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S3 1137 > S3 M4 Ethical/Legal > Flashcards

S3 M4 Ethical/Legal Flashcards

1
Q

Ethics

A

A system of laws and morals to guide conduct

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2
Q

Principles of ethics

A

Autonomy

Beneficence

None maleficence

Justice - fairness

Veracity - truth

Fidelity - keep promise

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3
Q

Ethical dilemma

A

When 2 options compete in terms of ethics

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4
Q

Ethical dilemma solving steps

A

ID problem

ID alternatives

Examine alternatives

Predict consequences

Implement plan

Evaluate action

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5
Q

Moral distress

A

Difficulty with following through with the ethical action like ending life support for a patient

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6
Q

Internal constraints

A

?

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7
Q

External constrains

A

?

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8
Q

Ethical vs moral dilemma

A

Ethical - dont know what is right or wrong

Moral - you know but cant take the next step

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9
Q

AACN what can be do about ethics

A

Self recognition

Understand own values

Be more knowledgeable about ethical dilemma

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10
Q

Informed consent

A

Getting permission before doing intervention

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11
Q

What is INFORMED consent

A

Receiving full disclosure from provider

Done by physician and liability will lie with physician

Patient understands risks/benefits

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12
Q

What to verify with informed consent as a nurse

A

Has all info and they UNDERSTAND it

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13
Q

Signature lines on consent forms

A

Informant -DR

Patient

Witness -fam preferably

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14
Q

What are you witnessing to in consent forms

A

That person is INDEED that person

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15
Q

Internal constraints to ethics

A

Doubt

Lack of assertiveness

Powerlessness

Lack of understanding

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16
Q

External constraints to ethics

A

Hierarchies

Lack of staff support

Lack of admin support

Fear of litigation

17
Q

Manifestations of moral distress

A

Emotional like anger

Physical like headaches

Psych like depression

18
Q

AACN

A

American association of critical nurses

19
Q

Who creates guidance on how to handle ethical issues

20
Q

Levels of handling ethical dilemma

A

Self

Unit

Organization

21
Q

Ethics and self

A

Recognize stress

Tell trusted colleagues

Do professional EDU like palliative care classes

22
Q

Ethics and the Unit

A

Pause after PT death

Do resilience rounds

Create mentoring program

23
Q

Ethics and the Organization

A

Promote AACN health work environment standards

Offer counseling

Zero tolerance policy on bullying

24
Q

Advanced directives

A

Allow individual of SOUND MIND to document preferences regarding end of life care

Done for when the individual if NOT of sound mind

25
Q

Advanced directive types

A

Living will

Durable power of attorney

26
Q

Living will

A

States care preferences of patient

27
Q

Durable power of attorney

A

Appoints another individual to make decisions

28
Q

3 categories of inappropriate behavior

A

Boundary crossing - cation

Boundary violation - danger

Sexual misconduct - forbidden

S3 1137 (12 decks)

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