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ADN001 Funds > Lecture 3 Exam Review Week 7 > Flashcards

Lecture 3 Exam Review Week 7 Flashcards

1
Q

Values

A

Beliefs about the worth of something, about what matters, that act as a standard to guide one’s behavior

Value system is an organization of values in which each is ranked along a continuum of importance, often leading to a personal code of conduct.

Influence beliefs about human needs, health, illness, the practice of health behaviors, and human responses to illness.

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2
Q

Professional Values

A

Altruism

Autonomy

Human Dignity

Integrity

Social Justice

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3
Q

Altruism

A

Concern for welfare and well being of others

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4
Q

Autonomy

A

Right to self- determination

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5
Q

Human Dignity

A

Respect for inherent worth and uniqueness of individuals and populations

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6
Q

Integrity

A

Acting according to code of ethics and standards of practice

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7
Q

Social Justice

A

Upholding moral, legal, and humanistic rights

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8
Q

Ethics

A

A systematic study of principles of right and wrong conduct, virtue and vice, and good and evil as they relate to conduct and human flourishing.

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9
Q

Bioethics

A

Ask questions such as what kind of person should I be; what are my duties and obligations to other people; what do I owe the common good or the public?

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10
Q

Nursing Ethics

A

Subset of bioethics,, formal study of ethical issues that arise in the practice of nursing.

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11
Q

Morals

A

Personal or communal standards of right and wrong

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12
Q

Ethical Conduct

A

Practice based on professional standards of ethical conduct as well as professional values

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13
Q

Nurses should:

A

Cultivate the virtues of nursing

Understand ethical theories that dictate and justify professional conduct

Be familiar with codes of ethics for nurses and standards for professional nursing conduct

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14
Q

Moral Agency

A

The capacity to be ethical and do the ethically right thing for the right reasons

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15
Q

Nurse Virtues

A

Competence

Compassionate Caring

Subordination of self- interest to patient interest

Self- effacement

Trustworthiness

Consciousness

Intelligence

Practical Wisdom

Humility

Courage

Integrity

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16
Q

Purposes of the Code of Ethics

A

Succinct statement of the ethical obligations and duties of every nurse

Profession’s nonnegotiable ethical standard

Expression of nursing’s own understanding of its commitment to society

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17
Q

Autonomy

A
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18
Q

Beneficience

A
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19
Q

Fidelity

A
20
Q

Accountability

A
21
Q

Justice

A
22
Q

Nonmaleficence

A
23
Q

Veracity

A
24
Q

Bills of Rights for Registered Nurses

A

The right to:

Practice in a manner that fulfills obligations to society and to those who receive nursing care

Practice in environments that allow them to act in accordance with professional standards and legally authorized scopes of practice

Work in an environment that supports and facilitates ethical practice, in accordance with the Code of Ethics for Nurses

Freely and openly advocate for themselves and their patients, without fear of retribution

Receive fair compensation for their work, consistent with their knowledge, experience, and professional responsibilities

Practice in a work environment that is safe for themselves and their patients

Negotiate the conditions of their employment, either as individuals or collectively, in all practice settings

25
Q

Moral Distress

A

Moral Distress occurs when you know the right thing to do, but either personal or institutional factors make it difficult to follow the correct course of action

26
Q

Moral Resilience

A

Developed capacity to respond well to morally distressing experiences and to emerge strong

27
Q

Ways to Build Resilience

A

Cultivating good relationships

Accepting that change is a part of living

Refusing to view crises as insurmountable

Nurturing a positive view of self and taking care of self

Keeping things inn perspective

28
Q

Using the Nursing Process to Make Ethical Decisions

A

Assess the situation

Diagnose the ethical problem

Plan

Implement your decision

Evaluate decision

29
Q

Ethically Relevant Considerations

A

Balance between benefits and harms in the care of patients

Disclosure, informed consent, and shared decision making

Norms of family life

Relationship between clinicians and patients

Professional integrity of clinicians

Cost effectiveness and allocation

Issues of cultural and or religious variation

Considerations of power

30
Q

Examples of Ethical Problems

A

Paternalism

Deception

Privacy and Social Media

Confidentiality

Allocation of scarce nursing resources

Valid Consent or refusal

Conflicts concerning new technologies

Unprofessional, incompetent, unethical, or illegal physician practice

Unprofessional, incompetent, unethical, or illegal nurse practice

Short staffing issues

Beginning of life issues

End of Life Issues

31
Q

Conflicts of Commitment

A

Nurses primary commitment is to the patient, whether an individual, family, group, or community

