Module 2 Study Guide Flashcards
review for test
Ethics
doing the right thing
Bioethics
ethical implications of biological research and applications (IE: organ donation, death/dying, IVF, life-saving machines, genetic research)
Morals
basic standard for we consider right and wrong (influenced by: religious beliefs, social influences (including education), group norms, culture and life experiences)
Values
provide the framework for making decisions about the actions we take everyday (commonly derived from societal norms, religion and family orientation)
Values Conflict
when we must choose between two things that are both important to us (IE: being a working mother)
Values Clarification
process of becoming more conscious of & naming what one values or considers worthy
ethical dilemma
any situation in which guiding moral principles cannot determine which course of action is right or wrong (IE: abortion after rape, assisted suicide)
Rationing of Healthcare
cost containment & quality of care
Autonomy
right of self-determination or choice, independence, & freedom
Beneficence
doing or producing good, especially acts of kindness or charity
Nonmaleficence
prevention of intentional harm
Justice
fairness, being just
Fidelity
the obligation to be faithful to the agreements, commitments, & responsibilities that one has made to oneself & others
Distributive justice
to distribute rewards & punishments to everyone according to their merits or demerits
Veracity
telling the truth or not intentionally deceiving or misleading others
Utilitarianism
an act is right when it is useful in bringing about desirable or good end
Cultural relativism
principle that what an individual believes & does makes sense in terms of their own culture
Paternalism
deliberate treatment of people in a fatherly manner; caring for them but not allowing rights or responsibilities
Theory of social justice
one could not ethically justify using income inequalities or the ability to pay to determine a client’s eligibility for access to healthcare. The disadvantaged person should receive preferential benefit
Cultural relativism
the principle that what an individual believes & does make sense in terms of their own culture
Standard of best interest
based on what the healthcare providers or family believes is best for an individual when unable to make their own informed decision
Moral Distress
when one knows the ethically correct action but feels powerless to take that action
Whistle-blowing
when an employee or past employee reports a violation of the law that is considered fraud or abuse
Chemically impaired profession
person whose practice deteriorated because of chemical abuse
situation where nurses move beyond a professional relationship & become personally involved with their client
Boundary violation
Futile
non-beneficial or harmful
Advance directives
legal documents that indicate the wishes of an individual’s end-of-life issues
Living will
what measures to include in care if one becomes terminally ill
Euthanasia
good death
Positive Euthanasia
when the provider prescribes, supplies, or administers an agent that results in death
Negative Euthanasia
or passive, situation in which no extraordinary or heroic measures are undertaken to sustain life (IE: “no codes” or DNR orders)
Withholding treatment
the decision to not initiate or continue certain medical interventions that may prolong life
Withdrawing treatment
the act of stopping a treatment that is no longer beneficial and is prolonging death
Right to die
rise to issues surround death (IE: right to refuse treatment, right to death with dignity, the right to choose the time & manner of one’s death, right to assisted suicide
Right to refuse treatment
the right of the patient to decide to forego recommended treatment
Saying or doing something to make a person afraid of being harmed/touched without consent
Assault
When you actually touch a person without consent
what is battery
Restraining a client against her/his will
what is false imprisonment
This law involves a breach of confidentiality
ex. would be if during your shift you looked in your neighbors chart to see why they were admitted to the hospital
invasion of privacy
If you failed to provide essential information for informed consent, this would be a form of
fraud
The person who brings the law suit is the ___
plaintiff
and the person who is being sued is considered the ___
defendant
A criminal law that carries a lesser infraction of law. ex. would be minor crime - DUI
misdemeanor
Four main characteristics of Negligence/ Malpractice
harm, duty, breach of duty, causation
When there is
- failure to perform as a reasonable, prudent nurse would
- failure to follow standards of practice
- no intent to harm is present
negligence
a more serious violation like a Homicide
felony
when there is false communication to a third person
defamation
oral defamatory statements
slander
written defamatory statement
libel
This is a professional form of negligence that health care professionals are charged with if found guilty of these four things
- existence of a duty
- breach of the duty
- causation
- damages
malpractice
a legal document in which a person appoints someone else to make his or her decisions in the event he or she becomes incapable of making decisions
durable power of attorney
the law requires patients give voluntary consent; person clearly understands choices being offered. The doctor is responsible for getting this form signed by the patient
informed consent
legal documents stating wishes of individuals regarding healthcare in situations in which they are no longer capable of giving personal informed consent
advanced directive
the state of mind a person must be in when signing an advance directive or living will
competent
the act of omission or withholding or withdrawing treatment that might prolong life of a person who cannot be cured by the treatment. The withdrawal does not directly cause the death
passive euthanasia
This involves a health care provider taking action that purposefully and directly causes the client’s death
active euthanasia
Basic right and wrong
morals
When a person has self determination and freedom of control and can make their own decisions
autonomy
____ = doing good acts/charity. The nurse should act in patient/client best interest
beneficience
___ = nurse does no harm
nonmaleficence
when a nurse is faithful to agreement or commitment. ex. if they said they would be back in 10 min and turn the patient and returned when stated
fidelity
ethical term in healthcare which means telling the truth
veracity
MI in layman terms
heart attack
CHF in layman terms
heart failure
HTN in layman terms
high blood pressure
what does ASA stand for?
aspirin
generic or trade: digoxin
generic
generic or trade: ASA
generic
generic or trade: Lopressor
trade
generic or trade: metformin
generic
generic or trade: Coumadin
trade
generic or trade: nitroglycerin
generic
generic or trade: Tylenol
trade
11 Basic rights to administration: The Right ___
person, dosage, medication, route, time, reason, assessment, education, to refuse, documentation, evaluation
Three checks to administer meds
- medication dispense system
- CMAR & MAR
- before administration, at bedside
patient identifiers
- name
- date of birth
How many times does it take to make a fatal medication error and jeopardize losing your license?
once
what could you get sued for it this happens
negligence
how many trade names can there be on a medication bottle
multiple
how many generic names can there be on a medication bottle
one
which is the trade name: digoxin or Lanoxin
Lanoxin
which is the trade name: aspirin or Bayer
Bayer
which is the trade name: pantoprazole or Protonix
Protonix
which is the trade name: metoprolol tartrate or Oppressor
Oppressor
which is the trade name: warfarin sodium or Coumadin
which is the trade name: Coumadin
which is the trade name: ampicillin or Principen
Principen
which medication is safe to cut in half?
Scored tablets
what unit of measurement is used on the syringe? metric or household
metric
Errors, social factors, suit prone nurses, and suite prone patients all contributes to malpractice suites. True or False
True
The purpose of the Nursing Code of Ethics is to stress the nurses’ responsibility to carry out the physicians’ orders
False - the Nursing code of Ethics stresses the nurses’ obligations to the patient
The length of the needle is always a standard length for all medication administrations
False - the length of the needle depends on the route of injection
What will protect you for the possibility of exposure to blood or body secretions when administering medications?
shoe covers, gown, gloves, or hat
gloves