate, regulate and enforce the provisions of the Nurse Practice Act.

Front 8

State the purpose of NCLEX

Back 8

the purpose is to separate candidate into two groups: those you can pass with minimal entry-level knowledge and those who cannot.

Front 9

State at least eight common-sense precautions that nurses can take against lawsuits

Back 9

follow accepted procedure;
be competent in your practice
ask for assistance;
document well;
do not give legal advice to clients;
do not accept gifts;
do not help a client prepare a will;
consider a malpractice insurance policy;

Front 10

State at least two benefits and two limitations of the Good Samaritan Act

Back 10

Benefits: (1) protects against liability if you act in the course and scope of a reasonable person (2) and if act within the limits of providing first aid
Limitations:

Front 11

Discuss at least four rationales for the concept of professional boundaries

Back 11

power vs. vulnerability
boundary crossings
boundary violations
professional sexual conduct;

Front 12

Define and discuss the three major types of advance directives

Back 12

Living will is written, legally witnessed document that request no extra ordinary measures to be taken to safe a life
Directive to Physicans is written document that can be useful for terminally ill adults who have n other person to name as their agent for making healthcare decisions
Durable Power of Attorney is a client names another person to make healthcare decisions for him or her should client become unable to do so

Front 13

state three types of persons who are vulnerable to deficient or harmful care

Back 13

mentally challenged
children
and elderly

Front 14

differentiate between biological death and brain death

Back 14

biological death is due to natural causes
Brain death is the cessation of brain functions a/k/a clinical death

Front 15

define and dicuss at least four ethical concepts that relate to nursing

Back 15

organ transplantation: whether or not to donate organs
who should receive treatment: whether client should be denied if no money
refusal of treament: who can refuse treatment, i.e. the family
termination of treatment: who can terminate treatment, i.,e family

Front 16

to state at least three rights of healthcare clients and three responsiblities of healthcare clients

Back 16

RIGHTS
to receive considerate and respectful care;
to know the identity of caregivers, including students;
to be advised of their right under state law
RESPONSIBILITIES
to enture that the healthcare institution has a copy of the client's written advance directive;
to request additional information and clarification about health status and treatment when client does not understand;
to provide necessary information and to assist in the process of payment for services