legal & ethiclal principles

8/13/2019 Legal & Ethiclal Principles

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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 nursingstandard of practice

- acquire and develop the necessary 11core 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 Ethicspromulgated pursuant to R.A. No. 877and P.D. No. 223

- Nurses shall take effect after 15 daysfrom its full & complete publication inany newspapers of general circulation.



Ethics –ethos means moral duty.

Morals – moral is means behavioraccomplishing ethical practices.

Bio-ethics –

focuses on moral issues inthe field of health care and humanbehavior.

Virtue ethics –

aretaic focusedprimarily on the heart of the personperforming the act.



QUESTION # 1

The responsibility of a nurse whichencompasses the four aspect,

except:

A. Promotion and prevention ofhealth

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. Autonomy2. Beneficence

3. Justice

4. Non- maleficence5. Veracity

6. Fidelity



The Principle of Double Effect:

performing a good act with good & bad

effect.

This is different from performing a badact in order that good may result.



QUESTION # 6

The ability of the individual todetermine 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. JusticeC. AutonomyD. Veracity



ANSWER KEY

C



QUESTION # 7

An obligation of a nurse not to doharm to other.

A. Non- maleficence

B. JusticeC. 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 ora person authorized by law on patient’sbehalf, that changes touching, from non-consensual to consensual.



Moral Principles• The Golden Rule.

God said, “Do unto otherwhat you would like others dounto you.

•The Two-fold Effect.When a nurse is faced with asituation which may have

both good & bad effects,.



Code of Ethics for Filipino

Nurses1. Service to other

2. Integrity & objectivity

3. Professional competence4. Solidarity & Teamwork

5. Social & Civic Responsibility

6. Global competitiveness7. Equality of all Professions

Th D i f R i L i



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

I t ti l T t



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 topromote doing act of kindness andmercy that directly benefit the patient.

A. Autonomy

B. JusticeC. BeneficenceD. Fidelity



ANSWER KEY

C



QUESTION # 10 The nurse insert a naso-gastric tube to

patient nostril for the purpose offeeding and medication but from theaction itself, the patient felt pain duringinsertion this is an example of:

A. Principles of double effectB. Principles of divine command ethicsC. Principles of nursing practiceD. Principles of morally good



ANSWER KEY

A

Q S O #



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 andwith the result of laboratory patient has anacute appendicitis. The doctor advise

patient to undergo on surgical treatment.But because of financial problem patientdecide to refuse and transfer to othergovernment hospital for further diseases

management. In this situation patientexercise his : A. AdvocacyB. Autonomy

C. Veracity



ANSWER KEY

B



QUESTION #12

The nurse applied betadine to the lacerate

wound but it gives painful effect to the affeside, this is an example of:

A. Principles of double effect

B. Principles of divine command ethicsC. 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. EuthanasiaD. Cloning



ANSWER KEY

A



RA 7305 – the Magna Carta for PublicHealth Worker

The main objectives are:1. To promote and improve the socialand economic well being of healthworkers.

2. To develop their skills and capabilities.

3. To encourage those qualified and withabilities to remain in government

services.



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 basicsalary upon retirement.

R.A.7305 – Sec 31. = Right to self

organization.



R.A.7432 –The Senior Citizen’s Act

RA 7600 – Rooming in and breast-

feeding EO # 51 – Milk Code

PD 996 – compulsory immunization for

all children

EO 566 – directing the CHED to

regulate the establishment andoperation 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 parenthoodinstruction 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 onvarious laws and directives from DOH.She knows that all prescriptions of the

municipal health officer should be ingenerics. What laws provides thismandate?

A. RA 9173

B. RA 6675

C. RA 1080

D. RA 7160



ANSWER KEY

B



QUESTION #15

The Philippine Nursing Act:

A. RA 8981B. 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

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