Ch. 19 Ethics (Exam #4)

Question 1

Ethics

Answer 1

Rules of principles that determine which human actions are right or wrong.

Question 2

6 ethical principals

Answer 2

Autonomy
Beneficence
Nonmaleficence
Veracity
Fidelity
Justice

Question 3

veracity

Answer 3

giving factual information without your own beliefs

Question 4

fidelity

Answer 4

loyalty, forming bond between individuals both professionally and personally

Question 5

justice

Answer 5

not a right guaranteed by the law, but that all patients should have justice

Question 6

Healthcare is….

Answer 6

recognizing the challenge of caring for patients of various cultural as well as ethical backgrounds

Question 7

Concerns about healthcare has increased in the last two decades due too……

Answer 7

Advances in medical technology

Social and Legal changes involving abortion, euthanasia, patient rights, end-of-life care, and reproductive technology

Question 8

Advance Directive

Answer 8

Written statement of a person’s wishes about how he or she would like health care decisions to be made if he or she ever loses the ability to make such decisions independently.

Question 9

Bioethical Issues

Answer 9

subjects that raise concerns of right and wrong in matters involving human life (Euthanize, abortion)

Question 10

Living Will

Answer 10

Document that allows a person to state IN ADVANCE that Life-sustaining treatment is not to be administered if the person later is terminally ill or incompetent.

Question 11

Ethical Dilemna

Answer 11

Situation involving competing rules or principles that appears to have no satisfactory solution. Choice between two or more equally undesirable alternatives.

Question 12

Moral or Ethical Principles

Answer 12

Fundamental Values or assumptions about the way individuals should be treated and cared for. These include autonomy, beneficence, nonmaleficence, justice, fidelity, and veracity.

Question 13

Mortal Uncertainty

Answer 13

Situation that exists when the individual is unsure which moral principles/values apply in a given situation.

Question 14

Deontological

Answer 14

Derived from Judeo-Christian origins, this normative approach is duty-focused and centered on rules from which all action is derived. The rules represent beliefs about intrinsic good that are moral absolutes revealed by God. This approach reasons that all persons are worthy of respect and thus should be treated the same.

Question 15

Teleogical

Answer 15

Derived from humanistic origins, this theological approach is outcome-focused and places emphasis on results. That which causes a good outcome is a good action. “Abortion may be acceptable because it results in fewer unwanted babies.” Euthanasia is an acceptable choice by some patients, because it results in decreased suffering.

Question 16

Situational

Answer 16

mirrors the way most individuals approach day to day thinking. This view holds that there are no prescribed rules, norms, or majority-focused results that must be followed. Decisions made in one situation cannot be generalized to another situation.

Question 17

Ethical dilemma examples

Answer 17

A patient in the intensive care unit
Euthanasia “mercy killing”
The patient is the primary decision maker for his or her treatment
A female patient in the hospital and dying of cancer
A Jehovahs Witness patient dying of leukemia in the hospital.

Question 18

Common principles or rules to take into consideration when ethical decision is being examined…

Answer 18

she never discussed answer here

Question 19

Ethics Committee

Answer 19

Must be voted in, consists of healthcare professionals and non-medical members, who protect the rights safety and well being of human subjects

Question 20

Purpose of Ethics Committee

Answer 20

Provide education to staff
Empower all diciplines in regards to call ethics consult without retribution
Where to go when you need assistance

Question 21

Who requests an ethics consult?

Answer 21

Anyone! You, other nurse, patient, patient family, doctor, etc

Question 22

ICN Code of Ethics for Nurses

Answer 22

Four Principles that outline standards of ethical conduct: 1. Nurses and People

2. Nurses and Practice
3. Nurses and the Profession
4. Nurses and Co-Workers

Question 23

Nurses and People

Answer 23

Nurse’s primary professional responsibility is toward requiring nursing care. Nurse respects human rights, values, customs, and spiritual beliefs of the individual, family, and community.

Question 24

The Nuremberg Code

Answer 24

Identifies the need for voluntary informed consent when medical experiments are conducted on human beings. It delineates the limits and restrictions that researchers must recognize and respect.

Question 25

Nurses and the Profession

Answer 25

Nurse assumes the major role in determining acceptable standards of clinical nursing practice, management, research, and education.

Question 26

Nurses and Co-workers

Answer 26

Nurse sustains a collaborative and respectful relationship with co-workers in nursing and other fields.

Question 27

What to expect when staying in hospital.

Answer 27

High-quality hospital care, clean and safe environment, involvement in your care, Privacy Protection, Discharge planning, Help with bill and filing insurance claims,

Question 28

The Nuremberg Code

Answer 28

Identifies the need for voluntary informed consent when medical expert

Question 29

Initiating Ethics consult

Answer 29

Contact charge nurse
Place order for social services consult
Following social services if appropriate place ethics consult
Communicate with SS if ethics challenge is in place

Question 30

Euthanasia

Answer 30

Commonly referred to as “mercy killing.” Greek word means “good death.”

Question 31

Active Euthanasia

Answer 31

involves the administration of a lethal drug or another measure to end life and alleviate suffering. Legally wrong and can result in criminal charges of murder if performed.

Question 32

Passive Euthanasia

Answer 32

Involves the withdrawal of extraordinary means of life support (ventilator, feeding tube)

Question 33

Voluntary Euthanasia

Answer 33

Involves situations when the dying individual expresses his or her desires regarding the management and time of death to a sympathetic physician who then provides the means for the patient to obtain a lethal dose of medication.

Question 34

Durable Power of Attorney for Health Care (DPAHC)

Answer 34

Helps ensure that a living will is carried out.

Question 35

Genetics

Answer 35

Refers to the study of genes and their role in inheritance- the way certain traits or conditions are passed down from one generation to another.

Question 36

Genomics

Answer 36

Study of all of a person’s genes including interaction of those genes with each other and the person’s environment.