what ethical principles must a nurse consider regarding client care - -respect for autonomy
-beneficence
-nonmalificence
-justice
respect for autonomy - refers to respecting patients' rights to make decisions about their own
healthcare
beneficence - nurses do good for their patients and making sure they are not harmed by preventing or
removing what could cause harm
nonmalficence - duty to do no harm
justice - all care is equal between patients
Describe ethical nursing behaviors that build trust and promote client-centered goals. - -Trust is built by
listening, respecting, and communicating to the patient. Ensure they believe you are not sharing their
information as that could cause them to lose trust. A nurses obligation is to the patient, so they must tell
the patient the truth and use words that can instill a mutual respect between the patient and nurse.
-veracity
-fidelity
veracity - obligation to tell the truth and not lie to or deceive others
fidelity - obligation to other or to the organization (ANA Code of Ethics: to client, to self, to colleagues,
to nursing profession); faithfulness
key elements of management of care, include - -advanced directives
,-advocacy
-client rights
-HIPAA
-confidentiality
-informed consent
advanced directive - express how the patient wants medical treatment in the instance they are unable
to verbalize their desires themselves
advocacy - Nurses are the patient's advocate and must use this right to stand up for the patient if their
needs are not being met, if their autonomy is not being respected, if their information has been shared
without their permission (includes to family), and if patient is not receiving complete information about
procedures/therapies.
client rights - The client has the right to direct their care. They can accept or deny any care they want.
HIPAA (Health Insurance Portability and Accountability Act) - disclosing pt information. protects
individuals from losing health insurance when leaving or changing jobs
confidentiality - duty of health care providers to protect the secrecy of the patient's information
informed consent - -correlated to autonomy
the client must receive all information about proposed treatment. They can therefore make a decision
to refuse or accept based on all information.
-This was affirmed at the federal level with the Client Self-Determination Act of 1991
-EMERGENCY EXCEPTION: when informed consent cannot be given due to emergent situations
-THERAPEUTIC PRIVILEGE: when informing the patient could make the situation worse than better.
client self determination act - the right for the patient to have informed consent or refusal. can't hold
back info
, if a patient is receiving care for something you are uncomfortable with what do you do - reflect on your
own self values and morals
Articulate the nurse's ethical and legal responsibility to maintain the confidentiality of client information
and records. - The nurse needs to maintain patient privacy because they could have to pay a hefty fine
or go to prison. Not only that but it creates an environment where the patient can not trust healthcare
and an uncertainty in the patient that all of their private information is out in the hands of people they
do not know. The patient may also have significant reasons for not wanting many people to know their
history or that they are even in the hospital. We would want to protect them at all costs.
Types of law - -statutory law
-common law
-public law
-private law (tort, unintentional tort)
-negligence
-malpractice
-duty
-breach of duty
-causation
-damages
-assault
-battery
statutory law - established through legislature
common law - established by past court decisions
public law - between the government and individuals (constitutional law, administrative law, criminal
law)
private law - between individuals (contract law and tort law)
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