HLTENN041 Apply Legal and Ethical Parameters to Nursing Practice - Assignment Help

ASSESSMENT TASK 1 – QUESTIONING

1. As an EN, you must have the knowledge of the legal framework and ethical concepts to nursing practice, and apply those knowledge and concepts and perform within the scope of professional nursing practice. Refer to the relevant legal and regulatory requirements including law, Acts and guidelines, and complete the following questions.

a. Children and other vulnerable people need special protections in health care. List three (3) Victorian and/or federal specific legislation regarding children and young people.
b. Hundreds of applicants apply to work as nurses, child care educators every day. How does the Victorian State legislation ensure the safety of children and vulnerable populations against applicants with a history of criminal activity or child molestation?
c. Describe what mandatory reporting is, who is required to report, what they are mandated to report.
d. Name at least three (3) legislation that prescribes mandatory reporting requirements in Victoria or South Australia respectively.
e. As an EN, you have an obligation of mandatory reporting of child abuse and neglect. Refer to the relevant legislation and complete the following table regarding the legal and ethical considerations relevant to mandatory reporting when you notice any abuse of children in the workplace or clinic.

2. Research the International Council of Nurses (ICN) Code of Ethics for Nurses, and in your words, describe how those principal elements are applied in nursing practice

3. Answer the following

a. How does the Mental Health Act of 2014 provide for the development and implementation of codes of practice?
b. List of two (2) examples of Victorian and/or commonwealth legislation, and two (2) standards that apply to mental health.
c. Another vulnerable population is older people, particularly if they are in care. Name the Commonwealth Act that describes special obligations and considerations for aged patients.
d. Name one Victorian and/or Commonwealth legislation regarding the non-professional carers (usually family members) of older people, and people living with disabilities.

4. Continuing professional education opportunities are important in nursing practice to attain your registration. How many hours of continuous professional development are required for registration? Tick the right answer:

A. ☐ 10 per year
B. ☐ 20 per year
C. ☐ 30 per year
D. ☐ 25 per year

5. According to the Codes of Conduct for Nurses in Australia, nurses ought to provide culturally safe care for the persons to respect the dignity, culture, ethnicity, values and beliefs of the person and their family members. They also need to respect the persons’ right to make informed decisions about their care, and advocate for the person, their family or carer in accordance with jurisdictional enrolled nurse scope if needed.

a. Consider the above statements about nurses' professional conduct, and in your words, describe how you would apply this Code in own nursing practice to: (Your description must not be less than 250 words)
o support the person’s rights, interests and decisions and anti-discrimnation
o respect the persons’ right to make informed decisions about their care.
o demonstrate respect and support for the dignity of the person and their family members.
o advocate for the person, their family or carer in accordance with jurisdictional enrolled nurse

b.Name five (5) federal and state law/s which apply to ensure that people are not discriminated against on the basis of race, disability, religion, sex, or ethnicity?

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6. According to the Australian Nursing and Midwifery Federation, what is the aim of the Equal Employment Opportunity (EEO) principle?

7. Apply the following concepts in nursing practice with appropriate samples.

• Negligence
• Duty of Care
• Vicarious liability

8. What does the Australian Charter of Healthcare Rights say about access to healthcare?

9. Research the policy of the Australian Nursing and Midwifery Federation regarding informed consent, and provide a response to the following:

a. Describe the requirements of informed consent that nurses must follow in the practice?
b. List the types of consent that nurses can obtain in the practice.
c. What is needed for consent to be valid?

10. Briefly explain why professional indemnity insurance arrangements are important in nursing.

11. Describe the Nursing and Midwifery Board of Australia’s requirements for professional indemnity insurance (PII) arrangements for ENs

12. What is a conscientious objection in health care providers? State one (1) example.

13. A patient you came across in your clinic was diagnosed with Plantar Verrucae (HPV warts) on his foot. It was treated by the physician with Liquid nitrogen therapy. You think this was extremely cool and you posted a picture on Facebook without asking the patient.

• Was this an ethical thing to do? Why/not?
• What is the appropriate response?
• Identify at least one (1) policy / legislation that was breached in the scenario?
• Identify the implications of this policy / legislation that you identified in the above question will have on nursing professionalism, including observing the person’s privacy and confidentiality requirements in accordance with legislative requirements and organisation policy and procedures?

14. As a nurse your behavior and practice are dictated by various requirements.

a. Where can you find the enrolled nurse competency standards and professional practice guidelines?
b. State three (3) measures about how you keep nursing professional boundaries for therapeutic relationships with clients in the practice.

