Exam 3 Flashcards

1
Q

The study of conduct and character.

A

Ethics

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2
Q

Freedom from external control. The commitment to include pts in decisions about all aspects of care as a way of acknowledging and protecting the pts independence.

A

Autonomy

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3
Q

Taking positive actions to help others. The best interests of the patient remains more important than self-interest.

A

Beneficence

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4
Q

Refers to harm or hurt.

A

Maleficence

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5
Q

The avoidance of harm or hurt. Ethical practice involves not only the will to do good, but the equal commitment to do no harm.

A

Nonmaleficence

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6
Q

Includes fairness; includes the just distribution of resources.

A

Justice

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7
Q

Telling the truth; The agreement to keep a promise.

A

Fidelity

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8
Q

A set of guiding principles that all members of a profession accept. Its a collective statement about the group’s expectations and standards of behavior.

A

Code of Ethics

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9
Q

The support of a particular cause. The health, safety, and rights of patients, including their rights to privacy.

A

Advocacy

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10
Q

A willingness to respect one’s professional obligations and follow through on promises.

A

Responsibility

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11
Q

The ability to answer for one’s actions. You learn to ensure that your professional actions are explainable to your patients and your employer.

A

Accountability

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12
Q

HIPPA stands for

A

Health Insurance Portability and Accountability Act

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13
Q

Legislation defines the rights and privileges of patients for protection of privacy.

A

Confidentiality

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14
Q

A personal belief about the worth of a given idea, attitude, custom, or object that sets standards that influence behavior.

A

Values

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15
Q

Name the 7 Key Steps in the Resolution of an Ethical Dilemma

A

.1. Ask the question.

  1. Gather information relevant to the case.
  2. Clarify values.
  3. Verbalize the problem.
  4. Identify possible courses of action.
  5. Negotiate a plan.
  6. Evaluate the plan over time.
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16
Q

4 Issues in Health Care Ethics

A
  1. Quality of Life
  2. Genetic Screening
  3. Care at the End of Life
  4. Access to Care
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17
Q

___ serve to complement relationships within the workplace and the community and offer a valuable resource for strengthening these relationships.

A

Ethics committees

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18
Q

Anti-discrimination laws enhance the economic security of people with physical, mental, or emotional challenges. These changes have increased the integration of disabled persons into general society. The changes remind society, including health care workers, that definitions of quality are deeply based in individual experience.

A

Quality of Life

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19
Q

This can alert a patient to a condition that may not yet be evident but that is certain to develop in the future.

A

Genetic Screening

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20
Q

Refers to something that is hopeless or serves no useful purpose. Interventions unlikely to produce benefit for a patient.

A

Futile

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21
Q

What is the nurses role when it comes to loss death, and grief?

A

nurses have a primary duty to prevent illness and injury and help patients and families cope with things that cannot be changed and facilitate a peaceful death.

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22
Q

Losses that are eventually replaced by something different or better, however some losses cause them to undergo permanent changes in their lives and threaten their sense of belonging and security.

A

Necessary loss

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23
Q

A form of necessary loss and includes all normally expected life changes across the lifespan.

A

Maturational loss

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24
Q

Sudden, unpredictable external events.

A

Situational loss

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25
Q

The extent of grieving depends on value of object, sentiment attachment to it, or its usefulness.

A

Loss of possessions or objects

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26
Q

Loss occurs through maturational or situational events or by injury/illness. Loneliness in an unfamiliar setting threatens self-esteem, hopefulness, or belonging.

A

Loss of known environment

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27
Q

Close friends, family members, and pets, fulfill psychological, safety, love, belonging, and self-concept.

A

Loss of a significant other

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28
Q

Illness, injury, or developmental changes result in loss of a valued aspect of self, altering personal identity and self-concept.

A

Loss of an aspect of self

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29
Q

Loss of life grieves those left behind. Dying persons also feel sadness or fear pain, loss of control, and dependency on others.

A

Loss of life

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30
Q

emotional response to a loss manifested in ways unique to an individual and based on personal experiences, cultural expectations, and spiritual beliefs.

