Ethics NPA Flashcards

1
Q

Values

A

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

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2
Q

Morals

A

Provide standards of behaviors

“Good people do not lie”

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3
Q

Ethics

A

Rules of behavior based on ideas about what is morally good and bad - the “should” of human behavior

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4
Q

Bioethics/ clinical ethics

A

Application of ethical theories and principles to problems in health care

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5
Q

Dilemma

A

A situation that requires one to choose between two equally balanced alternatives

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6
Q

Ethical Dilemma

A

Perplex Health Care Providers

Strong reasons for a course of action may be balanced by equally powerful countervailing arguments.

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7
Q

Autonomy

A

Refers to a person’s independence

Right to make choices

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8
Q

Beneficence

A

Refers to taking positive actions to help others

To do good

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9
Q

Nonmaleficence

A

Avoidance of harm or hurt

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10
Q

respect for person

A

most fundamental human right

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11
Q

justice

A

refers to fairness

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12
Q

fidelity

A

Dedication, loyalty, truthfulness, advocacy and fairness to patients - keeping promise; refers to the agreement to keep promises

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13
Q

veracity

A

accuracy or conformity to truth

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14
Q

Understanding ethical issues requires exploration of:

A

personal values, peers’ and other professionals’ values and behaviors, patients’ rights, institutional and societal issues/policies

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15
Q

Professional Code of Ethics

A
  • a set of ethical principles that are accepted by all members of a profession
  • and implied contract through which a profession informs society of the principles and rules by which it functions
  • provides guidelines for safe and compassionate care
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16
Q

ANA Nursing Code of Ethics include:

A

17 stattements and 9 provisions

17
Q

Provisions 1-3 summary

A

reiterates the fundamental values and commitments of the nurse

18
Q

provisions 1-3 detailed

A
  1. respect for others
  2. commitment to the patient
  3. advocacy for the patient
19
Q

Provisions 4-6 summary

A

identifies the boundaries of duty and loyalty

20
Q

provisions 4-6 detailed

A
  1. accountability and responsibility for practice
  2. duty to self and duty to others
  3. contributions to healthcare environments
21
Q

provisions 7-9 summary

A

describes the duties of the nurse that extend beyond individual patient encounters

22
Q

provisions 7-9 detailed

A
  1. advancement of the nursing profession
  2. promotion of community and world health
  3. promotion of the nursing profession
23
Q

Advanced Directives

A
  • Patient Self Determination Act of 1990
  • all patients admitted to an institution must be given information about ADs
    includes living wills/health care power of attorney
24
Q

Institutional Ethics Committees

A
  • institutions have to address ethical issues

- Accrediting Agencies require

25
Q

What determines decision making capacity

A

competence and capacity

26
Q

competence

A

legal term, can be decided judicially; a person’s competence is frequently declared relevant in areas of than healthcare (such as financial)

27
Q

capacity

A

a clinical term refers to health decisions and is assessed by clinicians in a health care setting

28
Q

Ways to clarify the ethical dilemma

A
  • verbalize the problem
  • ask the question - Is this an ethical dilemma?
  • clarify values
  • gather info
  • ID possible courses of action
  • negotiate a plan
  • evaluate the plan
    Consider: determine ethical principle or theory related to issue and the time fram
29
Q

What is the Ethical Decision Making Model?

A
  • gather additional information
  • identify options
  • make a decision
  • act
  • evaluate
30
Q

boundaries

A

appropriate professional behavior that serves to maintain the trust between patients and nurses and to maintain nurse’s good standing within their profession

31
Q

informed consent

A

meaningful information must be disclosed even if the provider does not believe the information will be beneficial

32
Q

advocacy

A

nurses are practicing this behavior when they try to identify unmet patient needs and then follow-up to address the needs appropriately

33
Q

moral right

A

the right to perform certain activities because they conform to the accepted standards or ideas within the community

34
Q

social justice

A

a virtue that guides individuals in creating those organized human interactions we call institutions

35
Q

self-determination

A

the freedom to make your own choices

36
Q

durable power of attorney

A

the legal document with the most strength, a written directive in which a designated person is allowed to make healthcare decisions for a patient