Chapter 5 Flashcards
Exam 2
What are the foundations of trust
Parental establishment of trust
Parental autonomy to make decisions
Cautious trust of nurses
Parental autonomy to make decisions should occur with what?
While respecting the human dignity of the child patient
Abused and Neglected Children: What is the ethical responsibility of nurses?
Duty to Disclose: Mandatory reporting operates under this concept
Mandatory reporting operates under this concept
Duty to Disclose
What is waived with duty to disclose?
Patient confidentiality waived in suspected child abuse
Child Abuse Prevention and Treatment Reauthorization Act of 2010:
addresses risk of SERIOUS harm by parents or caretakers
Withholding Information from Children: Considerations
Difficulty of keeping secrets in hospital
Adeptness of older children at gathering information
Risk of harm
Efforts at negotiation
Refusal of Treatment: Considerations
Mothering person’s support for request
Severity of child’s condition
Potential of direct harm
Fear, distress, or parental pressure
Varying state vaccination laws
- School exemptions
Refusal of Treatment: Overriding Parental Autonomy- Why would this occur?
Parents are incapacitated or incompetent.
Direct harm could result.
Blood transfusions are necessary.
“Best interest” ethical standard
“Best interest” ethical standard underlies surrogate decision-making for children
“Best interest” ethical standard underlies surrogate decision-making for children
Impaired and Critically Ill Children: Considerations
Quality of life Assessments-
helps guide/determine the “Best Interest Standard”
Impaired and Critically Ill Children: Considerations includes:
Quality of life Assessments-
Withholding and withdrawing treatment: respect patient/family autonomy
Withholding and withdrawing treatment: respect patient/family autonomy
What are examples?
Historical legal cases
Baby Doe rules
The Influence of Nurses: Character
Importance of a child’s character
The Influence of Nurses: Character
Three ways of helping internalization
By example
Through directed practice
From words
Positive vs Negative Internalization
