Professional Responsibility - Ethical Issues Related to Health Promotion

Question 1

Provide essential elements of a profession’s promises of service to society.

Answer 1

Codes of ethics

Question 2

Provide a normative framework for professional actions.

Answer 2

Codes of ethics

Question 3

The potential recipients of services lack the knowledge or ability to anticipate or meet their own needs but ___ that the professional will keep their best interests as the primary goal and will strive to meet their needs.

Answer 3

trust

Question 4

Nurses are responsible not only for promoting health and healing but also for recognizing and addressing ___ to health-promotion activities. For example, in the current health care environment in the United States, people may have trouble accessing a specialist provider because of their particular insurance coverage or the inability to afford healthcare insurance or to pay on their own.

Answer 4

barriers

Question 5

Provides a detailed account of the nursing discipline’s responsibilities, which describes the social contract between society and the nursing profession and emphasizes the nurse’s responsibility to advocate changes when healthcare services are threatened.

Answer 5

ANA’s Nursing’s Social Policy Statement

Question 6

Examples of normative ethics in that they prescribe how members of a profession ought to act, given the goals and purposes of the profession related to individuals and society.

Answer 6

Codes of ethics

Question 7

Provide direction and expectations of ethical behaviour.

Answer 7

Codes of ethics

Question 8

Represent the profession’s promises to society.

Answer 8

Codes of ethics

Question 9

Tend to offer guidelines not only about responsibilities for ensuring good care but also about responsibilities for recognizing and addressing barriers to service.

Answer 9

Codes to ethics

Question 10

These actions would require a nurse to anticipate future health needs and political activity when necessary to ensure health promotion.

Answer 10

Code of ethics

Question 11

Strongly reinforced both in the Code of Ethics for Nurses with Interpretive Statements and in innumerable scholarly articles.

Answer 11

Advocacy

Question 12

Action taken on behalf of an individual, or perhaps a group viewed as an individual entity, to protect or secure that individual’s or group’s rights.

Answer 12

Advocacy

Question 13

Responsibility of nurses and other health care professionals to speak up on behalf of people whose rights have been compromised or endangered.

Answer 13

Advocacy

Question 14

This is part of the nurse’s role because people may not recognize either what is needed to meet their needs or when the care they are receiving is substandard. However, that is not the end of their responsibilities.

Answer 14

Advocacy

Question 15

True or false: a moral responsibility associated with advocacy in healthcare settings is that the effect of actions on others is considered.

Answer 15

True

Question 16

An ideal of healthcare professions that requires attention to vulnerable individuals and groups and to broader societal concerns.

Answer 16

Advocacy

Question 17

Requires action and motivation directed to some moral end that is enacted through relationships. Being aware of one’s self in relation to others helps to establish the moral choice required to be an advocate for them. Understanding the interdependent nature of individual and social needs facilitates preventive and health-promotion actions on the part of nurses both locally and globally.

Answer 17

Moral agency

Question 18

May include political activity to address populations of concern.

Answer 18

Adovacy

Question 19

Preemptive and so___ advocacy identifies and challenges the source of the ongoing problems.

Answer 19

so-ciopolitical

Question 20

True or false: nurses have moral obligations related to sociopolitical advocacy on behalf of their populations of concern.

Answer 20

True

Question 21

Includes activities that are directed toward remedying socially based inequities or inadequacies in the health care delivery system.

Answer 21

Advocacy for health promotion

Question 22

Viewed as an ethic of practice that includes all activities directed toward the person’s good.

Answer 22

Advocacy

Question 23

Carries risks, in that addressing or facilitating the good for individuals or groups may pit nurses against their peers or against potential adversaries who do not share the same professional goals.

Answer 23

Advocacy

Question 24

Process of advocating:

1) Potential or real problems need to be ___ and analyzed, often in collaboration with others.
2) Appropriate ___ need to be formulated and their likely consequences considered.
3) Obstacles to action should be recognized and ___.
4) Actions are performed and ___.

Answer 24

identified

actions

addressed

evaluated

Question 25

Ethical issues of a special sort.

Answer 25

Dilemmas

Question 26

Situations in which a choice must be made between two undesirable options.

Answer 26

Ethical dilemmas

Question 27

True or false: nurses are often the first to observe an issue with quality of care or safety.

Answer 27

True

Question 28

Bringing the concern into the open in the hope of effecting change.

Answer 28

Whistle-blower

Question 29

Key in highlighting a need for health reform.

Answer 29

Whistle-blowing

Question 30

May experience significant negative and harmful consequences, such as being victimized or ostracized by colleagues and administrators or losing employment.

Answer 30

Whistle-blower

Question 31

Occurs when a nurse knows the ethically correct action to take but feels powerless to take that action.

Answer 31

Moral distress

Question 32

Moral distress can occur when the nurse’s values and perceived obliga- tions conflict with the needs and prevailing views of the work environment. The framework for making ethical decisions that is discussed later in this chapter includes considerations related to personal security along with preserving integrity

Answer 32

Moral distress