ANCC study guide: legal/ethical/policy
what legal document governs the practice of a NP - answer the state nurse practice
act
What are the 4 ethical principles? (and define) - answer 1. beneficence (promoting
well being for pt. and society)
2. nonmalefecience - "above all, do no harm"
2. autonomy (person acts intentionally after being given informed consent)
4. justice (equitable distribution of social benefits
What is he difference between an ethical dilemma and an ethical conflict? - answer
ethical dilemma = when asked to choose between two ethically legitimate alternatives
(e.g. preserving pt. confidentiality or protecting endangered third parties)
ethical conflict = involves the compromise of an ethical principle (usually bc of self
interest like pt-therapist sexual relations)
YES or NO if ethical below:
a. sex with a family member of pt.
b. discussing cases with spouse
c. confidentiality must be maintained after death of pt.
d. Psych provider can make determination of suicide as a result of mental illness for
insurance purposes solely from reading the patients records
e. Dating a pt. one year after discharge - answer a. NO (especially with child/ad)
b. NO (even saying pt name is breach of confidentiality)
c. YES (only exceptions are legally and protecting others from harm)
d. YES (calles psychological autopsy)
e. NO (1-2 years maybe.. currently "unethical")
f. YES
Describe what an assessment of environmental maintenance is? - answer assessing
for risk of injury, violence, and possession of weapons
biggest risk factor for a parent abusing a child? - answer past abuse of the parent
A group of nursing students at Nurseslabs University is currently learning about family
violence. Which of the following is true about the topic mentioned?
a. Family violence affects every socioeconomic level.
b. Family violence is caused by drugs and alcohol abuse.
c. Family violence predominantly occurs in lower socioeconomic levels.
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d. Family violence rarely occurs during pregnancy. - answer a. Family violence
affects every socioeconomic level.
Family violence occurs in all socioeconomic levels, races, religions, and cultural groups.
Although violence is associated with substance abuse, it is not the singular cause. The
statement that the family violence predominantly occurs in lower socioeconomic levels
is false. Abuse often occurs during pregnancy; about 23% of all pregnant women
seeking prenatal care are victims of abuse.
What describes reasonable and prudent practice for a NP? - answer - professional
standards and scope of practice document
What determines what is acceptable education prep for practice? - answer
professional nursing organizations
What determines the legal boundaries of practice? - answer state legislation statutes
- specifically the Nurse Practice act. . REMEMBER!! determines LEGAL practice
What grants legal authority for NP practice? - answer state legislative statutes (e.g.
nurse practice act)
What does the state practice act do? - answer - defines the scope of practice of NP
- protects the title of NP
- Has required educational components and certifications
- determines collaborative agreement - what can be prescribe by nurse and physician
oversight
- places restrictions on practice
- disciplines
-NPA accompanies the Board of Nursing (created by state legislature) that develops
further rules and regulations
What is the umbrella term for the regulations of NPs?
define it - answer credentialing - process used to protect the public by ensuring
minimal level professional competency
What is credentialing? - answer process used to protect the public that determines
the minimum level of professional competency - it is the umbrella term for certification
and licensure
What is licensure - answer process by which an agency of the STATE grants
permission to practice in the profession
What is certification? - answer It is a NONGOVERNMENTAL body that is voluntary.
- It gives out a credential (giving title protect)
- determines scope
- profesional nursing organization certifies someone to practice as a professional Powered by TCPDF (www.tcpdf.org)
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