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CCRN > Professional Caring And Ethical Practice > Flashcards

Professional Caring And Ethical Practice Flashcards

1
Q

What are the patient characteristics?

A 
Resiliency 
Vulnerability
Stability 
Complexity 
Resource Availability
Participant in care
Participant in decision-making
Predictability
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2
Q

How are the patient characteristics measured on?

A

They are measured on a continuum and described as

  1. High
  2. Medium
  3. Low
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3
Q

Define Resiliency

A

Capacity to cope with illness and return to previous level of health

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4
Q

Define Vulnerability

A

Susceptibility to stressors whether it’s real or perceived

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5
Q

Define stability

A

Constancy or state of equilibrium

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6
Q

Define complexity

A

Complicated relationship of two or more systems

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7
Q

Define resource availability

A

Resources the patient and family bring.

Positive outcome is associated with more resources

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8
Q

Define participant in care

A

Extent to which patient and family are involved in all aspects of care and it’s usually affected by culture

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9
Q

Define participant in decision-making

A

Extent to which patient and family are involved in decision-making.
Need to assess capacity to make a decision when unable needs to sign a surrogate

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10
Q

Define predictability

A

Degree to which a correction forecast of a system can be made

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11
Q

What are nurse characteristics?

A 
Clinical judgment
Advocacy/moral agency
Caring practices
Collaboration
Systems thinking
Response to diversity
Clinical inquiry
Facilitation of learning
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12
Q

What are 3 levels of nurse characteristics

A

Novice
Competent
Expert

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13
Q

Define advocacy/moral agency

A

Working on behalf of someone else
Best interest
Moral agent
Help with ethical and clinical concerns

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13
Q

Define caring practices

A

Interventions that create a therapeutic environment
Compassion comfort and healing
Prevent suffering

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14
Q

Define collaboration

A

Multidisciplinary conference

Working as a team

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15
Q

Define systems thinking

A

Knowledge and tools that the nurse uses to impact care

Global perspective

16
Q

Define response to diversity

A

Ability to recognize and incorporate differences into care
Can also include therapies
Need to recognize each patient as an individual

17
Q

Define clinical inquiry

A

Continuum of questioning and evaluating practice
Research utilization
Asking questions

18
Q

Define facilitation of learning

A

Ability to facilitate learning for patients, families, healthcare team, and community
Formal and informal learning

19
Q

What are the three types of outcomes?

A
  1. Patient driven - Comfort quality-of-life
  2. Nurse driven - lack of complications
  3. System driven - length of stay or reimbursement
20
Q

What are the ethical guidance?

A
  1. Protection, promotion, and restoration of health
  2. Prevention of illness
  3. Easing of suffering
21
Q

Autonomy

A

The right to make informed decision

22
Q

Beneficence

A

Doing good in preventing harm

Health promotion and positive outcomes

23
Q

Nonmaleficence

A

Prevent harmful situations

“First, do no harm”

24
Q

Futility

A

If care will not improve patient situation or comfort level, it should not be given

25
Q

Justice

A

Fair distribution of healthcare resources

26
Q

Veracity

A

Obligation to tell the truth

27
Q

Fidelity

A

Faithfulness and honoring commitments

28
Q

Name legal accountabilities

A
  1. State nurse practice act
  2. Guidance for acceptable nursing roles
  3. Standards of practice established by associations
  4. Hospitals have standards of care
29
Q

What are the two professional liabilities?

A
  1. Professional negligence

2. Malpractice

30
Q

Professional negligence

A

Failure to do what a reasonable prudent nurse would do

31
Q

Malpractice

A

Professional misconduct
Failure to meet standard of care
Failure to use professional standard
Failure to anticipate consequences

32
Q

What is the best preceptor for novice RN

A

Competent nurse

33
Q

What is the best preceptor for a competent RN

A

An expert RN

CCRN (9 decks)

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