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Nursing 2000 > Exam #2: Ethical Issues*** > Flashcards

Exam #2: Ethical Issues*** Flashcards

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1
Q

Morality

A

a personal standard of what is right/wrong or good/bad in a situation

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2
Q

Ethics

A

the reasoned analysis/disciplined inquiry of relationships underlying the moral code of a particular group

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3
Q

Ethical Distress

A

acting in a manner contrary to personal/professional values (ex. checking in on a celeb pt)

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4
Q

Autonomy

A

freedom to make decisions about one’s own body w/o interference from others
–> leads to self determination

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5
Q

Justice

A

the obligation to be fair to all people

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6
Q

Veracity

A

truth-telling

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7
Q

Beneficence

A

doing good towards another (not paternalistic)

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8
Q

Nonmaleficence

A

protection from harm

balancing risks and benefits

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9
Q

Privacy

A

protection against intrusive contact from others

–> nurses as gatekeepers

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10
Q

Confidentiality

A

maintaining secrecy of pt information (HIPPA)

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11
Q

Fidelity

A

faithfulness/promise-keeping

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12
Q

Ideal Observer

A

requires a decision be made from a disinterested/dispassionate viewpoint with full info available and consideration of future consequences
–> not imposing own values on pt

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13
Q

Standard of Best Interest

A

making decisions on pt behalf based on known wishes (if they are unable to voice their own opinion)

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14
Q

What is the purpose of the code of ethics?

A
  1. inspire members to be ethical
  2. sensitize members to ethical issues
  3. enforce rules on group members
  4. protect society
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15
Q

What are aspects of the ANA Code of Ethics?

A
  • nurse practices compassion/respect
  • justice: pts treated equally
  • nurses primary committed to pt
  • nurse is accountable for her own nursing practice
  • lifelong learning, preserve integrity/safety
  • improvement of healthcare environments
  • advancement in profession
  • collaboration with other healthcare professionals
  • shaping social policy
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16
Q

What are the steps of Ethical Decision Making?

A 
CGIMAE
C- Clarify ethical dilemma
G- Gather additional information
I- Identify options
M- Make a decision (ultimately done by pt)
A- Act
E- Evaluate
17
Q

What is patient advocacy?

A
  • nursing role or an employment position
  • acting on behalf of a pt
  • ->be prepared for personal consequences of pt advocacy = conflict
18
Q

What is the Ethics Committee?

A

in many hospitals/home health agencies

  • volunteers
  • review ethical cases
  • assist in policy development
19
Q

What is the goal of ethics in nursing research?

A
  • informed consent
  • prevention of harm
  • protection of privacy
  • research process integrity
20
Q

Ethical Issues in Nursing: Informed consent

A

-pt must be fully informed
-voluntary/signed
-legally competent
(implied consent: healthcare provider answers the way they believe the pt would if competent)

21
Q

Ethical Issues in Nursing: Allocation of Resources

A
  • problem: may not have enough equipment/staff to fully care for its
  • nurses can’t be experts in all areas –> need to be specialized (not always floated)
  • access is limited by insurance
22
Q

Ethical Issues in Nursing: Reproductive Technology

A
  • artificial insemination (mult contributions?)
  • selective termination after in-vitro fertilization? (increase survival of few or carry all 6-8?)
  • surrogate mothers, stem cell research, etc
23
Q

Ethical Issues in Nursing: Provision of Healthcare to Children

A
  • refusal of care by parents (no chemo/vaccines/blood)
  • divorced parents deciding on treatment for child
  • do we fully inform parents? (16 year old with STI)
24
Q

Ethical Issues in Nursing: End of Life Decisions

A
  • quality vs. quantity
  • assisted suicide
  • technology expanding life (too far?)
25
Q

Ethical Issues in Nursing: Impaired Colleagues

A
  • report? –> hurt pt OR hurt colleagues career?

- legally bound to report by the state

26
Q

Ethical Issues in Nursing: Academic Honesty

A
  • cheating on exams, copying papers, plagiarism, etc

- ->includes clinical setting (lying about treatments, making up assessments) - potentially risking life of pt

Nursing 2000 (12 decks)

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