Professional Documents
Culture Documents
Involving Family, Domestic Relations, Women and Children. (2015) - Philippine Judicial
Involving Family, Domestic Relations, Women and Children. (2015) - Philippine Judicial
Define the following terms briefly in the space provided. Two points each.
Standards are authoritative statement by which the nursing profession describes the responsibility for which its
practitioners are accountable. It reflects the values and priorities of the profession.
SEC. 28.Scope of Nursing. — A person shall be deemed to be practicing nursing within the meaning of this Act
when he/she singly or in collaboration with another, initiates and performs nursing services to individuals,
families and communities in any health care setting. It includes, but not limited to, nursing care during
conception, labor, delivery, infancy, childhood, toddler, pre-school, school age, adolescence, adulthood
and old age. As independent practitioners, nurses are primarily responsible for the promotion of health and
prevention of illness. As members of the health team, nurses shall collaborate with other health care providers
for the curative, preventive, and rehabilitative aspects of care, restoration of health, alleviation of suffering, and
when recovery is not possible, towards a peaceful death. It shall be the duty of the nurse to:
(a) Provide nursing care through the utilization of the nursing process. Nursing care includes, but not limited
to, traditional and innovative approaches, therapeutic use of self, executing health care techniques and
procedures, essential primary health care, comfort measures, health teachings, and administration of written
prescription for treatment, therapies, oral, topical and parenteral medications, internal examination during labor in
the absence of antenatal bleeding and delivery. In case of suturing of perineal laceration, special training shall be
provided according to protocol established;
(b) Establish linkages with community resources and coordination with the health team;
(d) Teach, guide and supervise students in nursing education programs including the administration of nursing
services in varied settings such as hospitals and clinics; undertake consultation services; engage in such
activities that require the utilization of knowledge and decision-making skills of a registered nurse; and
(e) Undertake nursing and health human resource development training and research, which shall include, but not
limited to, the development of advance nursing practice;
Provided, That this section shall not apply to nursing students who perform nursing functions under the
direct supervision of a qualified faculty: Provided, further, That in the practice of nursing in all settings, the
nurse is duty-bound to observe the Code of Ethics for nurses and uphold the standards of safe nursing practice.
The nurse is required to maintain competence by continual learning through continuing professional education to
be provided by the accredited professional organization or any recognized professional nursing organization:
Provided, finally, That the program and activity for the continuing professional education shall be submitted to and
approved by the Board.
Provided, further, That for primary hospitals, the maximum academic qualifications and experiences for a chief
nurse shall be as specified in subsections (a), (b), and (c) of this section: Provided, furthermore, That for chief
nurses in the public health agencies, those who have a master’s degree in public health/community health
nursing shall be given priority. Provided, even further, That for chief nurses in military hospitals, priority shall be
given to those who have finished a master’s degree in nursing and the completion of the General Staff Course
(GSC): Provided, finally, That those occupying such positions before the effectivity of this Act shall be given a
period of five (5) years within which to qualify.
A. Standards: identify the minimal knowledge and conduct expected from a professional practitioner
delivering care to the mother and child. Standards are applied as they relate to practitioner’s experience
and educational preparation:nursing care during conception, labor, delivery, infancy, childhood,
toddler, pre-school, school age, adolescence.
Maternal and child health nursing carries some legal concerns that extend above and beyond other areas
of nursing, because care is often given to an “unseen client”—the fetus—or to clients who are not of legal
age for giving consent for medical procedures.
Nurses are legally responsible for protecting the rights of their clients, including confidentiality, and are
accountable for the quality of their individual nursing care and that of other health care team members.
B. ___________________: “Omission to do something that a reasonable person, guided by those ordinary
considerations which ordinarily regulate human affairs would do; or doing something which a reasonable
and prudent person would not do”. Types of negligent acts related to:
a. Sponge counts: incorrect counts or failure to count.
b. Burns: heating pads, solutions, steam vaporizers.
c. Falls: side rails left down, infant left unattended.
d. Failure to observe and take appropriate action—forgetting to take vital signs and check dressing
in a client who is newly postoperative.
e. Wrong medicine, wrong dose and concentration, wrong route, wrong client.
f. Mistaken identity—wrong client for surgery.
g. Failure to communicate—ignore, forget, fail to monitor, report, or document client’s status or to
report complaints of client or family.
h. Loss of or damage to client’s property— dentures, jewelry, money.
i. Inappropriate use of equipment (e.g., excessive IV fluids via pump).
