Unit 3 Test Flashcards
commitment to include patients in decisions
autonomy
taking positive actions to help others
beneficence
ethics comes from what greek word
ETHOS (character)
study of what is good or valuable for each of us, in a group setting
ethics
when decisions need to be made about healthcare there will be understandable disagreements that occur…
in the hospital, with family, with the patient
letting pt know about risks and benefits of treatment plan, pt having the right to refuse treatment and allows competent person to refuse any tests or treatments are examples of
autonomy
pt has the right to…
die (refuse any treatment prolonging their life)
what is the primary healthcare goal in nursing
do good for others and is the fundamental to practice nursing and medicine
implies that the best interest of the patient remains more important than your self interest
beneficence
avoidance of harm or hurt
nonmaleficence
being fair
justice
agreement to keep promises
fidelity
set of guided principles that all members of a profession accept
professional nursing code of ethics
nursing code of ethics helps professional groups setting ______ about ______ and ______
questions; practice; behavior
support of a particular cause
advocacy
what does the nurse advocate
health
safety
rights of patient
when advocating for patients rights what doe that mean
right to privacy and right to refuse treatment
willingness to respect obligations and to follow through on promises
responsibility
you are responsible for whom?
your own actions and others you delegate tasks to
ability to answer for ones own actions
accountability
defines the rights and privileges of patients
confidentiality
what act protects the patients personal health information
HIPPA 1996
what are the negativities of social networking
presents ethical challenges for nurses
risk to patient privacy is great
a persons belief about the worth of a given idea, attitude, custom, or object that sets standards that influence behavior
values
what are values mostly derived from
religious beliefs, society norms and family
values tend to change over the….
lifespan
to resolve ethical dilemmas one needs to distinguish among
values, facts and opinions
nurses learn to tolerate…
differences
based on the discovery and confirmation of a set of morals; absolute and unchanging, defines actions as right or wrong and depends on a mutual understanding of justice, autonomy and goodness
deontology
proposes that value of something is determined by its usefulness, greatest good for the greatest number of people
utilitarianism
looks to the nature of relationships to guide the participants in making difficult decisions
feminist ethics
focuses on philosophy that focuses on relationship
ethics of care
case based reasoning, turns away from conventional principles of ethics to determine best actions and focuses instead on the intimate understanding of particular situations
casuistry
list the key steps in the resolution of an ethical dilemma
- gather all relevant info
- clarify values
- verbalize the problem
- identify possible courses of action
- negotiate a plan
- evaluation the action over time
identify the four basic principles of the code of ethics
advocacy
responsibility
accountability
confidentiality
distinguish among values, facts and opinions
values clarification
measure the value and benefit of whatever medical interventions are necessry
quality of life
anti discrimination laws, physical, mental or emotional challenges
disabilities
any interventions unlikely to produce benefit for the outcome of the patient
end of life care
the choices in healthcare do not appear to be clearly right or wrong is an
ethical dilemma because it is a controversy and conflict
the ethics committee provides…
education, policy recommendations, and case consultation
describe and define the legal boundaries of nursing practice within each state
nurse practice acts
reflects decisions made by administrative bodies
regulatory law
judicial decisions made i courts when individual legal cases are decided
common law
prevent harm to society and provide punishment for crimes
criminal laws
a crime of a serious nature that has a penalty of imprisonment for greater than one year or even death
felony
less serious crime that has a penalty of a fine or imprisonment for less than one year
misdemeanor
protect the rights of individual persons within our society and encourage fair and equitable treatment
civil laws
the legal guidelines for nursing practice that describes the minimum acceptable nursing care
standards of care
affordable healthcare coverage protects the consumer rights and increases access to care and stronger medicare
patient protection and accountable care act
protects rights of people with physical or mental disabilities
americans with disabilities act ADA
have to stabilize patient not turn them away in an emergency
emergency medical treatment and active labor act
prevents health plans from placing lifetime or annual limits on mental health coverage that are less generous than those placed on it
mental health parity act as enacted under PPACA
written statement regarding medical care and patients wishes in the event that they can’t speak for themselves
living wills
right to refuse treatment
patient self-determination act
legal doc where you can designate your spokesperson when you can’t speak on your behalf
durable power of attorney for healthcare
anyone 18+ can choose if they want to be an organ donor (in form of writing or signature)
uniform anatomical gift act
nurses can’t just leave pt information on the computer and easily be seen by others
health information technology (HItech)