A

Grief

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31
Q

Coping with grief involves this period. The outward, social expressions of grief and the behavior associated with loss.

A

Mourning

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32
Q

encompasses both grief and mourning and includes the emotional responses and outward behaviors of a person experiencing loss.

A

Bereavement

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33
Q

is a common, universal reaction characterized by complex emotional, cognitive, social, physical, behavioral, and spiritual responses to loss and death.

A

Normal (uncomplicated) grief

34
Q

The unconscious process of disengaging or “letting go” before the actual loss or death occurs, especially in a situations of prolonged or predicted loss. Forewarning or cushioning that gives people time to prepare or complete the tasks related to the impending death.

A

Anticipatory grief

35
Q

When there is a relationship to the deceased person is not socially sanctioned, cannot be openly shared, or seems of lesser significance.

A

Disenfranchised grief

36
Q

AKA (marginal or unsupported grief)

A

Disenfranchised grief

37
Q

occurs when the lost person is physically present but not psychologically available, but the grieving person maintains an ongoing, intense psychological attachment, never sure of the reality of the situation.

A

Ambiguous Loss

38
Q

a prolonged or significantly difficult time moving forward after a loss. He/she experiences a chronic and disruptive yearning for the deceased; has trouble accepting the death and trusting others; and /or feels excessively bitter, emotionally numb, or anxious about the future.

A

Complicated grief

39
Q

Name the 5 Stages of Dying?

A

Denial, Anger, Bargaining, Depression, Acceptance

40
Q

a person acts as though nothing has happened and refuses to accept the fact of the loss. The person shows no understanding of what has occurred.

A

Denial

41
Q

a person expresses resistance and sometimes feels intense anger at God, other people, or the situation.

A

Anger

42
Q

cushions and postpones awareness of the loss by trying to prevent it from happening. Grieving or dying people make promises to God, or loved ones that they will live or believe differently if they can be spared the dreaded outcome.

A

Bargaining

43
Q

When a person realizes the full impact of the loss, some individuals feel overwhelmingly sad, hopeless, and lonely.

A

Depression

44
Q

the person incorporates the loss into life and finds ways to move forward.

A

Acceptance

45
Q

Patients age and stage of development affect the grief response.

A

Human Development

46
Q

When a relationship between 2 people was very rewarding and well connected, the survivor often finds it difficult to move forward.

A

Personal relationships

47
Q

hampered by regret and a sense of unfinished business, especially when people are closely related but did not have a good relationship at the time of death.

A

Grief resolution

48
Q

the only way to know what a loss means to a person is with a good assessment.

A

Nature of loss

49
Q

Strategies a person uses to deal with the stress of the loss. Emotional disclosure (i.e., venting talking about one’s feelings, or expressing anger or other negative feelings) is one way to cope with loss. Emotional disclosure is often accomplished by having people write about their feelings in letters to lost loved ones or personal journals.

A

Coping strategies

50
Q

Influences a person’s ability to access support and resources for coping with loss and physical response to stress.

A

Socioeconomic status

51
Q

Spiritual resources include faith in a higher power, communities of support, friends a sense of hope and meaning in life, and religious practices.

A

Spiritual & religious beliefs

52
Q

focuses on the prevention, relief, reduction, or soothing of symptoms of disease or disorders throughout the entire course of an illness, including care of the dying and bereavement follow-up for the family.
(No longer cure diseases. We are going to make the patient okay and as comfortable as possible)
As the goals of care change and cure for illnesses become less likely, the focus shifts to more palliative care strategies.

A

Palliative Care

53
Q

Care of the terminally ill patients and their families. It isn’t a place but rather a patient- and family-centered approach to care. Gives priority to managing a patient’s pain and other symptoms; comfort; quality of life; and attention to physical, psychological, social and spiritual needs and resources.
Patient’s usually have less than 6-12 months to live. Available in home, hospital, extended care, or nursing home settings

A

Hospice Care

54
Q

Difficult ethical decisions at the end of lie complicate a survivor’s grief, create family divisions, or increase family uncertainty at the time of death. Suggest to patients that they clearly communicate their wishes for end-of-life care so family members are able to act as faithful surrogates when the patient can no longer speak for himself or herself. Advance directives often decrease the stress of family members when end-of-life decisions must be made.