C. _____________________ – professional negligence, misconduct, or unreasonable lack of skill resulting
in injury or loss to the recipient of the professional services.
D. Competence – ability or qualification to make informed decisions
E. Informed Consent : agreement to the performance of a procedure /treatment based on the knowledge of
facts, risks, and alternatives
a. Simple: having capacity to give consent for the treatment or procedure
b. Valid : having capacity to give consent and also demonstrating an understanding of the nature of
the treatment , expected effects, passible side effects and alternatives to treatment
F. ___________________– unjustifiable threat or attempt to touch or injure another.
G. Battery- unlawful touching or injury to another
Laws and Republic Acts involving Family, Domestic Relations, Women and Children
Presidential Decree No. 603 The Child is one of the most important assets of the nation. Every effort should
- The Child and Youth be exerted to promote his welfare and enhance his opportunities for a useful and
Welfare Code happy life.
Executive Order No. 209 Marriage is a special contract of permanent union between a man and a woman
The Family Code in the entered into in accordance with law for the establishment of conjugal and family
Philippines life.
Republic Act No. 7610 - It is hereby declared to be the policy of the State to provide special protection to
“Special Protection of children from all forms of abuse, neglect, cruelty, exploitation and discrimination,
Children Against Abuse, and other conditions prejudicial to their development; provide sanctions for their
Exploitation and commission and carry out a program for prevention and deterrence of and crisis
Discrimination Act.” intervention in situations of child abuse, exploitation and discrimination.
It is the policy of the State to promote the family as the foundation of the nation,
________________________ strengthen its solidarity and ensure its total development.
Republic Act No.9262 - It is hereby declared that the State values the dignity of women and children and
“Anti-Violence Against guarantees full respect for human rights.
Women and Their Children
Act of 2004.”
Republic Act No. 9710 - Recognizing that the economic, political, and sociocultural realities affect
“The Magna Carta of women’s current condition, the State affirms the role of women in nation building
Women.” and ensures the substantive equality of women and men.
Republic Act No. 1015 - In accordance with Article II, Section 15 of the Constitution, it is hereby declared
“Mandatory Infants and to be the policy of the State to take a proactive role in the preventive health care
Children Health of infants and children.
Immunization Act of 2011.”
Republic Act No. 10354 - The State recognizes and guarantees the human rights of all persons including
“The Responsible their right to equality and nondiscrimination of these rights, the right to
Parenthood and sustainable human development, the right to health which includes reproductive
Reproductive Health Act of health, the right to education and information, and the right to choose and make
1. Right to Appropriate Every person has a right to health and medical care corresponding to his state of
Medical Care and Humane health, without any discrimination and within the limits of the resources, manpower
Treatment and competence available for health and medical care at the relevant time.
2. Right to Informed The patient has a right to a clear, truthful and substantial explanation, in a
Consent. manner and language understandable to the patient, of all proposed procedures,
whether diagnostic, preventive, curative, rehabilitative or therapeutic.
The privacy of the patients must be assured at all stages of his treatment.
3_____________________
In the course of his/her treatment and hospital care, the patient or his/her legal
4. Right to Information guardian has a right to be informed of the result of the evaluation of the nature and
extent of his/her disease, any other additional or further contemplated medical
treatment on surgical procedure or procedures, including any other additional
medicines to be administered and their generic counterpart including the possible
complications and other pertinent facts, statistics or studies, regarding his/her
illness, any change in the plan of care before the change is made, and the
person's participation in the plan of care and necessary changes before its
implementation.
5. The Right to The patient is free to choose the health care provider to serve him as well as the
Choose Health Care facility except when he is under the care of a service facility or when public health
Provider and Facility and safety so demands or when the patient expressly waives this right in writing.
6. Right to Self- The patient has the right to avail himself/herself of any recommended diagnostic
Determination and treatment procedures.
7. Right to Religious Belief The patient has the right to refuse medical treatment or procedures which may be
contrary to his religious beliefs, subject to the limitations described in the preceding
subsection
The patient is entitled to a summary of his medical history and condition.
8.
_____________________
9. Right to Leave The patient has the right to leave hospital or any other health care institution
regardless of his physical condition.
10. Right to Refuse The patient has the right to be advised if the health care provider plans to involve
Participation In Medical him in medical research, including but not limited to human experimentation which
Research may be performed only with the written informed consent of the patient.
