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
What is assault?
intentional tort of threatening conduct / creating fear
26
What is battery?
intentional tort of wrongful physical contact
27
What is the difference between informed and expressed consent?
informed - done by physician expressed - done by nurse; witness a signing and ensure pt received the info
28
What gives pt the right to advanced directives?
Patient Self Determination Act (PSDA) of 1991
29
Good Samaritan Immunity applies so long as:
the nurse does does not extend their scope of practice
30
RN Licensure can be revoked if:
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
What does an advocate do in regard to pt choices?
C - care A - autonomy R - respect E - EMPOWERMENT they differentiate between controlling and assisting pt choices
32
What is the essence of advocacy
empowerment
33
What are the 3 goals of the Patient Bill of Rights?
1. builds confidence in healthcare system 2. stresses importance of relationship between pt and HCP 3. stresses the role of pt staying healthy
34
What is the manager's #1 goal in regards to patient advocacy?
to create a work environment that recognizes patient needs as paramount
35
Which is the most neglected form of advocacy?
subordinate advocacy (empower and listen to staff)
36
Who regulates workplace advocacy?
OSHA - safety standards
37
What is workplace advocacy all about?
safety
38
What is internal vs external whistleblowing?
internal - occurs within the organization external - reporting outside the organization (media / elected officials)
39
What must a leader/manager do to whistleblowers?
ADVOCATE for them
40
What's the px with an outside change agent?
the organization they're coming into is not clear on the motives of the outside change agent
41
What's the px with an inside change agent?
personal bias
42
What does planned change bring about in an organization?
restructuring quality improvement employee retention
43
What kind of problem does Lewin's traditional change theory work on?
predictable problems (not 21st century)
44
Who should be involved in a planned linear change?
all that would be affected by the change
45
What are the 3 stages of Lewin's phases of change?
1. unfreezing 2. movement 3. refreezing - may take 3-6 months and does not eliminate the possibility of further improvements
46
What are 2 non-linear change theories?
Complex Adaptive System Chaos Theory (Butterfly Effect)
47
What kind of problems do non-liner change theories work on?
unforeseeable and ever present problems
48
A young organization has _______.
high energy and fluidity
49
How should change be implemented?
gradually and with a plan
50
Which type of change will meet more resistance; technological or perceived social?
perceived social
51
What is paternalism?
actions taken to prevent harm