NURS 110 Flashcards

1
Q

Altruism

A

concern for the welfare + well-being of patients + other health care providers

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2
Q

Autonomy

A

right to self-determination

  • nurse respects patient’s right to make decisions about their health care
  • provide info + support patients + families need to make decision that is right for them
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3
Q

Human Dignity

A

nurse values + respects all patients + all colleagues

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4
Q

Integrity

A

acting in accordance w an appropriate code of ethics + accepted standards of practice
-reflected when nurse is honest + provides care based on an ethical framework that is accepted w/in the profession

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5
Q

Social Justice

A

upholding moral, legal, and humanistic principles

-nurse works to assure equal treatment under the law and equal access to quality healthcare

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6
Q

Ethics

A

systematic study of right + wrong, virtue + vice, good + evil as they relate to conduct

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7
Q

Morals vs Ethics

A

morals usually refers to personal or communal standards of right + wrong

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8
Q

Nursing ethics is a subset of ____

A

bioethics

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9
Q

Utilitarian

A

rightness or wrongness of an action depends on the consequence of the action
-focuses on USEFULNESS - actions are right when they promote a greater good

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10
Q

Deontologic

A

action is right or wrong based on a rule, regardless of its consequence

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11
Q

Principle-Based Approach

A

combines utilitarian + deontologic theories

  • offers specific action guide for practice
  • 4 key principles
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12
Q

4 key Principle-Based Approach

A
1 Autonomy
2 Nonmaleficence
3 Beneficence
4 Fidelity
5 Justice
6 Veracity
7 Accountability
8 Privacy
9 Confidentiality
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13
Q

Nonmaleficence

A
  • avoid causing harm
  • seek to not inflict harm
  • seek to prevent harm or risk of harm when possible
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14
Q

Beneficence

A
  • benefit the patient; balance benefits against harm/risk

- actively promoting health/well-being

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15
Q

Justice

A
  • give each his or her due
  • act FAIR
  • distribute benefits, risks, cost of nursing care justly
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16
Q

Fidelity

A
  • keep promises
  • be faithful to promise you made to the public to be competent + be willing to use competence to benefit the patients entrusted to your care
  • never abandon patient without first providing patient care
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17
Q

Constitutions:

A

serve as guides to legislative bodies

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18
Q

Statutory law:

A

enacted by a legislative body

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19
Q

Administrative law:

A

empowered by executive officers

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20
Q

Common law:

A

judiciary system reconciles controversies, creates body of common law

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21
Q

Credential

A

Accreditation>
Licensureo>
Certification

22
Q

the most important law affecting nursing practice.

A

nurse practice act

23
Q

nurse practice act

A

protects the public by broadly defining the legal scope of nursing practice.

24
Q

Crime

A

wrong against a person or the person’s property as well as the public
2 types: Misdemeanor + Felony

25
Q

Misdemeanor

A

punishable by fines or less than 1 year imprisonment

26
Q

Felony

A

punishable by imprisonment for more than 1 year

27
Q

Tort

A

a wrong committed by a person against another person or that person’s property; tried in civil court

2 types: intentional + unintentional

28
Q

Types of Intentional Tort

A
  • Assault and battery
  • Defamation of character
  • Invasion of privacy
  • False imprisonment
  • Fraud
29
Q

Types of Unintentional Tort

A

Negligence

Malpractice

30
Q

Types of Malpractice

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
31
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
32
Q

responsibility vs accountability

A

R: willingness to respect obligations + follow thru promices

A: ability to answer for one’s actions

33
Q

Veracity

A

commitment to tell the truth

34
Q

Informed consent

A

legal process by which a client or client designee has given a written permission for a procedure or treatment

35
Q

consent is informed when a provider explains…

A
  • the reason for treatment/procedure
  • how the client will benefit
  • description of procedure
  • description of who is involved
  • risk involved
  • other treatment/procedure options (including not getting any)
36
Q

nurse’ 2 jobs in informed consent

A

1 witness signature on informed consent form

2 make sure provider gets signed informed consent form

37
Q

written consent

A

for invasive procedure/surgery

-an implied consent wont qualify

38
Q

5 elements to prove negligence

A
1 standard of care
2 breach of duty by not providing standard of care
3 foreseeability of harm
4 breach of duty can cause harm (2+3)
5 harm occurs
39
Q

who mandates computerized database?

A

JCO

40
Q

subjective data should be written as…

A
  • in quotation marks or summarized as patient’s statement

- supported by objective data

41
Q

objective data should be written as…

A
  • descriptive as possible
  • ACCURATE + CONCISE
  • what nurse sees, hears, feels, smells w/o any interpretation
  • exact measurements
  • no judgmental words
42
Q

flow charts

A

shows trends in vital signs, blood glucose levels, pain level etc

43
Q

charting by exception

A

uses standardized forms that ID norms and allows selective documentation of deviation from norms

44
Q

ETHICAL DISTRESS

A

you know what to do but you have obstacles that prevent you from choosing the right thing

45
Q

ETHICAL RESIDUE

A

when you let your choice be compromised

46
Q

FIRST AID is….

A

preventing illness

47
Q

Newest Vital Signs

A

has to relate w health literacy

-patient is able to understand and act on it

48
Q

prescriptive theory

A

designs, controls, promotes clinical practices

-designs intervention

49
Q

developmental theory

A

outlines growth + development

50
Q

PICOT

A
population
intervention
comparision
outcome
time

-elements of a clinical research question