EXAM 1 - Seminar material

Question 1

This theory judges the morality of an action based on the action’s adherence to rules. Whether an action is ethical depends on the intentions behind the decisions rather than the outcomes that result.

Answer 1

Deontology

Question 2

informing the public about minimum professional standards;
providing a sign of the profession’s commitment to the public;
outlining major ethical considerations of the profession; providing ethical standards for professional behavior; guiding the profession in self-regulation;
reminding nurses of the special responsibility they assume when caring for the sick.

Answer 2

The purpose of the code of ethics for nurses.

Question 3

The nurse must respect a client’s right to____

Answer 3

choose

Question 4

agreement to respect another’s right to self-determine a course of action; support of independent decision making.

Answer 4

Autonomy

Question 5

Multigenerational transmission process?

Answer 5

*Transmission of anxiety from generation to generation

*Patterns, themes and roles are passed through generations: Children repeat what they live and see to the next generation

Question 6

Smallest stable relationship system?

Answer 6

Triangle

Question 7

Healthcare professionals make decisions about diagnosis, therapy, and prognosis for the patient. Based upon the health care professional’s belief about what is in the best interest of the patient, he/she chooses to reveal or withhold patient information in these three important arenas. This principle is heavily laden as an application of power over the patient.

Answer 7

Paternalism

Question 8

Greater fusion between individuals in a family causes?

Answer 8

poorer individual functioning

Question 9

If a client is competent and refuses care, the nurse should?

Answer 9

honor the client’s decision.

Question 10

involves withdrawal of extraordinary means of life support, such as a ventilator.

Answer 10

passive euthanasia

Question 11

Health Outcomes for SDOH? (study image)

Answer 11

Question 12

the structural determinants and conditions in which people are born, grow, live, work and age.

Answer 12

social determinants of health

Question 13

People’s attitudes and beliefs about relationships play a role in the patterns, but the forces primarily driving them are part of the emotional system.

Answer 13

Nuclear family emotional process

Question 14

compassion; taking positive action to help others; desire to do good; core principle of our patient advocacy.

Answer 14

Beneficence

Question 15

Hospitalized entire family with a schizophrenic member and looked at whole family as client. Name of man and his theory?

Answer 15

Murray Bowen - Bowen’s family sytem theory

Question 16

This principle requires loyalty, fairness, truthfulness, advocacy, and dedication to our patients. It involves an agreement to keep our promises. ______refers to the concept of keeping a commitment and is based upon the virtue of caring.

Answer 16

Fidelity

Question 17

Written instruction recognized under state law relating to the provision of healthcare when an individual is incapacitated. _____ may take two forms: Living will and Health care proxy.

Answer 17

Advance directive

Question 18

Sibling position?

Answer 18

• Info about roles people take in relationships
• Sibling roles are similar

Question 19

This theory holds that morality is relative to the norms of one’s culture.

Answer 19

Ethical relativism

Question 20

This theorysupports ethical relativism in that it does not support universal acts. ______requires examination of context of the situation in order to come to a moral conclusion.

Answer 20

Feminist theory

Question 21

a theory of human behavior that views the family as an emotional unit and uses systems thinking to describe the complex interactions in the unit. It is the nature of a family that its members are intensely connected emotionally.

Answer 21

Bowen Family System theory

Question 22

avoidance of harm or hurt; core of medical oath and nursing ethics.

Answer 22

Nonmaleficence

Question 23

this principle refers to an equal and fair distribution of resources, based on analysis of benefits and burdens of decision.

Answer 23

Justice

Question 24

*A way to manage intense fusion & anxiety

*Distance ourselves physically and emotionally

Answer 24

Emotional Cutoff

Question 25

What is a major influencer in a Triangle? How?

Answer 25

Anxiety

• The closer, the more anxiety
• comroftable distance, less anxiety

Question 26

When trying to make a responsible ethical decision, what should the nurse understand as the basis for ethical reasoning?

Answer 26

ethical principal and codes.

Question 27

This theory supports what is best for most people. The value of the act is determined by its usefulness, with the main emphasis on the outcome or consequences.

Answer 27

Utilitarianism

Question 28

answerable to oneself and others for one’s own actions.

Answer 28

accountability

Question 29

Occurs when an individual is able to distinguish between intellectual processes and the feeling process he or she is experiencing

Answer 29

Differentation of self

Question 30

The personal beliefs and cultural values that are the basis for human conduct.

Answer 30

Moral

Question 31

A broad concept that in its simplest form, can be described as an attitude or orientation that leads to the beneficent attending, through acts or omissions, of one person towards another.

Answer 31

Care

Question 32

refers to telling the truth, no matter the outcome. By lying, the nurse jeopardized the health of the client.

Answer 32

Moral principal of veracity

Question 33

Societal Emotional Process

Answer 33

*How families deal with social expectations of things like gender, race, class, sexism, etc.

*Coping strategies are passed through generations

Question 34

Does the nurse have a moral obligation to care for the client?

Answer 34

Yes, unless risk exceeds responsibility

Question 35

What are some factors of SDOH?

Answer 35

*socioeconomic status
*education
*physical environment
*employment
*social support netowrks
*access to healthcare

Question 36

What are the four basic relationship patterns involved in the nuclear family emotional process?

Answer 36

1. Marital conflict - externalizing family tension on spouse
2. Dysfunction in spouse - One spouse pressures other to act and feel certain ways while other spouse yields to this.
3. Impairment of one more children - spouse focuses anxiety on one or more children.
4. Emotional distanced - people distance themselves from one another to reduce tension but risk becoming too isolated.

Question 37

Parents transmit lack of differentiation to their children

Answer 37

Family projection process

Question 38

what does unstable fusion in marriage cause?

Answer 38

• Dysfunction in spouse
• Marital conflict
• Projection on children

Question 39

The set of personal beliefs and attitudes that we hold in high regard.

Answer 39

Value

Question 40

Familys are tied in?

Answer 40

thinking, feeling and behavior

Question 41

The study of values in human conduct or the study of right conduct. _____offers a critical, rational, defensible, systematic and intellectual approach to determining what is right or best in a difficult situation.

Answer 41

Ethics