EXAM 1 - Seminar material Flashcards
Family systems, SDOH, Ethics
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.
Deontology
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.
The purpose of the code of ethics for nurses.
The nurse must respect a client’s right to____
choose
agreement to respect another’s right to self-determine a course of action; support of independent decision making.
Autonomy
Multigenerational transmission process?
*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
Smallest stable relationship system?
Triangle
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.
Paternalism
Greater fusion between individuals in a family causes?
poorer individual functioning
If a client is competent and refuses care, the nurse should?
honor the client’s decision.
involves withdrawal of extraordinary means of life support, such as a ventilator.
passive euthanasia
Health Outcomes for SDOH? (study image)
the structural determinants and conditions in which people are born, grow, live, work and age.
social determinants of health
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.
Nuclear family emotional process
compassion; taking positive action to help others; desire to do good; core principle of our patient advocacy.
Beneficence
Hospitalized entire family with a schizophrenic member and looked at whole family as client. Name of man and his theory?
Murray Bowen - Bowen’s family sytem theory
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.
Fidelity
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.
Advance directive
Sibling position?
- Info about roles people take in relationships
- Sibling roles are similar
This theory holds that morality is relative to the norms of one’s culture.
Ethical relativism
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.
Feminist theory
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.
Bowen Family System theory
avoidance of harm or hurt; core of medical oath and nursing ethics.
Nonmaleficence
this principle refers to an equal and fair distribution of resources, based on analysis of benefits and burdens of decision.
Justice
*A way to manage intense fusion & anxiety
*Distance ourselves physically and emotionally
Emotional Cutoff
What is a major influencer in a Triangle? How?
Anxiety
- The closer, the more anxiety
- comroftable distance, less anxiety
When trying to make a responsible ethical decision, what should the nurse understand as the basis for ethical reasoning?
ethical principal and codes.
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.
Utilitarianism
answerable to oneself and others for one’s own actions.
accountability
Occurs when an individual is able to distinguish between intellectual processes and the feeling process he or she is experiencing
Differentation of self
The personal beliefs and cultural values that are the basis for human conduct.
Moral
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.
Care
refers to telling the truth, no matter the outcome. By lying, the nurse jeopardized the health of the client.
Moral principal of veracity
Societal Emotional Process
*How families deal with social expectations of things like gender, race, class, sexism, etc.
*Coping strategies are passed through generations
Does the nurse have a moral obligation to care for the client?
Yes, unless risk exceeds responsibility
What are some factors of SDOH?
*socioeconomic status
*education
*physical environment
*employment
*social support netowrks
*access to healthcare
What are the four basic relationship patterns involved in the nuclear family emotional process?
- Marital conflict - externalizing family tension on spouse
- Dysfunction in spouse - One spouse pressures other to act and feel certain ways while other spouse yields to this.
- Impairment of one more children - spouse focuses anxiety on one or more children.
- Emotional distanced - people distance themselves from one another to reduce tension but risk becoming too isolated.
Parents transmit lack of differentiation to their children
Family projection process
what does unstable fusion in marriage cause?
- Dysfunction in spouse
- Marital conflict
- Projection on children
The set of personal beliefs and attitudes that we hold in high regard.
Value
Familys are tied in?
thinking, feeling and behavior
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.
Ethics
