Chapter 6 Flashcards

Exam 2

1
Q

Adolescent developmental process

A

Early adolescence (ages 11–13)
Middle adolescence (ages 14–18)
Late adolescence (ages 18–21)

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2
Q

Ethical Issues and Concerns Involving Adolescents

What are central ethical themes?

A

rights & consent

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3
Q

Central ethical themes: rights and consent include?

A

Freedom to consent to or refuse treatment

Confidentiality and privacy of medical record

Right not to be violated or exploited

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4
Q

What are tightly woven together?`

A

Confidentiality, Privacy, and Trust

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5
Q

What is difficult to gain once its lost?

A

Lost trust is difficult to regain.

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6
Q

What is a critical factor in nurse adolescent relationship?

A

Compassion is a critical factor in nurse-adolescent relationship

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7
Q

Privacy:

A

freedom from intrusion into one’s personal information

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8
Q

Trust–Privacy–Confidentiality Dilemma include?

A

Potentially harmful confidential information

Seeking treatment based on confidentiality

Need for private examinations

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9
Q

What are exceptions to autonomy?

A

Exceptions to autonomy over medical records in abortion

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10
Q

Why can confidentiality not be guarenteed?

A

Breached with potential threat to patient or others

Varying state reporting requirements

Limits of confidentiality standards with guardians

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11
Q

Respect for Autonomy and Consent Process

Moral self-government:

A

a clear, self-articulated vision of what they want from healthcare

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12
Q

Ongoing consent process-
What does this mean?

A

adolescents younger than 18 can give consent

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13
Q

Ongoing consent process-adolescents younger than 18 can give consent

Who does this include?

A

Emancipated minors
Pregnant and/or married
Enlisted in Armed Forces

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14
Q

Adolescent Health Risk Behaviors, Nonmaleficence, and Beneficence

What are behaviors based on?

A

Feeling of invincibility
Health risk behaviors

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15
Q

Adolescent Health Risk Behaviors, Nonmaleficence, and Beneficence:

Health behaviors are connected to what?

A

Health behaviors connected to adolescent death and disability

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16
Q

Adolescent Health Risk Behaviors, Nonmaleficence,and Beneficence

Prevention based education is based on what?

A

Prevention-based education based on beneficence and nonmaleficence

17
Q

Prevention-based education based on beneficence and nonmaleficence?

How should you communicate?

A

Be an ethical giver of communication.

Use fear appeals judiciously.

Use theory-based programs.

18
Q

Examples of theory based programs?

A

Harm-reduction programs
BART behavioral intervention program

19
Q

Abstinence-Only vs. Comprehensive Sex Education Programs

What is the problem with abstinence only education?

A

Lack of clear meaning of sexual abstinence

Ethical harmfulness of vagueness

Dwindling funding for programs

20
Q

Abstinence-Only vs. Comprehensive Sex Education Programs

What are current prevention and intervention programs?

A

Theory-based safe-practices curriculum
Becoming less abstinence focused

21
Q

What is an ethical dilemma having to do with current and intervention programs?

A

Ethical dilemma in nurse’s program choice

22
Q

Sexual Abuse Related to Adolescents includes?

A

Silence of the sexually abused
Dating violence
Limits of confidentiality

23
Q

Nursing Care of Adolescents include?

A

Trustworthiness

Genuineness

Compassion*

Honesty

Spiritual considerations

24
Q

Trustworthiness

A

Dependability and authenticity

25
Q

Genuineness

A

Realness or credibility

26
Q

Compassion

A

Intervention for hidden hurt

27
Q

Honesty

A

Being forthright, truthful, not deceptive

28
Q

Spiritual considerations includes?

A

Benevolence
Spirituality