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Autonomy
Respecting a patient’s right to make decisions
EX: Allowing a patient to refuse treatment
Beneficence
Promoting the well-being of others
EX: Providing pain relief for a suffering patient
Non-maleficence
Avoiding harm
EX: Double-checking medications to prevent errors
Justice
Fairness in care delivery
EX: Providing equal care regardless of background
Fidelity:
Keeping promises and being trustworthy
EX: Following through on commitments to patients
Veracity
Telling the truth
EX: Being honest about diagnosis or medical error
Role of the Nurse in Ethics
Advocate for patients
Report unethical behaviors
End-of-life care
Withdrawing life support or honoring DNR orders.
informed consent
Ensuring patients understand risks and options.
Confidentiality vs. Duty to Warn
When patient privacy may endanger others.
Nurse practice act
LPNs are authorized to provide nursing care only under the direction of a Registered Nurse (RN) or other licensed healthcare providers.
LPNs are prohibited from
Administering IV push medications (other than heparin or saline to flush an intermittent infusion device).
LPNs are prohibited from:
Engaging in nursing practice without direction from an RN or authorized healthcare provider.
Barriers to learning/assessment
refer to obstacles that prevent patients from effectively understanding or applying health education.
Cognitive barriers
confusion, learning disability, language barriers
Emotional barriers
anxiety, fear, lack of trust
Environmental barriers
noise, interruptions, lack of privacy
Physical barriers
hearing, vision impairments, pain
Nurses' Responsibilities Under HIPAA
Always ask before sharing patient info—even with family.
Only access what you need to do your job.
Use secure systems to document and communicate.
Report violations or suspicious activity immediately.