Ch.6 Values, Ethics, and Advocacy Flashcards
Advocacy
protection and support of another’s rights
Autonomy
self-determination; being independent and self-governing
Bioethics
ethics that encompass all those perspectives that seek to understand human nature and behavior, the domain of social science, and the natural world
Code of ethics
principles that reflect the primary goals, values, and obligations of the profession
Deontologic
ethical system in which actions are right or wrong independent of the consequences they produce
Moral agency
ability to behave in an ethical way; to do the ethically right thing because it is the right thing to do
ethical dilemma
situation that arises when attempted adherence to basic ethical principles results in two conflicting courses of action
ethics
system dealing with standards of character and behavior related to what is right and wrong
Fidelity
keeping promises and commitments made to others
Nursing ethics
a subset of bioethics; formal study of ethical issues that arise in the practice of nursing and of the analysis used by nurses to make ethical judgments
Utilitarian
action-guiding theory of ethics that states that the rightness or wrongness of an action depends on the consequences of the action
virtues
human excellences; cultivated dispositions of character and conduct that motivate and enable us to be good human beings
Altruism
concern for wellfare and Well-being of others
Human dignity
Respect for an inherent worth and uniqueness of individuals and populations
Integrity
Acting according to code of ethics and standards of Practice
Social injustice
Upholding the moral, legal, humanistic right
Which three of the main activities of valuing the process involves pride, happiness, and public affirmation?
Prizing
T/F examples of altruism include donations, community work, and volunteer work
TRUE
A patient is scheduled for medication intake in the morning. However, he explains to the nurse he does not want to take the medications at all. The nurse, before informing the physician, then carefully explains the risks of not taking the medication as instructed and the benefits of taking the medication. After the patient was given this information, he informed the nurse that he will still not take the medication. The nurse then does not give the patient the medication and notifies the physician as well as documents the events on the patient’s charts. The nurse’s process and handling of the situation is an example of:
Autonomy Altruism Social Justice Human Dignity Integrity
Autonomy
Attempted to self-govern the situation. Planed care in partnership wit patient. Honored the right of patient’s decision . Provided information so that the patient can make an informed decision
What is the definition of social injustice
Supports fairness and nondiscrimination in the delivery of care.
What is the purpose of the Code of Ethics for Nurses?
it is a succinct statement of the ethnical obligations and duties of every nurse
it is the professions nonnegotiable ethnical standard
it is an expression of nursing own understanding of its commitment to society
What are some examples of ethical distress a nurse can undergo when the nurse knows the right thing to do but either personal or institutional factors make it difficult to follow the correct course of action?
DNI/DNR patient’s
Patient refusing treatment
Parent refusing care of patient for a severely ill child
Type of health coverage a patient has (certain health insurances only cover certain treatments, medication, etc.)
An alert older resident who lives in a long-term care facility and who is now at high risk for falls refuses to call the nurse for assistance when getting out of bed. The nurse must decide whether to obtain an order to restrain the patient. Does preventing potential harm justify violating the patient’s right to autonomy and make it acceptable for the nurse to act as a “parent,” choosing an action the patient does not want because the nurse believes it to be in the patient’s best interest?
This scenario is an example of what ethical problem?
Deception
Privacy and social media
Paternalism
Paternalism
A nurse asks a middle-aged woman who is crying quietly, “Would you like to share what’s troubling you?” The woman tells the nurse that she has no idea how she will pay for this clinic visit because she entered the country illegally 2 months ago and is trying to earn enough money to help her family back home. She begs the nurse not to tell anyone. If the nurse believes that this anxiety is interfering with the patient’s ability to obtain needed health care, would it be ethical to break the woman’s confidence to obtain help for her?
This scenario is an example of what ethical problem? Deception Confidentiality Paternalism Conflicts concerning new technologies
Confidentiality
A resident is attempting to perform a spinal tap on an adolescent whom you know dislikes the resident. After one failed attempt, the adolescent tells the resident to stop. The resident asks you to administer an antianxiety medication to the patient to enable the resident to get the spinal tap done quickly. Should you administer the medication knowing that the patient no longer consents to the procedure?
This scenario is an example of what ethical problem? Valid consent or refusal Conflicts concerning new technologies Deception Short staffing issues
Valid consent or refusal
As a nurse, you are an advocate for
Physicians
other nursing staff
the hospital
patients
Patients
What part of the nursing process gathers data?
Assessing the situation
A D P I E