15. What is the role of the Nursing and Midwifery Board of Australia in regulating the nursing profession?

16. What is the rationale behind The Ethical Decision-making model?

17. Define the following contemporary ethical concepts and principles in nursing:

• Autonomy
• Beneficence and non-maleficence
• Confidentiality
• Justice
• Rights
• Veracity

18. Define the following:

1. Ethics
2. Bioethics
3. Nursing Ethics

19. Answer the following

a. What is Guardianship?
b. Who does it apply to?
c. What is meant by a Substitute decision maker?

20. The practice of all health professionals is framed by a number of legal obligations. A significant component of this is maintaining confidentiality, and safe record

a. Define the difference between privacy and confidentiality as they apply to nursing practice.
b. What legislation applies to patient privacy?

21. Mrs. James, a 64-year-old woman with multiple medical issues, is admitted to your ward from a residential care facility with pneumonia, which is survivable. She tells you that she does not want any treatment, and has completed an advanced directive.
Before she can be reviewed by the medical unit, Mrs. James loses consciousness. She has no known family members, and when you call the medical power of attorney listed on the residential care facility’s paperwork, you’re told that he died two months ago.

a. What is an advanced directive?
• Living wills and advanced directives

b. What is a power of attorney?
• Power of attorney

c. Who can make medical decisions of behalf of Mrs. James now that she is incompetent to make them for herself? List the hierarchy of decision makers started from the first available and willing person.

22. There are two broad categories of laws: civil and criminal. Now explain the following:

a. The difference between a criminal and a civil law
b. Give one (1) example of a criminal act that a nurse could perform in terms of Criminal Code Act 1985 (Cwlth).

23. There are laws that ensure we, our patients, and the public are safe in our workplaces.

a. Research the National Safety and Quality Health Standards and state what areas have been addressed by those standards
b. List the legislation that applies to work, health, and safety in Victoria.
c. List the law that governs the safe storage and administration of medications and poisons in
Victoria

24. Refer to the Nursing and Midwifery Board of Australia’s requirements regarding recency of practice, outline how you would maintain your recency of practice as an enrolled nurse?

25. It is essential that nurses stay up-to-date with their knowledge and skills.

a. Where can you find the requirements for registration as a nurse?
b. As an EN, you should monitor your own compliance with legal obligations and requirements including registration requirements. If you are absent from nursing practice for a prolonged period, what should you do to re-enter the profession of absence? Where is the information accessed from?
c. Identify two (2) common contemporary ethical issues and two (2) common potential conflicts of interest that may impact nursing practice.
d. Research the eight (8) principles of the Australian Open Disclosure Framework and reflect on how you would apply those principles in your own nursing care to address related ethical issues

26. Define decision-making framework for nurses including the nursing flow chart?

27. Statement A: An Enrolled nurse should apply legal requirements while writing reports in nursing practice.
Statement B: These reports should lie in concurrence with organisation expectations.

a. Statement A is correct and Statement B is incorrect.
b. Statement B is correct and Statement A is incorrect.
c. Both are correct.
d. Both are incorrect.

28. Who are Jehovah's Witnesses? What is their opinion on blood transfusion? State (1) example of a situation where culture or religion contradicts medical treatment.

29. You are an Enrolled Nurse working in an ICU at Hudson Private Hospital. Recently, you learnt that the orthopaedic consultant Dr. Parker was diagnosed with HIV 5 years ago. He has been on treatment and working full time. His line of work involves hip replacement surgeries at least twice in a week. On the other hand, you came to know that Dr. Strange, a neurosurgeon, recently started seeing a therapist of Schizophrenia. Both of these are doctors with high reputations in society.

As an Enrolled Nurse, which one of these doctors with impairments would you report to APHRA and why?

30. For each of the following ethical considerations, please identify at least one (1) argument in favour of the procedure and at least one (1) argument against the procedure. Your arguments should reflect that you have a good understanding of the ethical issues within the context of healthcare, and are able to use the current and authentic information and reference the sources of information according to SCEI’s referencing policy.

31. Describe the role of Congress of Aboriginal and Torres Strait Islander Nurses and Midwives (CATSINaM) and its four (4) strategic directions for achieving optimal health and wellbeing for Aboriginal and Torres Strait Islander peoples and communities.

32. National Agreement on Closing the Gap is a new reform developed in partnership between Australian governments and the Coalition of Aboriginal and Torres Strait Islander Peak Organisations (the Coalition of Peaks) to improve the lives and health of Aboriginal and/or Torres Strait Islander peoples. Research and identify three (3) strategies/approaches included in this Agreement to promoting cultural safety in Aboriginal and Torres Strait Islander health.