chp 4,5,6 study guide Flashcards

Exam 2

1
Q

Where does conflict arise from?

A

Conflict arises from conflicting views of biology, interests, human rights, and personhood definitions

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2
Q

Roe v Wade 1973

A

Supreme Court decided states can make laws to ban abortions in the third trimester, and only ban abortion in the first or second trimester for particular reasons

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3
Q

Which case overturned Roe decision?

A
  • Dobbs v. Jackson: Overturned Roe decision in 2022
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4
Q

Duality Care Concept:

A

Healthcare professionals must now care for the pregnant woman as two distinctly separate entities, each with distinct claim rights

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5
Q

How has maternal death been trending in the US?

A

Maternal death in the United States has significantly increased over the last 10 years

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6
Q

Which state has the highest mortality rate of any industrialized nation?

A
  • The U.S. has the highest maternal mortality of any industrialized nation
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7
Q

Approximately, how many women around the world obtain unsafe, illegal abortions each year? Complications lead to what?

A
  • Approximately 21 million women around the world obtain unsafe, illegal abortions each year.

complications from these account for approximately 13% of all maternal deaths, nearly 50,000 annually

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8
Q

Regarding reproductive care, nurses must:

A

-maintain respect for human dignity and autonomy

  • recognize and protect patient rights
  • acknowledge the struggle between their own personal values and professional
    values
  • observe the moral and professional boundaries regarding patient self-
    determination
  • avoid any behavior that may be manipulative or coercive
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9
Q

Parents refusal of treatment for child-patient can be overridden when:

A

-parents are incapacitated/incompetent
- the treatment meets the “Best Interest” standard
- direct harm could result

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10
Q

Best Interest Standard:

A

surrogates decisions take into consideration the quality of life of the
child and determine the highest net benefi

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11
Q

Duty to Disclose:

A

Mandatory reporting of abuse/neglect operates under this concept

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12
Q

Why would parental confidentiality be waived?

A

Parental confidentiality is automatically waived if neglect/abuse is suspected

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13
Q

Child Abuse Prevention and Treatment Reauthorization Act of 2010

A

Defines abuse/neglect as an act or failure to act by parents or caretakers which puts the minor in imminent risk of or causes SERIOUS harm, death, sexual abuse or exploitation

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14
Q

Therapeutic Privilege

A

Withholding information from children undermines veracity, autonomy, & beneficence

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15
Q

Internalization

A

children learn from what they witness, through directed practice, and from
words they hear

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16
Q

The Child Abuse Amendments of 1984 (Baby Doe Rules)

A

(Baby Doe Rules): forbids discrimination based entirely on a person’s handicaps and withholds funds from institutions that do so

17
Q

What is the main ethical dilemma with adolescents?

A

Main ethical dilemma with adolescents is CONSENT (autonomy) while protecting trust & privacy

17
Q

Nurse-adolescent relationship built on

A

compassion

17
Q

Trust

A

: free to explore vulnerabilities without fear of exploitation

17
Q

Privacy

A

freedom from intrusion into one’s personal information

17
Q

Confidentiality cannot be guarenteed, can be breached for what reasons?

A
  • confidentiality cannot be guaranteed, can be breached if potential threat or harm to patient/others
17
Q

What is the exception to autonomy?

A
  • Exception to autonomy of medical records is abortion.
18
Q

How many states have mandated parental involvement in abortion?

A

37 states

18
Q

How many states permit a minor to obtain an abortion without parental consent? In what kind of cases?

A

16 states permit a minor to obtain an abortion without parental consent in cases of incest

19
Q

Moral self-government

A

a clear, self-articulated vision of what one wants from healthcare,used to determine if adolescents have autonomous decision-making capacity

20
Q

Successful patient education based on prevention includes:

A

beneficence and nonmaleficence the focus here

20
Q

Minors CAN give consent if:

A
  • they are emancipated minors
  • they are pregnant and/or married
  • they are enlisted in the armed forces
21
Q
  • Sexual Education now more _________ based instead of ________based
A
  • Sexual Education now more prevention/theory-based instead of fear/abstinence based
22
Q

Autonomy

A

: acting in a self-determined manner

23
Q

Nonmaleficence

A

: avoiding bad things

24
Q

Beneficence

A

: doing good things, actions guided by compassion

25
Q

Justice

A

treating people equally, fairness, equity

26
Q

Veracity

A

: honesty, truthiness