Chapter 7: Adult Health Nursing Ethics

Question 1

Compliance

Answer 1

Patient’s approval/agreement of treatment or regimen

Question 2

What is a compliance statement start with?

Answer 2

“I agree…”

Question 3

Adherence

Answer 3

Extent of match between patient behaviors and recommendations

Question 4

What does an adherence statement say?

Answer 4

“I’m doing the things…”

Question 5

Concordance

Answer 5

Shared approach to treatment plan, patient-centered teamwork

Question 6

What is a concordance statement?

Answer 6

“We came up with this plan together”

Question 7

Noncompliance

Answer 7

Deliberate refusal or failure to act

Question 8

What is a noncompliance statement?

Answer 8

“I’m choosing not to do the things…”

Question 9

Nonadherence

Answer 9

Unintentional behavior or external forces that fail to follow the treatment plan

Question 10

What are examples of nonadherence?

Answer 10

ex. forgetfulness, lack of money to pay for treatment

Question 11

What is a statement by someone who is doing nonadherence?

Answer 11

“I can’t do the things…” or “I forgot to do the things…”

Question 12

Organ Procurement:

1 donation can save how many lives?

Answer 12

1 person’s donation can save up to 8 lives

Question 13

What is in place for organ procurement?

Answer 13

Systems or programs for organ procurement

Question 14

Organ Procurement:

Presumed consent

Answer 14

Presumed consent: People automatically consent unless indicated otherwise.

Question 15

Organ Procurement:

Mandated choice:

Answer 15

Mandated choice: Competent people are required to indicate yes or no.

Question 16

Organ Procurement:

Donor card:

Answer 16

Donor card: Gives permission for use of organs in event of death

Question 17

Organ Procurement:

Required response include:

Answer 17

Driver’s License check-box indicates expressed wish

Living Will

Question 17

Organ Procurement:

Required response:

Answer 17

Required response: Expression of wishes regarding organ donation

Question 18

Fair Allocation of Organs:

What act created a transplant list? Who is it maintained by?

Answer 18

The National Organ Transplantation Act 1984 created a transplant list maintained by the United Network for Organ Sharing (UNOS)

Question 19

The Organ Procurement Transplantation Network (OPTN) is administered by UNOS by these two main ethical principles:

Answer 19

Justice:

Medical utility:

Question 20

The Organ Procurement Transplantation Network (OPTN) is administered by UNOS by these two main ethical principles:

Justice

Answer 20

Justice: Safeguards fairness in allocation and the fair consideration of candidates and medical needs

Question 21

The Organ Procurement Transplantation Network (OPTN) is administered by UNOS by these two main ethical principles:

Medical utility:

Answer 21

Medical utility: increase the number of transplants performed and the length of time patients and organs survive

Question 22

Fair Allocation of Organs:

Those needing organs go on list- only after a physician from a UNOS transplant center evaluates the patient and documents need:

Answer 22

Medical urgency/emergency
Blood/tissue type and size match
Time on waiting list
Proximity of donor and recipient

Question 23

Ethical Issues of Death and the Dead Donor Rule:

What does the Uniform Determination of Death Act defined legal death as?

Answer 23

Uniform Determination of Death Act defined legal death as “irreversible cessation of circulatory and respiratory functions, or irreversible cessation of all functions of the brain”

Question 24

Ethical Issues of Death and the Dead Donor Rule:

What is the Dead Donor Rule?

Answer 24

Donor must first be dead before retrieval of organs.

Person’s life/care cannot be compromised in favor of organ recipients.

Question 25

Nurses and Organ Donors:
Manage care for all involved:

Answer 25

Supporting the family’s decision
Realizing that caring for the patient shows care for the family
Encouraging and respecting grieving