Week 9 Flashcards
A daughter does not wat her aging mother to learn of the mother’s diagnosis of cancer. She wants to wait until her brother comes from Europe in about six weeks so he can be there as well. The daughter asks the nurse to tell the mother that the doctor has not yet been able to diagnose the reason for her abdominal pain. The nurse is being asked to compromise which ethical principle:
a) beneficence
b)veracity
C) non-maleficence
D) fidelity
C) veracity
Meaning telling the truth
When ethical issues arise, one of the most important nursing responsibilities in managing client-care situations is which of the following?
A) being able to defend the morality of your own actions
B) remaining neutral and detached
C) ensuring that the nurse is in control of the decision
D) do exact;y what the client and family want
A) being able to defend the morality of your own actions
Key words- morality, actions
A nurse-manager is on a committee considering funding for a community kitchen. There are strong proponents on the committee to have the community kitchen is a sparsely populated area, and others who propose that it be in the downtown core. The nurse-manager uses a moral theory to make this decision. Which moral framework/theory is the nurse most likely using?
A) teleological
B) deontology
C) intuitionism
D) relational ethics
D)relational ethics
Key words- relation ethics
After recovering from her hip replacement a patient that is older in age would like to go home, however the family wants the patient to go into assisted living because they are concerned about her safety living alone. If the nurse was acting as the patient;S advocate the nurse would?
A) inform the family that the client has a right to make this decision independently
B) ask the physician to discharge the patient home
C) suggest the client seek legal representation to protect their rights
D) assist the client and family to communicate their perspectives to each other
D) assist the client and family to communicate their perspectives to each other
Key words- assist the client
Autonomy= ?
Including the patient in the care plan and decision making
The nurses obligations
-maximize the client’s well-being
- balance the client’s need for autonomy with family members responsibilities
- support each family member and enhance the family support system
-carry out agent policies
-protect other clients’ well-being
-protect their nurse’s own values in relation to their standards of care
Four conditions that are required in good ethical decision-making :
- Desire and commitment to do right/ good (for all)
- Knowledge of all the relevant facts related to the situation
- Clarity of thought
- Understanding of ethical practice (principles/ standards)
Types of morality
Moral integrity
Moral dilemma
Moral distress
Moral integrity =
The quality of one’s character and integrated virtues including honesty and truthfulness
Moral dilemma =
Situations where conflicting ethical claims. What ought we do?
Moral distress=
Where the individual knows the ethically correct action to take but is unable to do so because of internal or external barriers.
Ethical dilemma=
-a conflict between 2 sets of values, both of which are judged to be good but which cannot both be fully served
- cause distress and confusion for clients / families
- emotions play an important role and can lead us to see a problem
Is the situation an ethical dilemma?
(Steps)
1- is this actually an ethical dilemma
2- gather all the information possible that is relevant to this case
3- personal reflection
4- verbalized the problem
5- options for action
6- reflect on outcome
7- evaluate the action and outcome
