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Nursing semester 1 > Intro Chapter 5 > Flashcards

Intro Chapter 5 Flashcards

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1
Q

What is nursing deeply ground it in

A

Ethics

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2
Q

What does it mean to say nurses are altruistic

A

Meaning they are always concerned with the welfare of others

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3
Q

What are ethics based on

A

The value in process; values are LAERNED and influence how we act or behave

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4
Q

What are the three things nurses must be at all times in the nursing practice

A

Kind caring honest

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5
Q

What is the most trusted profession

A

Nursing

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6
Q

Describe the utilitarian ethics

A

Ethics based on usefulness or purposeful outcome positive or negative of the action

“The greatest good for the greatest number”

ACA

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7
Q

Describe the deontological ethics

A

Ethics based on godlike or wrongness in the acts itself

Duty (to god) based morality

“Means that are important”

10 commandments

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8
Q

Describe Principal based ethics

A

Ethics based on common held human principles

These are the ethics nurses follow

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9
Q

Name the ethical traits in nursing

A 
Beneficence 
Non-maleficence
Justice
 autonomy 
fidelity
 veracity
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10
Q

Beneficence

A

Acting in a way that benefits the patient ; for the betterment of a +pt outcome with low risk

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11
Q

non maleficence

A

First do no harm

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12
Q

Justice

A

Treating all patients fairly

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13
Q

Autonomy

A

Patience right to choose

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14
Q

Fidelity

A

Loyal to one’s duty ACCOUNTABILITY

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15
Q

Veracity

A

Truthful; owning their mistakes

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16
Q

What must ethical nurses be

A 
Knowledgeable 
competent
 accountable 
caring 
sensitive 
conscious
 trustworthy
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17
Q

Nine provisions of the code of ethics by the American nurses Association (ANA)

A
  1. Compassion for all
  2. Commitment to patients
  3. Nurses promote and protect patients
  4. Accountability; nurses are accountable for their actions and delegate
  5. The nurse owes the same duties to self as to others
  6. Environment; Nurses must establish maintain and improve healthcare environment
  7. Advancing the nursing profession
  8. Collaboration
  9. Integrity of the profession
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18
Q

End of life code of ethics

A

Nurses must respect wishes of dying patient but may not participate in assisted suicide or death by lethal injection

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19
Q

Code of ethics of patient privacy

A

Hippa (especially online)

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20
Q

Conscientious objection code of ethics

A

Nurses MUST Express conscientious objection to authority if they are morally opposed to an action but they must care for these patients

21
Q

What guides ethical decisions

A

Knowing nursing ethics and the laws

22
Q

Whistle blower law

A

Protect nurses from retaliation and firing after they have called out unsafe practices

Duty as a pt advocate

23
Q

Safeharbor loss

A

Must be done prior to excepting assignment; protects nurses from engaging in behaviors that potentially put patients at risk;

Protects license

I E insufficient staff for a floor

24
Q

What do the safe harbor laws protect

A

Your license after incident has been peer reviewed to determine if it was made in good faith

25
Q

Who is part of the peer review committee

A

Call leagues at your same level (RN) those familiar with your specialty

26
Q

What is a crime

A

A wrongful act against a person or property

can result in misdemeanors or felonies

27
Q

Misdemeanor

A

Require fines

28
Q

Felonies

A

Serious crimes requiring time served

29
Q

What is a tort and what are subdivisions of torts

A

A wrongful action V a person or their property; a civil violation

Intentional

unintentional

30
Q

List intentional torts

A 
Assault
 battery 
defamation of character
 invasion of privacy 
false imprisonment 
fraud
31
Q

Assault

A

A threat to a person or the property without consent

Statements

32
Q

Battery

A

Direct physical contact not invited or not encouraged by patient

33
Q

Deformation of character

A

Slander: making verbal comments detrimental to character

Libel: written communication research Mitchell to character

34
Q

Invasion of privacy

A

Breaking of Hippa

35
Q

False imprisonment

A

Holding someone against their will

Restraints
Don’t let pt go after wanting to leave

36
Q

Fraud

A

Misrepresentation

Lying about license

37
Q

Unintentional torts

A

Negligence

malpractice

38
Q

Negligence

A

Failure to perform an action that another person with similar education would have done

39
Q

Malpractice

A

Negligence by a professional

40
Q

Four elements of unintentional torts

A
  • Duty
  • breach of duty; failure to perform expected acts
  • causation: An injury due to breach of duty
  • damage: extent of harm experience by patient
41
Q

What are common legal issues for nurses

A

Not reassessing patient
medication errors
taking shortcuts
not documenting correctly or thoroughly

42
Q

How much nurses Protect themselves from liability

A

Be competent and knowledgeable

43
Q

Important components to include in documentation

A

date
time
nurses name and credentials
treatment and patient response

44
Q

What must nursing notes follow

A

SOAP

S-ubjective information
O- bjective information
A- assessment
P- plan

45
Q

How much problems be charted

A

PIE

P-problem
I-intervention
E-evaluation

46
Q

How to document pain

A

Document pain, document 30 minutes after pain medication

47
Q

What was your documentation show in regards to you as a nurse

A

That you were a prudent nurse and created a safe environment for your patient

48
Q

Documentation don’t

A

Don’t use white out or erase
—-draw a line and initial
Don’t throw anyone under the bus
Don’t explain why medication was not given on time
Don’t leave charting by exception boxes and checked
—— Address the boxes
Don’t have non important information don’t use non-approved medical abbreviations

49
Q

Informatics

A

Technology EMR

Systems like CERNER are informatics

Nursing semester 1 (19 decks)

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