Acute Care Practice

Question 1

Beneficence

Answer 1

Promoting a person’s well-being; doing what is best for one’s patients.

Question 2

Maleficence

Answer 2

The act of committing harm or evil.

Question 3

Nonmaleficence

Answer 3

To do no harm.

Question 4

Distributive Justice

Answer 4

Promote a fair allocation of goods, benefits, and services.

Question 5

Autonomy/Self-Determination

Answer 5

Prescribes that a person acts to foster personal responsibility and plan her life to develop her abilities and opportunities to flourish.

Question 6

Veracity

Answer 6

Telling the truth.

Question 7

Fidelity

Answer 7

Keeping promises.

Question 8

Justice

Answer 8

Providing services in a fair manner without bias.

Question 9

Substituted Judgment

Answer 9

Decision made on behalf of a noncompetent patient.

- Based on what the patient would have wanted.

Question 10

Best Interest

Answer 10

Decision made based on the total well-being of the patient.

Question 11

Communication

Answer 11

S - Situation
B - Background
A - Assessment
R - Recommendations

One sender, one receiver, one message!

Question 12

Medical Malpractice

Answer 12

Harm caused by unethical conduct or breach in standard of care.

Question 13

Consent

Answer 13

Give assent, approval or agree.
- Acknowledges that patient or parent has adequate information to make informed decisions for patient care or procedures.

Question 14

Assent

Answer 14

1. Assisting the patient achieve developmentally appropriate awareness of the nature of his or her condition.
2. Telling the patient what he or she can expect with tests and treatments.
3. Making a clinical assessment of the patient’s understanding of the situation.
   - Including whether there is inappropriate pressure to accept testing or therapy.
4. Soliciting an expression of the patient’s willingness to accept the proposed care.

Question 15

Confidentiality

Answer 15

Adolescents should be encouraged to involve their families in health decisions, but confidentiality must be ensured if the child is acting responsibly.
- Especially in areas such as pregnancy, sexually transmitted diseases, and substance abuse management.

Question 16

Do Not Resuscitate (DNR)/Allow Natural Death (AND)

Answer 16

Patient aged 18 and over can request and consent.

• Parents can consent for younger child.
• Can be revoked.
• Should be collaborative discussion and decision.

Question 17

Certification

Answer 17

Validation of knowledge through objective testing process.

Question 18

Licensure

Answer 18

Permission to practice granted by a specific organization.

Question 19

Credentialing

Answer 19

Process through which an employer verifies that a practitioner has the required qualifications for the position into which she is being hired.

• Regulated by the institution.
• Mandated by the Joint Commission.

Question 20

Privileging

Answer 20

Process through which skills are verified.

- Practitioner demonstrates competency in order to be privileged to practice.

Question 21

Family Centered Care

Answer 21

Work with family to plan and accomplish care for the child based on where the child’s care is being provided.

Question 22

Hospice Care

Answer 22

• Subset of palliative care.
• Most often occurs in the home.
• Patient must be deemed terminal to receive.
• Comfort, not curative.

Question 23

Palliative Care

Answer 23

• Occurs wherever patient is cared for.
• Begins at diagnosis of a life-threatening illness.
• Comfort and life prolonging therapy, if possible.
• Curative therapy may continue.

Question 24

Medical Home

Answer 24

Conceptual model of holistic care.

- Accessible, continuous, comprehensive, compassionate, coordinated, family-centered, and culturally effective.

Question 25

Medically Fragile Child

Answer 25

Organization of care based on hospital, specialist, or generalist model.

Question 26

Effect on Families

Answer 26

Impact from financial, survival, complex provision of care.