HLTENN041 - Apply Legal and Ethical Parameters to Nursing Practice

Assignment Task

Questions

1. a) In the table below, provide three (3) examples that describe ethics in Enrolled Nursing. In the second column, provide three examples of what ethical practice is not.

b. Briefly discuss the following moral theories that help inform ethical conduct

2. The steps of the nursing process are commonly used as a model for ethical decision-making. Identify the steps of the nursing process in moral decision making.

3. Explain the following ethical concepts and principles, provide one (1) example for each in relation to healthcare.

4. Due to your religious views on abortion, you do not want to look after Yoki on your shift. Discuss the concept of conscientious objection, and what you would do in this situation

5. a) What do privacy and confidentiality mean in regards to healthcare

b) According to the Nursing and midwifery Board code of conduct for nurses, identify one (1) element you must abide by to protect the aunts privacy and confidentiality.

c) What would you do in this situation?

6. What are advance care directives / living wills and state the advanced care directives that Steven has given.

7. What is the intent of the Congress of Aboriginal and Torres Strait Islander Nurses and Midwives (CATSINaM)?

8. According to AHPRA & National Boards what are three (3) principles for Aboriginal and Torres Strait Islander health and cultural safety

9. Briefly explain your understanding of the declaration of Rights for Indigenous Peoples’.

10. Briefly explain in your own words the “Duty of Care” for nurses as per the Nursing and Midwifery Board, Enrolled Nurse standards for practice.

11. How was the nurse negligent in her duty of care for Mrs Barnes and what could the implications be for the facility and nurse?

12. Explain the difference between direct and indirect discrimination and how it relates to Mrs Barnes.

a) Identify three (3) types of abuse with one (1) example for each.

b) Discuss elder abuse in relation to Mrs Barnes’ situation and what your obligations are as an Enrolled Nurse.

13. Identify three (3) ways you could ensure that Mrs Barnes’ care includes her specific cultural needs.

a) What is open disclosure in a healthcare context?

b) Think about Mrs Barnes’ situation and identify the five steps required in the process of open disclosure.

c) Identify at least three (3) healthcare workers (other than yourself) that may be involved in the open disclosure process for Mrs Barnes.

14. Identify three (3) ways Jenny’s complaint to the nurse manager may be handled appropriately and with sensitivity.

a. Now that you have answered the questions relating to Mrs Barnes, provide a short reflection that summarises the legal and ethical factors that apply to your professional nursing practice. 

b) Identify two (2) areas where health professionals can assist in the promotion of decision-making in circumstances where ethical issues arise.

c) What does it mean when a person has enduring power of attorney?

15. Penny is 18yrs old and is going to theatre for a laparoscopy as she has a history of endometriosis. Identify four (4) aspects of informed consent that is required before an operation is performed.

a. Identify three (3) situations where Guardianship legislation for consent may be used.

b. What legal rights does a client with capacity have to refuse treatment? Provide one (1) example.

c. Discuss the withdrawal of life sustaining treatment from adults without capacity.

16. Identify three (3) notifiable conducts relating to a health practitioner and actions that the NMBA and Nursing Council may take if a nurse fails to comply with the legislation related to nursing practice

Betty Weeks is a 76-year-old female who has just been diagnosed with advanced breast cancer and she also has severe cardiovascular disease that limits her choices of treatment. Her oncologist has recommended a series of chemotherapy that her cardiologist believes could cause her heart condition to worsen. Her family is urging her to do all that is recommended.

a. The client, who is in good spirits, despite her diagnosis, chooses palliative care.

b. How can you advocate for Betty and her family in this situation?

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