PRO GROWTH MIDTERM EXAM QUESTIONS WITH INSIGHTFUL SOLUTIONS When an ethical issue arises one of the most important nursing responsibilities in managing client care situations is what Right Ans The nurse should be aware of both her or his personal and professional values and how they influence ethical decision making Authority Right Ans the power or right to give orders make decisions and enforce obedience PHIPA Right Ans PHIPA permits the sharing of personal health information among health care team members to facilitate efficient and effective care 1 Implied Consent 2 Expressed Consent 3 Substitute decision maker Informed Consent Right Ans Occurs when the client has 1 Received all the info 2 Has the capacity to make the decision 3 Is free from coercion Implied consent Right Ans Type of consent in which a patient who is unable to give consent is given treatment under the legal assumption that he or she would want treatment EMERGENCY Express consent Right Ans an oral or written agreement Substitute Decision Maker Right Ans a person who is authorized under privacy legislation to consent on behalf of an incapable individual to the collection use or disclosure of personal health information about the incapable individual Malpractice Right Ans Failure by a health professional to meet accepted standards Nonmaleficence Right Ans Do no harm Beneficence Right Ans Doing good or causing good to be done kindly action Autonomy independence Right Ans Autonomy is the client s or surrogate s right to make his or her own decision Code of Ethics for Nurses Right Ans Statements of the professionals values and beliefs which are based on ethical principles Veracity Right Ans Truthfulness honesty Fidelity Right Ans Faithfulness Advocacy in Nursing Practice Right Ans Recognizing the right and values of the clients and families takes precedence Being aware that conflict may arise Using excellent communication and assertive techniques P A C U P Right Ans Public Administration Health insurance to all insured at non profit Accessibility All insured have reasonable access to health care facilities Comprehensiveness All necessary health services must be insured Universality All are EQUAL Same level of care Portability Insured during a move to different province territory by previous prov terr Code of Conduct Right Ans 1 Respect the dignity of patients and treat them as individuals 2 Work together to promote patient well being 3 Maintain patients trust by providing safe and competent care 4 Work respectfully with colleagues to best meet patients needs 5 Act with integrity to maintain patients trust 6 Maintain public confidence in the nursing profession Unintentional tort Right Ans Wrongful acts of negligence they can be used by clients as the basis of a lawsuit How is common law established Right Ans Established by the courts Licensure in Canadian Nursing Right Ans Licensure is a function of each province and territory that arises from the government obligation to protect its citizens from incompetent or unsafe health care practitioners Liability in Nursing Right Ans When a nurse has accepted care for an individual and the patient is able to prove that the nurse did not meet the acceptable standards of care The harm caused must have been a direct result of the nurse s omission of care or inappropriate care Negligence Right Ans Involves conduct or behaviour that falls below expected standard Places another person at risk for harm Applies to anyone Elements of negligence Duty Breach of duty Harm Causation Confidentiality Right Ans Duty to protect client information To protect client information and disclose it to others only with permission or when rules or laws authorize its disclosure Privacy is about a person s right to control the intrusion of others into his of her life Autocratic Leadership Style Right Ans centralizing authority making decisions alone and expecting followers or subordinates simply to follow instructions Democratic Leadership Style Right Ans Participative Consultative A style in which the nominal leader invites the group s participation in decision making Bureaucratic Leadership Style Right Ans A leadership style that relies on rules regulations policies and procedures Laissez faire Leadership Style Right Ans a leadership style characterized by complete freedom for the group in making decisions Nondirective Permissive Task oriented Situational Leadership Style Right Ans leaders adapt their style to the needs of the team or company rather than expecting others to bend to their approach Transactional Leadership Style Right Ans Leader places emphasis on procedures and short term tasks Transformational Leadership Style Right Ans Leader utilizes personal creativity motivation constant communications and relationships to inspire a team with a shared vision and to consider changes as needed Empowers group to share organization s vision Servant leader The Nurse Leader Right Ans Functions autonomously Uses a leadership style that is natural and appropriate Assesses the effects of their behaviour on others Are sensitive to forces acting for and against change Expresses an optimistic view Energetic open and encourage openness Facilitates personal relationships Plans and organize activities of the group The Nurse Manager Right Ans Incorporates Critical thinking Communicating Managing resources Enhancing employee performance Building and managing teams Managing conflict Managing time Four Functions of Management Right Ans Planning organizing leading controlling