Legal & Ethical Principles in Nursing

Caridad C. Lintao, RN., MAN

R.A. No. 9173, known as the Philippine Nursing Act of 2002 and Board Res. No. 425, Series of 2003

- duties and responsibilities in the nursing standard of practice - acquire and develop the necessary 11 core competence based on knowledge, skills and attitudes

REGISTERED Nurses must:

consider an individuality & totality of patients when they administer care respect the spiritual beliefs & practices of patients regarding diet & treatment

uphold the rights of individuals

take into consideration the culture & values

The Amended Code of Ethics promulgated pursuant to R.A. No. 877 and P.D. No. 223

- Nurses shall take effect after 15 days from its full & complete publication in any newspapers of general circulation.

Ethics ethos means moral duty.

Morals moralis means behavior accomplishing ethical practices. Bio-ethics focuses on moral issues in the field of health care and human behavior.

Virtue ethics aretaic focused primarily on the heart of the person performing the act.

QUESTION # 1 The responsibility of a nurse which encompasses the four aspect, except: A. Promotion and prevention of health B. Maintaining health C. Alleviation of suffering D. Restoration of health

ANSWER KEY
B

QUESTION # 2 Virtue ethics known as aretaic ethics which means: A. Focused on the of a person performing the act B. Focused on the duties and responsibilities of the person C. Focused on the traits of a person D. Focused on the nursing procedure done by the nurse.

ANSWER KEY
C

QUESTION # 3 A nurse gives wrong medication to a client. Another nurse employed by the hospital as a risk Manager will expect to receive which of the following communications? A. Incident report B. Oral report from the nurse C. Copy of medication kardex D. Order change signed by the physician

ANSWER KEY
A

QUESTION # 4 A nurse is approached by a friend who request for an abortion. The nurse refuses but refers the friend to the doctor who can perform it. This is a violation of: A. Divine Command Ethics
B. Teleological Approach C. Good Samaritan Law D. Command Responsibility

ANSWER KEY
A

QUESTION # 5 A family member decided to have an euthanasia to the patient because of poor prognosis for almost 5 years of critically ill, is one of the example of : A. Divine Command Ethics B. Teleological Approach C. Good Samaritan Law D. Command Responsibility

ANSWER KEY
A

Ethical PRINCIPLES : 1. Autonomy 2. Beneficence 3. Justice 4. Non- maleficence 5. Veracity 6. Fidelity

The Principle of Double Effect:

performing a good act with good & bad effect. This is different from performing a bad act in order that good may result.

QUESTION # 6 The ability of the individual to determine his or her own course of action. It is also one of the patient responsibility and right to make a decision on his or her treatment. A. Non- maleficence B. Justice C. Autonomy D. Veracity

ANSWER KEY
C

QUESTION # 7 An obligation of a nurse not to do harm to other. A. Non- maleficence B. Justice C. Autonomy D. Veracity

ANSWER KEY
A

Conditions for Ethical Decision Making Abortion expulsion of the product of conception before the age of viability Fetal-maternal Conflict Use/termination of Life Support Withholding and Withdrawing of treatment Organ Transplantation Cloning Euthanasia Consent an authorization, by a patient or a person authorized by law on patients behalf, that changes touching, from nonconsensual to consensual.

Moral Principles The Golden Rule. God said, Do unto other what you would like others do unto you. The Two-fold Effect. When a nurse is faced with a situation which may have both good & bad effects,.

Code of Ethics for Filipino Nurses 1. Service to other 2. Integrity & objectivity 3. Professional competence 4. Solidarity & Teamwork 5. Social & Civic Responsibility 6. Global competitiveness 7. Equality of all Professions

The Doctrine of Res ipsa Loquitor: the thing speaks for itself The Doctrine of Force Majure: irresistible force Do ut des give that you may give Facto ut facias perform so that you are to perform Facio ut des do that you may give Do ut facias pay in order that you may perform

Classification of Crimes: * Felony * Manslaughter * Misdemeanor

Intentional Torts: * Fraud * Invasion of Privacy * Defamation a) Libel - written b) Slander - spoken word * Assault - touch * Battery Unintentional Torts: * Negligence * Malpractice

