UNIT 5 - ch.41 Ethics and values

Question 1

Define morals

Answer 1

private, personal, or group standards of right and wrong moral behavior in accordance with custom, reflects personal moral beliefs

Question 2

Define ethics

Answer 2

systematic study of right and wrong conduct, formal process for making consistent decisions.

Question 3

What is a subgroup of bioethics

Answer 3

nursing ethics

Question 4

Define Bioethics

Answer 4

overall application of ethical principles to every aspect of health care.

Question 5

define nursing ethics

Answer 5

a subset of bioethics - the questions that arise during patient care or healthcare situations

Question 6

Define moral distress

Answer 6

the inability of one to carry out a chosen moral decision
(a compromise to being able to make a decision, fear, lack of support, policies)

Question 7

Define moral outrage

Answer 7

unresolved moral distress leading to anger of violence.

Question 8

What is whistle blowing

Answer 8

Whistleblowing is the activity of a person, often an employee, revealing information about activity within a private or public organization that is deemed illegal, immoral, illicit, unsafe or fraudulent.

Question 9

What does T.H.I.N.K stand for

Answer 9

T - talk with an attorney
H - have concrete and creditable evidence
I - institute survival plan
N - note nature and consequence of problem
K - knowing reporting options and support systems.

Question 10

What are nursing interventions for the NURSE to implement for themselves during times of moral distress (7 examples)

Answer 10

1. recognize source
2. understand values, thoughts and beliefs
3. reflect on values threatened
4. value clarification
   5.self manage emotion and behavior
5. view situation from patient view
6. engage in resources.

Question 11

Factors that can contribute to ethical problems starting (4)

Answer 11

1. low staffing
2. EHR’s
3. poor documentation
4. prioritizing computer over patient interaction (genuine)

Question 12

What are the three sources of ethical problems, and what do these mean.

Answer 12

1. Societal factors -
   2.Nature of nursing work -
   3.Nature of nursing profession -

Question 13

What are the 5 values in professional nursing according to AACN - American Association of Colleges of Nursing.

Answer 13

1.Alturism
2.Autonomy
3.Human dignity
4.Integrity
5.Social Justice

Question 14

What does AACN stand for?

Answer 14

American Association of Colleges of Nursing.

Question 15

Define Alturism (give an example)

Answer 15

nurses concern for welfare of patients
(example: individual cultural sensitivity)

Question 16

Define Autonomy

Answer 16

Respecting patients rights

Question 17

Define human dignity

Answer 17

privacy, respect during patient care.

Question 18

Define Integrity

Answer 18

nurses acting honestly.

Question 19

Define social justice

Answer 19

equal treatment for all under the law

Question 20

What are 9 patient rights

Answer 20

1. Be treated for diseases, illnesses or addictions with human dignity
2. knowing what to expect from treatment (good and bad)
3. be treated by licensed and certified professionals
4. evidence - based treatment
   5.be treated for co-occuring medical problems
5. an individualized outcome- treatment plan
6. remain in treatment as long as necessary
7. support, education and treatment for their families
8. a safe treatment setting.

Question 21

What are 6 ethical principles for nurses to remember (define all)

Answer 21

1. autonomy - respecting patient rights
2. non- maleficence - duty to do no harm
   3.beneficence - duty to do or promote good
   4.fidelity - faithfulness to promises
   5.veracity - duty to tell the truth
   6.justice - obligation to be fair to all patients

Question 22

What are 3 organizations that implement guidelines for ethical decision making

Answer 22

ICN - international council of nurses
ANA- American nurses association
JACO- The joint commission.

Question 23

What are two principles nurses need to remember for ethical guidelines during decision making.

Answer 23

1. code of ethics for nursing
   2.patient centered partnership

Question 24

What are some concepts that are the nurses responsibility during ethical decision making. (5)

Answer 24

1. be aware
2. work as a team member and collaborate
3. support patient & team members
4. following guidelines and facility protocols
5. knowing what to report - accuracy of events and objective data only