Intro Chapter 5 Flashcards

(49 cards)

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
Who is part of the peer review committee
Call leagues at your same level (RN) those familiar with your specialty
26
What is a crime
A wrongful act against a person or property can result in misdemeanors or felonies
27
Misdemeanor
Require fines
28
Felonies
Serious crimes requiring time served
29
What is a tort and what are subdivisions of torts
A wrongful action V a person or their property; a civil violation Intentional unintentional
30
List intentional torts
``` Assault battery defamation of character invasion of privacy false imprisonment fraud ```
31
Assault
A threat to a person or the property without consent Statements
32
Battery
Direct physical contact not invited or not encouraged by patient
33
Deformation of character
Slander: making verbal comments detrimental to character Libel: written communication research Mitchell to character
34
Invasion of privacy
Breaking of Hippa
35
False imprisonment
Holding someone against their will Restraints Don’t let pt go after wanting to leave
36
Fraud
Misrepresentation | Lying about license
37
Unintentional torts
Negligence | malpractice
38
Negligence
Failure to perform an action that another person with similar education would have done
39
Malpractice
Negligence by a professional
40
Four elements of unintentional torts
* 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
What are common legal issues for nurses
Not reassessing patient medication errors taking shortcuts not documenting correctly or thoroughly
42
How much nurses Protect themselves from liability
Be competent and knowledgeable
43
Important components to include in documentation
date time nurses name and credentials treatment and patient response
44
What must nursing notes follow
SOAP S-ubjective information O- bjective information A- assessment P- plan
45
How much problems be charted
PIE P-problem I-intervention E-evaluation
46
How to document pain
Document pain, document 30 minutes after pain medication
47
What was your documentation show in regards to you as a nurse
That you were a prudent nurse and created a safe environment for your patient
48
Documentation don’t
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
Informatics
Technology EMR | Systems like CERNER are informatics