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NUR1 424 Exam Questions with all correct Answers

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NUR1 424 Exam Questions with all correct Answers .“best interests model” – Answer—child is in a passive role, due to underestimation of “maturity” -adult-centered model: based on adult concept of moral agency, “ideal of autonomy” -main groups: preschool (no significant capacit...

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  • August 14, 2024
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  • 2024/2025
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NUR1 424 Exam Questions with all correct Answers

.“best interests model” – Answer—child is in a passive role, due to
underestimation of “maturity”

-adult-centered model: based on adult concept of moral agency, “ideal of
autonomy”

-main groups: preschool (no significant capacity), primary (no full decision
making, assent should be sought), ados (full capacity assessed on per-child
basis)

-vulnerabilities amplified



.”mature minor” – Answer—no universally accepted definition

-person under the age of majority with capacity and independence to make a
decision

-tied to evolving maturity



.24h, 21st day, 90th day – Answer-24h: first psych eval must be carried out,
then 96h to carry out 2nd eval OR if under preventive confinement and
refused exa, then psych eval within 48h

21st day: re-eval done by 2 psychiatrists, if confinement is set long then
reports must be done 21 days from that decision and then every 3 months

90th day: renewal PRN



.4 times nurses invoke ethics – Answer-1. Wrongdoing

2. dilemma

3. acting on values

4. determination of values



.Administrative law – Answer—involves operation of government agencies
made to carry out the government’s work (ex. Health inspectors)

-legal power is granted

,.Advanced Medical Directive (AMD) – Answer—advance care planning, goes
in QC medical record

-applied at EOL w serious and incurable illness, pt in a coma/permanently
unconscious, suffering from dementia affecting mental fx with no chance of
recovery

-5 tx: CPR, ventilator, dialysis, artificial/forced feeding or hydration



.Applied ethics: main ideas – Answer-focus: practical application of ethics in
specific contexts

Asks: What is the right action, irl, in a specific context?

“What should I do?”

Includes professional, environmental, business/corporate, bioethics



.Assent – Answer—the child’s voice who doesn’t have capacity, attends to
moral voice

-optimize the child’s understanding and seek their voluntary cooperation to
the proposed care



.Authorized confinement – Answer—motion for authorized confinement, two
MD must agree

-application must be done <48h after the eval with psychiatrists, motion is
served to pt and SDM

-court hearings, then the pt may be required to stay for up to 30 days

-after 30 days, confinement may be extended to 90 days, 2 new psych evals
must be done before 30days expires



.bioethics/healthcare ethics – Answer-Includes organizational, clinical,
research, public health

-part of applied ethics

, .Capacity to consent – Answer-Based on ability to learn, regain knowledge,
decision making, age, mental competence

Presumed unless: <14 y/o, incapable of giving consent

For <14: must have consent of SDM

For 14>x<18: can give consent if less than 12h in facility and no potential
grave consequences

Criteria: based on categorical refusal or incapacity to consent (often based
on detail psych exam and needing a court order)



.Care occurring on a spectrum – Answer—Q of whether treatment is ethical,
or withdrawing treatment is ethical?

1.care is not beneficial and should not be offered

2.grey zone where there is uncertainty about benefits and risks

3.care is beneficial and should be offered



.Civil liability – Answer-aka: Negligence...HCP can be pursued under the CCQ
due to the extracontractual liability that exists (and when someone fails this
duty they are liable to reparation for the injury)

Needs 3 aspects:

1. Defendant has committed a fault

2. Plaintiff has suffered harm

3. adequate causation link between fault and damages

But for test: “plaintiff must prove that BUT FOR the conduct of defendant...”

3 year limitation period

-Duty to honour contractual undertaking



.Civl law – Answer—settling disputes between individuals/entities

-provinces have jurisdiction over healthcare (as far as we are concerned)

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