Exam 1 Review Flashcards

1
Q

What is the definition of ethics?

A

Systematic study of right and wrong conduct.

It involves a formal process for making consistent moral decisions based on principles, virtues, and core values.

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2
Q

What are morals?

A

Private, personal, or group standards of right and wrong.

Moral behavior reflects personal moral beliefs in accordance with custom.

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3
Q

What is the relationship between ethics and nursing?

A

Ethics is central to nursing and essential for providing holistic care.

Nurses encounter ethical problems at work and must have ethical knowledge for professional competence.

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4
Q

What is whistleblowing in the context of nursing?

A

Reporting unethical or illegal practices within a healthcare setting.

This can include situations like impaired nursing practice.

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5
Q

List the ethical principles relevant to nursing.

A
  • Autonomy
  • Nonmaleficence
  • Beneficence
  • Fidelity
  • Veracity
  • Justice
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6
Q

What does the ethical principle of autonomy entail?

A

Respecting a patient’s right to make their own decisions about their care.

This principle remains important even if the RN disagrees with the decision.

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7
Q

What is the ethical principle of nonmaleficence?

A

Avoiding harm to the patient, whether intentional or unintentional.

This includes ensuring treatments do not cause unnecessary suffering.

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8
Q

What does beneficence mean in nursing ethics?

A

Acting in the best interest of the patient by promoting their well-being.

It emphasizes the duty to do good.

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9
Q

What does fidelity mean in the context of nursing ethics?

A

Keeping commitments to patients and upholding professional responsibilities.

This includes maintaining trust and confidentiality.

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10
Q

What is the ANA Code of Ethics?

A

A set of guidelines that outlines the ethical responsibilities of nurses.

It includes provisions that emphasize respect, commitment to patients, and the importance of advocacy.

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11
Q

What is malpractice?

A

Failure to act in a reasonable and prudent manner in a professional context.

It involves negligence where harm is caused to a patient.

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12
Q

What is the purpose of laws in nursing?

A

To protect patients and society, define nursing practice scope, and identify minimum care levels.

Laws include public and private law, as well as statutory and common law.

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13
Q

What are advanced directives?

A

Legal documents outlining a person’s healthcare preferences when they cannot communicate.

They typically include a living will and durable power of attorney for healthcare.

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14
Q

What is the significance of the Patient Self-Determination Act?

A

Requires healthcare agencies to provide information about advance directives to patients.

This includes living wills and the right to make healthcare decisions.

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15
Q

What does the term ‘negligence’ refer to in nursing practice?

A

Failure to perform as a reasonable, prudent person would in a similar situation.

There is no intent to harm present in cases of negligence.

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16
Q

What is the role of the Texas Board of Nursing?

A

To regulate nursing practice, ensure public safety, and uphold licensure requirements.

It also manages the disciplinary process for nursing practice violations.

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17
Q

What is ‘safe harbor’ in nursing?

A

A process that protects a nurse from discipline for refusing unsafe assignments.

It must be invoked in good faith prior to the conduct or assignment.

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18
Q

What is a quasi-intentional tort?

A

Torts that involve a breach of duty that causes harm to an individual.

Examples include defamation of character through slander or libel.

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19
Q

Which legal requirement is violated if a hospital does not provide information about living wills?

A

Patient Self-Determination Act.

This act mandates that healthcare facilities inform patients about advance directives.

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20
Q

True or False: There are no legal consequences for nurses who do not follow the ANA Standards of Professional Performance.

A

False.

Nurses can be found guilty of negligence in a court of law for failing to adhere to these standards.

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21
Q

What is the difference between liability and malpractice?

A

Liability refers to being financially responsible, while malpractice involves failing to act reasonably in a professional context.

Malpractice is a specific form of liability.

22
Q

Fill in the blank: The duty to tell the truth in nursing ethics is known as _______.

23
Q

What does the ethical principle of justice entail?

A

Treating patients fairly and equitably.

This includes ensuring that resources and care are distributed without discrimination.

24
Q

What is a key responsibility of nurses regarding patient information?