 Murder

is the unlawful killing of a human being with intent to kill Homicide is the killing of a human being by another. Infanticide is the killing of a child less than three (3) days of age Parricide is a crime committed by one who kills his father, mother or child whether legitimate or illegitimate, or any of his ascendants or descendants or his

QUESTION # 8 An obligation of the nurse to treat all patients fairly regardless of race and status in life. A. Autonomy B. Justice C. Beneficence D. Fidelity

ANSWER KEY B

QUESTION # 9 Based on Hippocratic Oath The nurse must do independent function to promote doing act of kindness and mercy that directly benefit the patient. A. Autonomy B. Justice C. Beneficence D. Fidelity

ANSWER KEY
C

QUESTION # 10 The nurse insert a naso-gastric tube to patient nostril for the purpose of feeding and medication but from the action itself, the patient felt pain during insertion this is an example of: A. Principles of double effect B. Principles of divine command ethics C. Principles of nursing practice D. Principles of morally good

ANSWER KEY
A

QUESTION # 11 The patient felt pain on the right lower quadrant and seek a medical advice in one of the institution here at Dasmarinas City, Cavite. Upon assessing by the doctor and with the result of laboratory patient has an acute appendicitis. The doctor advise patient to undergo on surgical treatment. But because of financial problem patient decide to refuse and transfer to other government hospital for further diseases management. In this situation patient exercise his : A. Advocacy B. Autonomy C. Veracity

ANSWER KEY
B

QUESTION #12 The nurse applied betadine to the lacerated wound but it gives painful effect to the affec side, this is an example of: A. Principles of double effect B. Principles of divine command ethics C. Principles of nursing practice D. Principles of morally good

ANSWER KEY A

QUESTION #13 The expulsion of the product of conception before the age of viability. A. Abortion B. Fetal and maternal conflict C. Euthanasia D. Cloning

ANSWER KEY A

 the Magna Carta for Public Health Worker The main objectives are: 1. To promote and improve the social and economic well being of health workers. 2. To develop their skills and capabilities. 3. To encourage those qualified and with abilities to remain in government services.
RA 7305

 Sec15. = Normal hours of work. On call 50% R.A 5901 40 Hours per week. R.A.7305 Sec 17. = Work during rest day. R.A.7305 Sec 18. = Night shift differentials. 10% R.A.7305 Sec 21. = Hazard allowance. R.A.7305 Sec 23. = Longevity pay. 5%
R.A.7305

R.A.7305 Sec 24. = Laundry allowance. R.A.7305 Sec 26. = Housing. R.A.7305 Sec 27. = Medical Examination. R.A.7305 Sec 30. = Highest basic salary upon retirement. R.A.7305 Sec 31. = Right to self organization.

R.A.7432 The Senior Citizens Act RA 7600 Rooming in and breastfeeding EO # 51 Milk Code PD 996 compulsory immunization for all children

EO 566 directing the CHED to regulate the establishment and operation of review centers. RA. 8981 Practicing Professional Nurse Foreign nationals

P.D. No. 965 requires couples intending to get married must first undergo a family planning & responsible parenthood instruction prior to the issuance of a marriage license P.D. No. 719 Revised Population Act. Empowering nurses and midwives, after training and authorized to provide, dispense, and administer acceptable methods of contraception.

QUESTION # 14 Mrs. Dizon is the Health Education Officer of the Municipal Health Officer. She plans to develop programs based on various laws and directives from DOH. She knows that all prescriptions of the municipal health officer should be in generics. What laws provides this mandate? A. RA 9173 B. RA 6675 C. RA 1080 D. RA 7160

ANSWER KEY
B

QUESTION #15 The Philippine Nursing Act: A. RA 8981 B. RA 7305 C. RA 2382 D. RA 9173

ANSWER KEY
D

QUESTION # 16 The Magna Carta for Public Health Workers A. RA 8981 B. RA 7305 C. RA 2382 D. RA 9173

ANSWER KEY B

QUESTION # 17 The Philippine Medical Act A. RA 8981 B. RA 7305 C. RA 2382 D. RA 9173

ANSWER KEY
C

END