Highlights
Assessment overview
The objective of this assessment is to assess your knowledge of the information required to effectively perform the tasks outlined in this unit. This includes knowledge of:
• Legal and ethical considerations (national, State/Territory, local) relevant to the nursing profession, and how these are applied in nursing practice
• Role of the Nursing and Midwifery Board of Australia in regulating the nursing profession
• Ethical decision making models
• Contemporary ethical concepts and principles in nursing
• Application of ethical principles to enrolled nurse practice
• Application of the law to enrolled nurse practice
Part 1: Short Answer Questions
Read each question carefully. The required word length for your responsesis indicated with each question.
1. Explain the purpose of the NSQHS Standards.
2. Discuss the role of the Nursing and Midwifery Board of Australia in regulating the nursing profession.
3. The NMBA ethical decision making framework outlines four statements of principle. These provide guidance to nurses and othersabout:
• Processes that will help to ensure safety is notcompromised when making decisions about nursing practice
• Whether to delegate activities to others.
The following documents are given for your reference.
• Decision-making framework for nursing and midwifery:
• Decision-making framework summary – nursing:
Using the statements of principle in these documents, outline the process you would follow in making ethical decisions about your nursing practice.
4. For each of the ethical issues listed in the table below, identifyat least two ethical principles involved and outline two approaches you would use to address these principles in your practice and conduct.
Colin Russell, who is 78 years old, has lived a fruitful life. He was diagnosed with liver cancer six months ago and his condition has deteriorated quickly. Colin has a son Malcolm who lives an hour away from him and does not want him to die. Colin has an advanced care directive in place, which says he is happy to die naturally, as he has lived his life happily and has no regrets. He does not want his life prolonged artificially. His wishes are not to resuscitate him or give him any fluids or bloods.
However, a few days after his admission, Colin’s condition deteriorates and he is now unconscious. He is displaying signs that his death is imminent. Colin’s son leaves his room crying and begs you and other staff to intervene now that he cannot refuse treatment.
5. Consider how you would respond to this request. Provide information about:
• The requirements of Colin’s ACD
• The policies that provide guidance (in end-of-life decisions and NFR orders)
• How you would explain this to Colin’s son.
Your answer must be a minimum of 100 words but no longer than 200words. Use full sentences when structuring answers.
A five-year-old has been diagnosed with an aggressive sarcoma. After an in-depth discussion about treatment options, including surgery, chemotherapy and radiotherapy, the parents decide to take the child overseas to participate in a clinical trial. The therapy in the clinical trial has had inconclusive results and has been abandoned in the USA, UK, Netherlands and Australia due to poor outcomes.
6. Describe the options available to ensure the child receives adequate care. Your answer should include the following:
• Legal issues around human rights and access to healthcare, parental rights and guardianship
• Ethical issues around experimental treatments, research and involvement in clinical trials.
Your answer must be a minimum of 200 words but no longer than 300words. Use full sentences when structuring answers.
You receive a request to take blood from Sally to test for anaemia and vitamin deficiency, but while drawing the blood the doctor hands you an extra vial to fill. You label each vial and send it to be screened. When you later ask the doctor if he amended the pathology form, he informs you that the extra tests are for genetic screening. This places you in a difficult position, as you did not get permission from Sally’s parents for this test.
7. What are your responsibilities in this situation? In your answer you must discuss:
• Your responsibility when performing a procedure
• The open disclosure policy,including the principles of the policy and its intent, and your role in implementing the policy as an enrolled nurse.
Your answer must be a minimum of 100 words but no longer than 200words. Use full sentences when structuring answers.
8. Kylie is an Enrolled Nurse working in the general medical ward. She has a long-term patient called Shaun who Kylie feels comfortable with. Shaun asked Kylie to bring him coffee as he cannot go out of the ward. Kylie obliged and brought coffee for Shaun, as she felt sorry for him. Kylie offered to bring lunch for Shaun, as it was her day off. As time passes, Shaun and Kylie’s relationship becomes more personal because they have similar interests. Kylie starts spending time with Shaun after work and on her days off. They also send each other text messages, chat on the phone and become Facebook friends. The relationship started with one cup of coffee and has now developed into a friendship.
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