week 4 - ch 7, 9, 22 Flashcards

1
Q

commitment to include patients in decisions

A

autonomy

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2
Q

taking positive actions to help others

A

beneficience

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3
Q

avoidance of harm/hurt

A

nonmaleficence

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4
Q

being fair

A

justice

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5
Q

agreement to keep promises

A

fidelity

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6
Q

set o guiding principles all members of a profession accept; includes advocacy, responsibility, accountability, and confidentiality

A

code of nursing ethics

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7
Q

obligation to speak on behalf of patients health, safety and rights

A

advocacy

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8
Q

responsibility of nurse for their care as well as the tasks that are delegated

A

responsibility

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9
Q

obligation to take responsibility for one’s actions

A

accountability

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10
Q

obligation of nurse to protect privacy of patient

A

confidentiality

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11
Q

personal belief about worth of a given idea, attitude, custom or object that sets standards that influence behavior

A

values

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12
Q

defines actions as right/wrong

A

deontology

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13
Q

proposes value of something is determined by its usefulness

A

utilitarianism

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14
Q

focuses on inequality between people

A

feminist ethics

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15
Q

emphasizes importance of understanding relationships, especially as they’re revealed in personal narratives

A

ethics of care

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16
Q

case-based reaaoning

A

casuistry

17
Q

7 steps to processing an ethical dilemma

A
  1. is this an ethical dilemma
  2. gather relevant info
  3. clarify values
  4. verbalize problem
  5. identify possible courses of action
  6. negotiate outcome
  7. evaluate action
18
Q

central to discussions about end-of-life care, cancer therapy, physician-assisted suicide, DNR

A

quality of life

19
Q

antidiscrimination laws enhance economic security of people with physical, mental, or emotional challenges

A

disabilities

20
Q

interventions unlikely to produce benefit for patient

A

care at end of life

21
Q

facilitated access to care for millions of uninsured Americans

A

health care reform

22
Q

6 caring powers of nurses (by Benner)

A
transformative
integrative
advocacy
healing
participative
creative problem-solving
23
Q

important things to consider when providing culturally congruent care

A
  • respect patient’s values and beliefs as a valid worldview
  • seek to assess patient’s explanation for their illness
  • work to incorporate patient’s culture into a safe and effective care plan
  • explain your perspective of illness in understandable terms
  • get to know your patient as an individual, not an ethnic group
24
Q

learned and shared beliefs, values, norms and traditions of a particular group, which guide our thinking, decisions and actions

A

culture

25
Q

process of conducting a self-exam of one’s own biases toward other cultures and the in-depth explanation of one’s cultural and professional background

A

cultural awareness

26
Q

transcultural care that emphasizes the need to provide care based on an individual’s cultural beliefs, practices and values

A

culturally congruent care

27
Q

holds healthcare organizations accountable for delivering high quality care and eliminates health disparities

A

core measures (by TJC and CMS)

28
Q

patient successfully completing treatment; connecting a family to a needed resource

A

compassion satisfaction

29
Q

patient relapsing; having a difficult conversation with family; affects your ability to do your job

A

compassion fatigue

30
Q

having a difficult time doing your job; feeling like you’re not making a difference; secondary trauma

A

burnout

31
Q

how to combat compassion fatigue

A
  • end of life courses

- self care (counseling, patient memory wall, quiet room)

32
Q

who developed these ten carative factors:

  1. forming a human-altruistic value system
  2. instilling faith-hope
  3. cultivating a sensitivity to one’s self and others
  4. developing a helping, trusting, human caring relationship
  5. promoting and expressing positive and negative feelings
  6. using creative, problem-solving, caring processes
  7. promoting transpersonal teaching-learning
  8. providing a supportive, protective, and/or corrective mental, physical, societal, and spiritual environment
  9. meeting human needs
  10. allowing for existential-phenomenological-spiritual forces
A

watson: ten carative factors

33
Q

who developed a theory of caring in nursing practice which includes five caring processes

A

swanson

34
Q

what are the five caring processes in swanson’s theory of caring

A
knowing
being with
doing for
enabling
maintaining belief
35
Q

the conditions in which people are born, grow, live, work, and age

A

social determinants of health

36
Q

occurs when an individual or group transitions from one culture and develops traits of another culture

A

acculturation

37
Q

the process in which the individual adapts to the host’s cultural values and no longer prefers the components of the origin culture

A

assimilation

38
Q

8 core measures consistent with national health priorities

A
  • accountable care organizations, patient-centered medical homes, primary care
  • cardiology
  • gastroenterology
  • HIV and Hep-C
  • medical oncology
  • obstetrics and gynecology
  • orthopedics
  • pediatrics