A

Maintain patient confidentiality.

This is crucial for ensuring trust and legal compliance in healthcare.

25
What should nurses do to minimize malpractice risk?
Attend to patient safety. ## Footnote This includes following protocols and guidelines to safeguard patients.
26
What is an important aspect of nursing education?
Participate in continuing education. ## Footnote Ongoing education helps nurses stay updated on best practices and legal regulations.
27
What should nurses observe to ensure professional conduct?
Observe professional boundaries. ## Footnote Maintaining boundaries is essential to protect both patients and nurses.
28
What type of regulations must nurses comply with?
Mandatory reporting regulations. ## Footnote These regulations require nurses to report certain situations, such as abuse or neglect.
29
What should a nurse do if a patient's vital signs show a downward trend postoperatively?
Analyze your potential liability in this situation. ## Footnote It's important to assess the situation to ensure legally safe care.
30
What are the special circumstances under which restraints may be used?
Protect the patient, protect others, protect property. ## Footnote Restraints should be the least intrusive and used with regular assessments.
31
What could Trina's statement about Beth be considered if untrue?
Slander. ## Footnote Slander involves making oral statements that may harm someone's reputation.
32
Fill in the blank: Nurses must _______ properly to ensure safe care.
Delegate, assign, and supervise. ## Footnote Proper delegation is critical for patient safety and effective teamwork.
33
Who established the program for women prisoners to improve living conditions for children born in prison?
Elizabeth Fry
34
What major nursing reform did Florence Nightingale implement during the Crimean War?
Transformed hospitals and reduced mortality rate
35
Who was the first African American nurse to complete official nurse training?
Mary Eliza Mahoney
36
What does the term 'socialization' in nursing refer to?
The process of making someone ready for a particular societal role
37
Fill in the blank: The nurse's primary commitment is to the _______.
[patient]
38
What are the two main components of emotional intelligence (EQ) relevant for nurses?
* Self-awareness * Self-management
39
What is the purpose of nurse registration and licensure?
To protect the public by differentiating well-educated nurses from those without education
40
List three values essential to the nursing profession.
* Caring * Professionalism * Integrity
41
What is the main focus of the AACN Domains for Nursing?
* Knowledge for Nursing Practice * Person-Centered Care * Population Health * Quality & Safety * Professionalism
42
What is the importance of values in the nursing profession?
Values guide nursing behaviors and influence decision making
43
What is the expected behavior of nurses in relation to patients according to the Code of Ethics Provision 1?
Practice with compassion and respect for every person's dignity
44
Who founded the American Red Cross?
Clara Barton
45
What historical figure fought for abolition and equity and was an informally trained nurse?
Sojourner Truth
46
What does the term 'resocialization' refer to in nursing?
Adapting a role to a new setting
47
What are the subcomponents of Code of Ethics Provision 1?
* Respect for human dignity * Relationships with patients * The nature of health * The right to self-determination
48
What are the societal expectations of nursing?
* Caring service * Primacy of the Patient * Knowledge, Skill, and Competence * Hazardous service * Responsibility and accountability * Progress and development * Ethical practice * Collaboration * Promotion of the health of the public ## Footnote These expectations outline what society anticipates from the nursing profession.
49
What actions can society take if nursing fails to meet its expectations?
* Rescinding some of nursing’s privileges * Increasing regulation and oversight of the profession * Taking control of portions of professional activity previously under the autonomous control of the profession ## Footnote These actions reflect society's response to unmet expectations.
50
What is one of nursing's expectations regarding autonomy?
Nursing expects social trust ## Footnote This emphasizes the importance of trust in the nurse-patient relationship.
51
What are some of nursing's expectations of society?
* Autonomy of Practice * Self-governance * Title and Practice Protection * Respect and Just Remuneration * Freedom to Practice * Workforce sustainability * Protection in hazardous service ## Footnote These expectations highlight what nursing anticipates from society in return.
52
Which concept is central to the domain person-centered care in AACN’s BSN Essentials?
Compassionate care ## Footnote This highlights the importance of empathy in nursing practice.