NUR 133 QUIZ 3

• What is consent to treatment? (3)

  1. a person's agreement for a health professional to proceed with a proposed treatment.

  2. communication can be verbal or written

  3. communication must be relevant, understandable, and include risks and benefits
• when is consent valid? (5)

  1. voluntary

  2. informed

  3. understood

  4. current

  5. covers the treatment to be performed
• what is implied consent? (1)


  1. implied through actions

  (eg. like extending arm for blood test)
• what is explicit consent? (2)


  1. expressed consent for more risky treatments

  2. consent documented in medical record
• who is a mature minor categorised as?

  1. under 18, who has sufficient emotional and intellectual capacity to fully comprehend nature and risks of treatment, irrespective of parent's decision
• element of negligence: duty of care


  1. nurses owing duty of care is in a position to be aware of risks to patient and can take steps to avoid it.
• element of negligence: breaches

  1. breach of duty means that the nurse who caused harm and failed to take reasonable steps to prevent it.
• element of negligence: damages


  1. patient has suffered loss or damage caused by negligence and expects compensation by nurse
• example of negligence in using equipment: (3)

  1. bad handling

  2. lack of safety precautions

  3. leaks and faults not checked and reported
• example of negligence in communication: (2)

  1. bad listening

  2. not passing on vital results and info
• example of negligence in documentation: (2)

  1. failure to record med administration

  2. writing incorrect information
• what is vicarious liability?


  1. makes an employer liable for the torts of the employee through hospital insurance covering for damages
• what is private indemnity insurance?


  1. nurse's own professional insurance to compensate of damages caused by negligence
• what is the purpose of the code of conduct?

  1. sets out legal requirements, professional behaviour and conduct expectations to ensure safe nursing practice
• code of conduct: domain 1


  1. practise legally

  2. composed of principle one (legal compliance)
• code of conduct: domain 2


  1. practise safely, effectively and collaboratively

  2. composed of principle 2 (person-centred practice), 3 (cultural practice and respectful relationships)
• code of conduct: domain 3


  1. act with professional integrity

  2. composed of principle 4 (professional behaviour), 5 (teaching, supervising, and assessing), 6 (research in health)
• code of conduct: domain 4


  1. promote health and wellbeing

  2. composed of principle 7 (health and wellbeing)
• principle 1 - legal compliance


  1. understanding obligations for mandatory reporting
• code of conduct - 1.3

  1. Mandatory Reporting
• how should nurses abide to mandatory reporting? (2)

  1. reporting obligations about aged, child abuse and neglect and alert to at risk infants

  2. alert to those vulnerable or at risk of physical harm and sexual exploitation
• code of conduct - 7.1

  1. responsibility to act to prevent putting patients at risk or negatively affects against ability to practice safely
• code of conduct - 4.1

  1. professional boundaries
• how to maintain professional boundaries? (5)

  1. recognise power imbalance between nurses and people in care

  2. managing patient expectations while being clear in professional boundaries

  3. avoiding conflicts and complexities

  4. reflect on over-involvement

  5. avoid expressing personal beliefs
• code of conduct - 4.4

  1. conflicts of interest
• Principles elements outlining the standards of ethical conduct in ICN (Four)

  1. Nurses and patients

  2. Nurses and practice

  3.Nurses and the profession.

  4. Nurses and Global Health
• Fundamental responsibilities of nurses

  1. Promoting Health

  2.Preventing illness

  3.Restoring Health

  4.Alleviating suffering
• Importance of Code of ethics

  1. Respect for human rights

  (i.e cultural rights, right to life, right to dignity and to be treated with respect)
• Element One- Nurses and People


  1. attend to people requiring care.

  2. Ensures that individual receives sufficient information for consent to care and treatment.

  3. maintain confidentiality

  4. Initiating and supporting action to meet health needs and social needs of the public.

  5. sustain and protect natural environment from depletion, pollution etc.
• Element Two: Nurses and practice


  1. maintain competence through continual learning.

  2. maintains personal responsibility and accountability for nursing practice

  3. using judgement regarding individual competence

  4. maintains standards of personal conduct

  5. maintains personal health.
• Element Three: Nurses and the profession


  1. determine and implement acceptable standards of clinical nursing practice, management, research and education.

  2. Developing research-based professional knowledge

  3. creating and maintaining equitable social and economic working conditions pin nursing.
• Element Four; Nurses and Co-workers


  1. sustains co-operative relationship with co-workers in nursing and other fields.

  2. Takes appropriate action to safeguard individuals when their care is endangered by a co-worker or any other person
• Bioethics

  1. Refers to moral principles that guide behaviour and decision-making.

  2. Nursing ethics refers to the moral problems that arise in nursing practice.

  3. influenced by morals, theories and principles.
• Bioethical Principles (4)

  1. Autonomy

  2. Non-maleficence

  3.Beneficence

  4. Justice
• Autonomy

  1. acting in a way that protects and promotes and the capacity for self-determination.
• Non-maleficence

  1. not providing treatment if it is more likely to harm than to help the patient.
• Beneficence

  1.actively bringing about a benefit for a person, including oneself.
• Justice

  1. acting fairly
• code of conduct - 3.4

  bullying and harassment
• how should nurses deal with bullying and harassment?

  1. never engage, ignore, or excuse such behaviour

  2. recognise the forms of bullying

  3. act to eliminate it