NUR1 424 Exam Questions With Complete Solutions
"best interests model" Correct Answers -child is in a passive
role, due to underestimation of "maturity"
-adult-centered model: based on adult concept of moral agency,
"ideal of autonomy"
-main groups: preschool (no significant capacity), primary (no
full decision making, assent should be sought), ados (full
capacity assessed on per-child basis)
-vulnerabilities amplified
"mature minor" Correct Answers -no universally accepted
definition
-person under the age of majority with capacity and
independence to make a decision
-tied to evolving maturity
24h, 21st day, 90th day Correct Answers 24h: first psych eval
must be carried out, then 96h to carry out 2nd eval OR if under
preventive confinement and refused exa, then psych eval within
48h
21st day: re-eval done by 2 psychiatrists, if confinement is set
long then reports must be done 21 days from that decision and
then every 3 months
90th day: renewal PRN
4 times nurses invoke ethics Correct Answers 1. wrongdoing
2. dilemma
3. acting on values
4. determination of values
,Administrative law Correct Answers -involves operation of
government agencies made to carry out the government's work
(ex. health inspectors)
-legal power is granted
Advanced Medical Directive (AMD) Correct Answers -advance
care planning, goes in QC medical record
-applied at EOL w serious and incurable illness, pt in a
coma/permanently unconscious, suffering from dementia
affecting mental fx with no chance of recovery
-5 tx: CPR, ventilator, dialysis, artificial/forced feeding or
hydration
Applied ethics: main ideas Correct Answers focus: practical
application of ethics in specific contexts
asks: What is the right action, irl, in a specific context?
"What should I do?"
Includes professional, environmental, business/corporate,
bioethics
Assent Correct Answers -the child's voice who doesn't have
capacity, attends to moral voice
-optimize the child's understanding and seek their voluntary
cooperation to the proposed care
Authorized confinement Correct Answers -motion for
authorized confinement, two MD must agree
-application must be done <48h after the eval with psychiatrists,
motion is served to pt and SDM
-court hearings, then the pt may be required to stay for up to 30
days
, -after 30 days, confinement may be extended to 90 days, 2 new
psych evals must be done before 30days expires
bioethics/healthcare ethics Correct Answers Includes
organizational, clinical, research, public health
-part of applied ethics
Capacity to consent Correct Answers Based on ability to learn,
regain knowledge, decision making, age, mental competence
Presumed unless: <14 y/o, incapable of giving consent
for <14: must have consent of SDM
for 14>x<18: can give consent if less than 12h in facility and no
potential grave consequences
Criteria: based on categorical refusal or incapacity to consent
(often based on detail psych exam and needing a court order)
Care occurring on a spectrum Correct Answers -Q of whether
treatment is ethical, or withdrawing treatment is ethical?
1.care is not beneficial and should not be offered
2.grey zone where there is uncertainty about benefits and risks
3.care is beneficial and should be offered
Civil liability Correct Answers aka: Negligence...HCP can be
pursued under the CCQ due to the extracontractual liability that
exists (and when someone fails this duty they are liable to
reparation for the injury)
Needs 3 aspects:
1. Defendant has committed a fault
2. Plaintiff has suffered harm
3. adequate causation link between fault and damages
"best interests model" Correct Answers -child is in a passive
role, due to underestimation of "maturity"
-adult-centered model: based on adult concept of moral agency,
"ideal of autonomy"
-main groups: preschool (no significant capacity), primary (no
full decision making, assent should be sought), ados (full
capacity assessed on per-child basis)
-vulnerabilities amplified
"mature minor" Correct Answers -no universally accepted
definition
-person under the age of majority with capacity and
independence to make a decision
-tied to evolving maturity
24h, 21st day, 90th day Correct Answers 24h: first psych eval
must be carried out, then 96h to carry out 2nd eval OR if under
preventive confinement and refused exa, then psych eval within
48h
21st day: re-eval done by 2 psychiatrists, if confinement is set
long then reports must be done 21 days from that decision and
then every 3 months
90th day: renewal PRN
4 times nurses invoke ethics Correct Answers 1. wrongdoing
2. dilemma
3. acting on values
4. determination of values
,Administrative law Correct Answers -involves operation of
government agencies made to carry out the government's work
(ex. health inspectors)
-legal power is granted
Advanced Medical Directive (AMD) Correct Answers -advance
care planning, goes in QC medical record
-applied at EOL w serious and incurable illness, pt in a
coma/permanently unconscious, suffering from dementia
affecting mental fx with no chance of recovery
-5 tx: CPR, ventilator, dialysis, artificial/forced feeding or
hydration
Applied ethics: main ideas Correct Answers focus: practical
application of ethics in specific contexts
asks: What is the right action, irl, in a specific context?
"What should I do?"
Includes professional, environmental, business/corporate,
bioethics
Assent Correct Answers -the child's voice who doesn't have
capacity, attends to moral voice
-optimize the child's understanding and seek their voluntary
cooperation to the proposed care
Authorized confinement Correct Answers -motion for
authorized confinement, two MD must agree
-application must be done <48h after the eval with psychiatrists,
motion is served to pt and SDM
-court hearings, then the pt may be required to stay for up to 30
days
, -after 30 days, confinement may be extended to 90 days, 2 new
psych evals must be done before 30days expires
bioethics/healthcare ethics Correct Answers Includes
organizational, clinical, research, public health
-part of applied ethics
Capacity to consent Correct Answers Based on ability to learn,
regain knowledge, decision making, age, mental competence
Presumed unless: <14 y/o, incapable of giving consent
for <14: must have consent of SDM
for 14>x<18: can give consent if less than 12h in facility and no
potential grave consequences
Criteria: based on categorical refusal or incapacity to consent
(often based on detail psych exam and needing a court order)
Care occurring on a spectrum Correct Answers -Q of whether
treatment is ethical, or withdrawing treatment is ethical?
1.care is not beneficial and should not be offered
2.grey zone where there is uncertainty about benefits and risks
3.care is beneficial and should be offered
Civil liability Correct Answers aka: Negligence...HCP can be
pursued under the CCQ due to the extracontractual liability that
exists (and when someone fails this duty they are liable to
reparation for the injury)
Needs 3 aspects:
1. Defendant has committed a fault
2. Plaintiff has suffered harm
3. adequate causation link between fault and damages
