Ethical Principles for Patient Care
It's not the type of Tort(e) we want
Culturally Responsive Nursing Care
Permission, Permission, Permission!
Potpourri
100

The right to make one's own personal decision, even when those decisions might not be in the best interest of that individual.

What is AUTONOMY

100

A civil wrong that has been committed against an individual.  An individual carries out an act or fails to carry out an act that results in injury or harm to a client.

What is a TORT?

100

Examining personal attitudes related to various aspects of culture to identify possible bias.

What is Cultural Awareness?

100

Legal process by which a client or the client's legally appointed designee has given written permission for a procedure or treatment. 

What is INFORMED CONSENT?

100

(T/F) Fatigue and compassion fatigue affect a nurse's professional performance and personal life.

What is True?

200

Action that promotes good for others, without any self-interest.

What is BENEFICENCE?

200

Assault, Battery and False Imprisonment are acts of this type of tort. 

What is Intentional Torts?

200

This means nurses apply their knowledge of a client's culture to their care delivery.

What is Cultural Appropriateness?

200

Health care provider responsible for obtaining informed consent.

Who is the Provider?

200
Legal resource that provides nurse responsibility and acountability.

What is the Nurse Practice Act (of Ohio)?

300
Fulfillment of promises.

What is FIDELITY?

300

An unintentional tort in which a nurse administers a large dose of medication due to a calculation error.  The patient has a cardiac arrest and dies.

What is MALPRACTICE?

300
Means that nurses are knowledgeable about the cultures prevalent in their area of practice.

What is Cultural Sensitivity?

300

The difference between the informed consent and implied consent.

What is, INFORMED CONSENT needs to be written, the procedure taught, client understanding, and witnessed by the nurse.  IMPLIED CONSENT is consent that is implied by action such as when a patient adheres to the instructions the nurse provides.

300

Living Will, Durable Power of Attorney for Health Care, DNR are examples of documented communication that express a client's wishes regarding end-of-life care.

What are ADVANCED DIRECTIVES?

400

A commitment to do no harm.

What is NONMALEFICENCE?

400

A type of Quasi-intentional tort.

What are BREACH OF CONFIDENTIALITY and/or DEFAMATION OF CHARACTER?

400

Means that nurses understand and address the entire cultural context of each client within the realm of the care they deliver.  

What is Cultural Competence?

400

The nurse is responsible for what role during the process of informed consent?

What is to witness the informed consent.

400

A family has conflicting feelings about the initiation of enteral tube feedings for their father who is terminally ill, is an example of...

What is an ETHICAL DILEMMA?

500

A commitment to tell the truth.

What is VERACITY?

500

1. Duty to provide care as defined by a standard

2. Breach of duty by failure to meet standard

3. Foreseeability of harm

4. Breach of duty has potential to cause harm

5. Harm occurs

What are the 5 elements necessary to prove negligence?

500

Is similar to ethnocentrism and occurs when a nurse pushes the rules of their culture onto another person.

What is Cultural Imposition?

500

Criteria for INFORMED CONSENT.

What are: patient is provided with the purpose of the procedure,  a description of the procedure, the risks and benefits, options for alternative treatments, the knowledge that they have the right to refuse treatment. 

500

Is defined as cumulative stress that develops from the desire to help those who are suffering combined with the inability to relieve that suffering.  Potentially seen as difficulty focusing, nervousness and anxiety, disruptive behavior and problems connecting with others sympathetically.

What is Compassion Fatigue?