11. Right to The patient has the right to communicate with relatives and other persons and to
Correspondence and to receive visitors subject to reasonable limits prescribed by the rules and regulations
Receive Visitors of the health care institution.
12. Right to Express The patient has the right to express complaints and grievances about the care and
Grievances services received without fear of discrimination or reprisal and to know about the
disposition of such complaints.
13. Right to be Informed of Every person has the right to be informed of his rights and obligations as a patient.
His Rights and Obligations
as a Patient
ETHICAL PRINCIPLES
REGISTERED NURSES AND PEOPLE
Values, customs, and spiritual beliefs held by individuals shall be respected.
Individual freedom to make rational and unconstrained decisions shall be respected.
Personal information acquired in the process of giving nursing care shall be held in strict confidence.
1. A female client tells the nurse that she has tested positive for HIV, but she does not want the nurse to tell
anyone. What is the best action for the nurse to take?
a. Document this information on the client’s chart
b. Tell the client’s physician
c. Inform the health care team who will come to in contact with the client
d. Encourage the client to disclose this information to her physician.
Answer: _________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
2. A young woman who has tested positive for HIV tells the nurse that she has had many sexual partners. She
tells her nurse that she believs that she will die soon. What would be the best response for the nurse to
make?
a. “Where there’s life there is hope”.
b. “Would you like to talk to the nurse who works with HIV-positive clients?”
c. “You are a long way from dying”.
d. “Not everyone who is HIV positive will develop AIDS and die”.
Answer: _________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
3. A pregnant woman is offered the opportunit to participate in research on a new theraphy. The researcher asks
the nurse to obtain the client’s consent. What would the most appropriate action for the nurse to take?
a. Be sure the clients understand the project before signing the consent form
b. Read the consent form to the client and give her an opportunity to aks questions
c. Refuse to be one to obtain the client’s consent
d. Give the form to the client and tell her to read it carefully before signing
4. The pregnant woman has signed the consent form for a research study but changed her mind. The nurse tells
the client that she has the right to change her mind based upn which of the following principles?
a. Paternalism
b. Autonomy and informed consent
c. Beneficence and double effect
d. Competence and right to know
Answer: _________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
5. A postpartum woman has just returned to the OB from delivery room. The nurse transferred her to her bed but
did not put the side rails. The client fell and was injured. What kind of liability does the nurse have?
a. None
b. Negligence
c. Intentional tort
d. Assault and battery
Answer: _________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
6. The nurse is in the hospital’s public cafeteria and hears two nursing students talking about the client at room
406. They are using the client’s name and discussing intimate details about the client’s illness. Which of the
following actions is best for the nurse to take?
a. Go over and tell the nursing students that their actions are inappropriate, especially in a public place.
b. Wait and tell the nursing students later that they were overheard
c. Tell the nursing students’ clinical instructor. It is the clinical instructor’s responsibility to address the
issue
d. Say nothing.it is not nurse’s job or responsibility for the student’s actions.
Answer: _________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
7. A client on your OB-GYNe ward has cousin who is a physician and wants to see the chart. Which of the
following response of the nurse to take?
a. Hand the cousin the client chart to review
b. Ask the client to sign authorization and have someone review the chart with the cousin.
c. Call the attending physician and have the doctor speak with the cousin
d. Tell the cousin that the request cannot be granted.
Answer: _________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Answer: _________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
9. Honey, a registered nurse is caring for a 40 year old male patient in the emergency department. The patient
has been drinking alcohol and is asking for medication. When you instruct the patient that they have to wait to be
seen by the doctor, the patient becomes verbally abusive. You then obtain a set of restraints and instruct the
patient if they do not calm down you will restrain them. What can you be charged with?
a. Invasion of privacy
b. Battery
c. Negligence
d. Assault
Answer: _________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
10. Cole, a pediatric nurse is working with a child and suspect physical abuse. What is his primary legal
responsibility?
a. Document an assessment thoroughly and accurately
b. Report the abuse to local authorities
c. Refer the family to support groups
d. Assist the family in identifying resources and support systems
Answer: _________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
You will now mark (encircle) the session you have finished today in the tracker below. This is simply a visual to
help you track how much work you have accomplished and how much work there is left to do.
You are done with the session! Let’s track your progress.
For next session, review ETHICAL AND SOCIAL ISSUES IN PERI-NATAL NURSING.