Legal and ethical parameters to nursing practice

Q 1. Match the following terms with the correct definition:
Term
Definition
ethics
Information obtained during professional contact that is private to an individual or family, and which, when disclosed, may violate the right to privacy, cause inconvenience, embarrassment, or harm to the individual or family
bioethics
Describes the online and mobile tools that people use to share opinions, information, experiences, images, and video or audio clips.
nursing ethics
Ethics applied to anything in the biological sciences
Social media
The standards that members of a group are expected to follow
Personal information
The standard of behaviour to which nurses are expected to adhere in the interest of the public good
Q 2 Match the following terms with the correct definition:
Term
Definition
Professional misconduct
Is the possession of required skills, knowledge, education and capacity.
Competence
Includes conduct of a lesser standard that might reasonably be expected by the public or professional peers.
Delegation
Other nurses and other health and non-health related workers and professionals.
Unprofessional conduct
Is the relationship that exists when a nurse devolves aspects of nursing practice to another person.
Co-worker
Includes conduct by a health practitioner that is substantially below the expected standard, and which, whether connected to practice or not, is inconsistent with being a fit and proper person to be registered in the profession.
3/6
TAFE SA Student Written Assessment Version 3.0
HLTENN008 Written 3 Ethics & nursing – Student 201810 Version 1 ©TAFE SA
RTO CODE 41026 | CRICOS 00092B
Q 3 Using online or print media identify an ethical issue that may affect you when working as an Enrolled Nurse. For example:
 Euthanasia and assisted suicide
 Open disclosure
 Abortion
 Abuse – domestic violence
 Consent for medical treatment
 Conscientious objection
 Tissue transplant
 Organ donation
 ‘not for resuscitation’ orders
 Cultural and religious matters
A) Choose and reference your article
B) Review the ICN Code of Ethics for Nurses 2012
C) Choose one of the elements from the ICN Code of Ethics for Nurses; explain how this relates to the article, and how it may affect your nursing practice. (100 words)
Information for Q 4 – 15 Kerridge’s Model for Ethical Problem Solving
Cheryl, an Enrolled Nurse on duty in a busy Aged Care Facility insists on a resident taking their medication. The resident refuses to cooperate. Cheryl forces the medication into the resident’s mouth and holds her mouth shut, forcing her to swallow. The scene is witnessed by Beth, another EN, as she is walking past the room. Cheryl and Beth are friends and have worked together for many years. Beth knows that Cheryl is under pressure because she is going through a marriage break-up.
Q 4 What is the problem that has occurred?
A) Resident refuses to cooperate
B) Cheryl forced the resident to take their medication by holding her mouth shut forcing her to swallow after the resident clearly refused.
C) Residents right to refuse medication
D) Cheryl and Beth both work in an Aged Care facility
Q 5 What is the main ethical issue to be addressed?
A) Will Beth & Cheryl remain friends?
B) Beth and Cheryl are both ENs
C) The Aged Care facility is under staffed
D) Beth witnessed Cheryl forcing the medication into the resident’s mouth – will she report this?
Q 6 What are the two key facts?
A) Aged Care facility was understaffed and both EN’s were pushed for time
B) Beth and Cheryl are friends
C) Resident refuse to take medication,
D) Medication was forced into the resident’s mouth and the mouth held shut forcing the resident to swallow
Q 7 Who is involved?
A) The resident
B) The EN Cheryl
4/6
TAFE SA Student Written Assessment Version 3.0
HLTENN008 Written 3 Ethics & nursing – Student 201810 Version 1 ©TAFE SA
RTO CODE 41026 | CRICOS 00092B
C) EN Beth
D) Registered Nurse.
E) All of the above
Q 8 Select two relevant patient rights? A) The resident has a right to refuse medication and health care. B) To be kept safe from harm C) The patient has no rights as they live in an Aged Care facility D) to respect the needs of other people within the residential care service
Q 9 What are the nurse’s duties?
A) To administer the medications in a safe, appropriate and legal manner;
B) provide a duty of care while undertaking medication administration
C) To have the knowledge, skills and correct attitude toward the resident
D) To not attend work if she is physically or psychologically impaired to perform her duties safely and appropriately.
E) All of the above
Q 10 Consider the fundamental ethical principles. Match the ethical principle to the relevant comment:
Ethical Principle
Comment
Non-maleficence
This involves the respect for individuals and reflects on the right to consent
Privacy
Is to do good. Nurses must be aware and consider who is going to benefit from their actions (whose good is being served theirs or the patient).
Confidentiality
Refers to the equal distribution of nursing care and to be treated fairly
Beneficence
The nurse has a duty of care to the residents and above all to do no harm
Veracity
This refers to the ownership of one’s body and who has the right to invade that body.
Justice
Obligation by Beth to tell the truth about what has been witnessed with the incident
Autonomy
Information about the event is not spread around the facility
Q 11 Consider how the problem would look from another perspective. Who are the relevant stakeholders?
A) Registered Nurse
B) EN Cheryl
C) EN Beth,
D) the resident and their immediate family,
E) The Senior Health Care Professional and the Director of Nursing.
F) All of the above
5/6
TAFE SA Student Written Assessment Version 3.0
HLTENN008 Written 3 Ethics & nursing – Student 201810 Version 1 ©TAFE SA
RTO CODE 41026 | CRICOS 00092B
Q 12 Match the people/organisation(s) involved in this situation with what they have to lose.
Aged care facility
Trust in care workers and becoming fearful
Cheryl
Her job and AHPRA registration
Cheryl and Beth
Lose their friendship as the incident may cause conflict between them especially at work.
Resident
Reputation for providing optimum care for its residents this could be affected and possibly accreditation
Q 13 Identify three potential ethical conflicts:
A) The need to administer the medication to the resident while they are refusing the medication
B) Beth is aware that Cheryl is under pressure at home
C) Cheryl needs to work collaboratively with Beth to provide a positive outcome for the resident
D) The resident isn’t Beth’s patient, therefore there is no conflict
E) The rights of the resident to refuse
Q 14 Consider the law. Select the Acts (laws) that might affect Beth’s decision
A) Criminal Law (High Risk Offenders) Act 2015 (SA)
B) South Australian Public Health Act 2011(SA)
C) Health Practitioner Regulation National Law (South Australia) Act 2010
D) Criminal Law Consolidation Act 1935 (SA)
E) Aged Care Act 1997 (Cwlth)
F) Carer Recognition Act 2010 (Cwlth)
Q 15 Make an ethical decision. Select the ethical decision for this situation.
A) Beth should report Cheryl’s actions
B) Cheryl needs to take time off work to sort her personal issues out
C) Resident has the right to refuse medication
D) Cheryl and Beth need to re-evaluate their friendship
Q 16 What other areas of the law may Cheryl’s actions have impinged upon?
A) Negligent advice
B) Assault
C) Defamation
D) Bailment

 

 

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