32
Q

Nurses cannot give to their patients what they don’t have; they must take care of their own basic needs in order to be there for their patients

A

True

33
Q

The nurses owes the same duties to self as to others, including the responsibility to preserve integrity, to maintain competence, and to continue personal and professional growth

A

True

34
Q

Advocacy in Nursing Practice

A

Primary commitment to the patient

Prioritization of good of individual patient rather than society in general

Evaluation of competing claims of patient’s autonomy and patient well- being

35
Q

Areas of Concern for Patient Advocates b

A

Representing Patients

Promoting self- determination

Whistle- Blowing

Being politically active

36
Q

Professional and Legal Regulation of Nursing Practice

A

Nurse Practice Acts

Standards

Credentialing

Accreditation
Licensure
Certification

37
Q

Reasons for Suspending or Revoking a License

A

Drug or Alcohol abuse

Fraud

Deceptive Practice

Criminal Acts

Previous disciplinary actions by other state boards

Gross or ordinary negligence

Physical or mental impairments, including those resulting from aging

38
Q

HIPAA- Ensured Patient Rights

A

To see and copy their health record

To update their health record

To request correction of any mistakes

To get a list of disclosures a health care institution has made independent of disclosures for the purposes of treatment, payment, and health care operations

To request a restriction on certain uses or disclosures

To choose how to receive health information

39
Q

Common Categories of Malpractice Claims

A

Failure to follow standards of care

Failure to use equipment in responsible manner

Failure to assess and monitor

Failure to communicate

Failure to document

Failure to act as a patient advocate

Failure to follow the chain of command

40
Q

Roles of Nurses in Legal Proceedings

A

Nurse as defendant

Nurse as fact witness

Nurse as expert witness

41
Q

Legal Safeguards for Nurses

A

Competent practice

Informed consent or refusal

Contracts

Collective bargaining

Patient Education

Executing provider orders

Delegating Nursing Care

Documentation

Adequate Staffing

Whistle- Blowing

Professional Liability Insurance

Risk Management Programs

Just Culture

Incident, variance, or occurrence reports

Sentinel Events and Never Events

42
Q

Safeguards to Competent Practice

A

Developing interpersonal communication skills

Respecting legal boundaries of practice

Following institutional procedures and policies

Owning personal strengths and weaknesses

Evaluating proposed assignments

Keeping current in nursing knowledge and skills

Respecting patient rights and developing rapport with patients

Keeping careful documentation

Working within agency for management policies

43
Q

Elements of Informed Consent

A

Disclosure

Comprehension

Competence

Voluntariness

44
Q

Types of Risk Management Programs

A

Safety Program

Products safety program

Quality Assurance Programs

45
Q

Information Contained in Incident Reports

A

Complete name of person and names of witnesses

Factual account of incident

Date, Time, and place of incident

Pertinent characteristics of person involved

Any equipment or resources being used

Any other important variables

Documentation by physician of medical examination of person involved

46
Q

Laws Affecting Nursing Practice

A

Occupational Safety and Health

National Practitioner Data Bank

Reporting Obligations

Controlled Substances

Discrimination and Sexual Harassment

HIPAA

Restraints

People with Disabilities

Legal Issues related to death and dying (wills, advance directives)

OSHA Legal Regulations: Use of Electrical Equipment, Use of Isolation techniques, Use of Radiation, Use of Chemicals

ADN001 Funds (6 decks)

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