A

Assist with End-of-Life decision making

55
Q

the care of a body after death. Needs to be prepared in manner consistent with the patient’s cultural and religious beliefs. Perform as soon as possible to prevent discoloration, tissue damage, or deformities

A

Postmortem Care

56
Q

Family members give consent to determine the exact cause and circumstances of death or discover the pathway of a disease. Law sometimes requires that an autopsy be performed when death is the result of foul play; homicide; suicide; or accidental causes such as a motor vehicle crashes; falls, the ingestion of drugs, or deaths within 24 hours of hospital admission.

A

Autopsy

57
Q

A specially trained professional (transplant coordinator or social worker) makes request at the time of death. The person requesting the organ or tissue donation provides information about who can legally give consent, which organs or tissues can be donated, associated costs, and how donation affects burial or cremation.

A

Organ and tissue donation

58
Q

2 types of advance directives?

A

Living Will & Durable power of attorney

59
Q

What is a Living Will?

A

It is a document** It represents written documents that direct treatment in accordance with a patient’s wishes in the event of a terminal illness or condition.

60
Q

What is a Durable Power of Attorney for health care?

A

Remember a DPAHC is a person A legal document that designates a person or person’s of one’s choosing to make health care decisions when the client is no longer able to make decisions on his or her own behalf.

61
Q

What is a uniform anatomical gift?

A

An individual is at least 18 or older has the right to make an organ donation. Donation is defined as all or part of the human body to take effect upon or after death. The gift must be made in WRITING or INCLUDE a Signature.

62
Q

What does HIPAA stand for?

A

Health Insurance Portability and Accountability Act

63
Q

What does HIPAA mean?

A

It establishes the basis for PRIVACY and CONFIDENTIALITY concerns, viewed as two basic rights within the US health care setting.

64
Q

Good Samaritan laws?

A

these laws limit liability and offer legal immunity for nurses who help at the scene of an accident. All states have Good Samaritan laws enacted to encourage health care professionals to assist in emergencies.

65
Q

The uniform determination of death act?

A

there are 2 standards for determination of death. 1. Cardiopulmonary standard requires irreversible cessation of circulatory and respiratory functions. 2 the whole brain standards requires irreversible cessation of all function of the entire brain, including the brain stem.

66
Q

What is a tort?

A

A CIVIL WRONG made against a person or property.

67
Q

What is assault?

A

Any INTENTIONAL THREAT to bring about harmful or offensive contact. (NO actual contact is necessary)

68
Q

What is battery?

A

Any INTENTIONAL TOUCHING without consent. The contact can be harmful to the patient and cause an injury.

69
Q

What is Slander?

A

Occurs when one verbalizes the false statement. EX) if a nurse tells people a pt has STDs and the disclosure affects the pts business, the nurse is liable for slander.

70
Q

What is Libel?

A

Is written defamation of character. Ex) Charting false entries.

71
Q

Negligence

A

is conduct that FALLS below a standard of care (unintentional)

72
Q

Malpractice

A

Failure to carry out the duty caused the INJURY to a patient.

73
Q

Who are the witnesses to Informed Consent?

A

The nurse

74
Q

Is an individuals conceptualization of him or herself. It is a subjective sense of self and a complex mixture of unconscious and conscious thought, attitudes, and perceptions. How you see yourself.

A

Self-Concept

75
Q

Ages during Intimacy vs. Isolation

A

mid-20s to mid-40s

76
Q

Ages during Generativity vs. Self-absorption

A

mid-40s to mid-60s

77
Q

Age during Identity vs. Role Confusion

A

12 to 20 yrs

78
Q

Age during Integrity vs. Despair

A

late 60s to death

79
Q

What is role performance?

A

it is the way in which individuals perceive their ability to carry out significant roles.

80
Q

What is self-esteem?

A

An individuals overall feeling of self-worth or the emotional appraisal of self-concept (How you feel)