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ABSN > Leadership 2 > Flashcards

Leadership 2 Flashcards

1
Q

Fundamental principle of ethics:

A

respect

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2
Q

What is an ethical dilemma?

A

making a choice between 2 equally undesirable alternatives

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3
Q

What leadership attribute is vital to ethics?

A

self awareness (know your values)

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4
Q

What is the difference between moral distress and moral outrage?

A

distress - you know the right ting to do but your organization says no

outrage - you witness an immoral act but feel powerless to stop it

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5
Q

Who is most likely to be affected by moral distress?

A

religious nurse

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6
Q

What is the difference between moral indifference and moral conflict?

A

indifference - questions the relevance of morality in practice

conflict - uncertain of which moral principle to apply

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7
Q

Which principle of ethics means that you accept responsibility for your choices?

A

autonomy

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8
Q

What is fidelity?

A

keeping promises

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9
Q

What is the ethical concept of utility?

A

good of many outweighs the needs of the individual

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10
Q

Is the ANA code of ethics legally binding?

A

no - just a guide to highest standards

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11
Q

What is the Theory-Practice-Ethics Gap?

A

the gap between decision making and theory (ex. hand washing evidence should = sanitizers in all rooms)

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12
Q

What is a model we use to make an informed moral decision?

A

M.O.R.A.L

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13
Q

What is the highest law in the US?

A

constitution

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14
Q

What is statutory law? Example.

A

it governs nursing practice by state

Nurse Practice Act

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15
Q

What is administrative law? Example.

A

rules to ensure we follow statutory law (Nurse Practice Act)

State Board of Nursing

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16
Q

What is the Nurse Practice Act?

A

statutory law that establishes the MINIMAL requirements for the standard of care

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17
Q

Discriminate between criminal and civil law:

A

criminal - beyond a reasonable doubt - incarceration

civil - based on preponderance of evidence - $$$ damages

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18
Q

Is negligent malpractice intentional or unintentional?

A

Unintentional

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19
Q

Which malpractice element describes WHAT YOU’RE EXPECTED TO DO? Example.

A

standard of care

giving medication

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20
Q

Which malpractice element describes NOT DOING WHAT YOU’RE SUPPOSED TO DO / NOT CARRYING OUT STANDARD OF CARE? Example.

A

breach of duty

nurse fails to administer meds correctly

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21
Q

Which malpractice element describes that a nurse MUST HAVE HAD THE KNOWLEDGE THAT NOT MEETING THE STANDARD OF CARE COULD POSE HARM? Example.

A

foreseeability of harm

available drug info tells the nurse that the wrong dose can cause injury

22
Q

Which malpractice element describes the PROVEN RELATIONSHIP B/W FAILURE TO MEET STANDARD OF CARE AND THE INJURY? Example.

A

breach of care

too much morphine caused the pt to go into respiratory distress

23
Q

Which malpractice element describes that THE FAILURE TO MEET THE STANDARD OF CARE CAUSED THE INJURY? Example.

A

actual injury

respiratory distress from the morphine caused a permanent condition (death)

24
Q

What is defamation of character?

A

intentional tort of spreading false information

slander - spoken
libel - written

25
Q

What is assault?

A

intentional tort of threatening conduct / creating fear

26
Q

What is battery?

A

intentional tort of wrongful physical contact

27
Q

What is the difference between informed and expressed consent?

A

informed - done by physician

expressed - done by nurse; witness a signing and ensure pt received the info

28
Q

What gives pt the right to advanced directives?

A

Patient Self Determination Act (PSDA) of 1991

29
Q

Good Samaritan Immunity applies so long as:

A

the nurse does does not extend their scope of practice

30
Q

RN Licensure can be revoked if:

A
  1. you secure your license by fraud
  2. preform Nurse Practice Act prohibited actions
  3. do something illegal
  4. preform malpractice
  5. abuse alcohol or drugs
31
Q

What does an advocate do in regard to pt choices?

A

C - care
A - autonomy
R - respect
E - EMPOWERMENT

they differentiate between controlling and assisting pt choices

32
Q

What is the essence of advocacy

A

empowerment

33
Q

What are the 3 goals of the Patient Bill of Rights?

A
  1. builds confidence in healthcare system
  2. stresses importance of relationship between pt and HCP
  3. stresses the role of pt staying healthy
34
Q

What is the manager’s #1 goal in regards to patient advocacy?

A

to create a work environment that recognizes patient needs as paramount

35
Q

Which is the most neglected form of advocacy?

A

subordinate advocacy (empower and listen to staff)

36
Q

Who regulates workplace advocacy?

A

OSHA - safety standards

37
Q

What is workplace advocacy all about?

A

safety

38
Q

What is internal vs external whistleblowing?

A

internal - occurs within the organization

external - reporting outside the organization (media / elected officials)

39
Q

What must a leader/manager do to whistleblowers?

A

ADVOCATE for them

40
Q

What’s the px with an outside change agent?

A

the organization they’re coming into is not clear on the motives of the outside change agent

41
Q

What’s the px with an inside change agent?

A

personal bias

42
Q

What does planned change bring about in an organization?

A

restructuring
quality improvement
employee retention

43
Q

What kind of problem does Lewin’s traditional change theory work on?

A

predictable problems (not 21st century)

44
Q

Who should be involved in a planned linear change?

A

all that would be affected by the change

45
Q

What are the 3 stages of Lewin’s phases of change?

A
  1. unfreezing
  2. movement
  3. refreezing - may take 3-6 months and does not eliminate the possibility of further improvements
46
Q

What are 2 non-linear change theories?

A

Complex Adaptive System

Chaos Theory (Butterfly Effect)

47
Q

What kind of problems do non-liner change theories work on?

A

unforeseeable and ever present problems

48
Q

A young organization has _______.

A

high energy and fluidity

49
Q

How should change be implemented?

A

gradually and with a plan

50
Q

Which type of change will meet more resistance; technological or perceived social?

A

perceived social

51
Q

What is paternalism?

A

actions taken to prevent harm

ABSN (18 decks)

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