Final Exam Flashcards

(48 cards)

1
Q

Philosophy can be seen as …

A

A method
An attitude
A subject

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2
Q

Philosophy as a method

A

It is not just about having an opinion (they can be right or wrong)
Varying opinions lead to disagreement
The use of tools and methods of logic to craft or evaluate ideas/arguments

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3
Q

Philosophy as an attitude

A

“Philosophical methods of inquiry challenge us to not accept the status quo without questioning”
“Know thyself”
Self-reflection and willingness to critique ourselves

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4
Q

Philosophy as a subject

A

Metaphysics/Ontology
Epistemology
Ethics

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5
Q

Ontology

A

Study of existence

What is real?

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6
Q

Epistemology

A

The study of knowledge

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7
Q

Ethics

A

The study of morality

What is right or wrong

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8
Q

Advantages of studying nursing ethics?

A

Guides personal and professional moral decisions - creating the ability to critically think
Clarify situations or make one reflection possible moral events
Does not make the individual moral per se

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9
Q

Levels of Ethics

A

Moral Judgements
Moral principles or ideals
Codes of Ethics & Laws
Ethics Theories

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10
Q

Moral Judgements

A

Judgements about ought to be done and ought to not be done.
Judgements about rightness, wrongness or fairness.
They can vary from 3 levels of reflectiveness.
1) Expressive
2) Pre-reflective
3) Reflective

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11
Q

Moral Judgement: Expressive

A

Unanalyzed expressions or feelings with no justification nor reason

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12
Q

Moral Judgement: Pre-reflective

A

Moral judgements made by reference to conventional rules, values, and principles.

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13
Q

Moral Judgement: Reflective

A

Judgements are not based entirely on conventional norms or blindly accepted, rather based on principles, rules and values to which there is moral reasoning.

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14
Q

What is the point of having a nursing code of ethics/policy?

A

Descriptive/Informative function: describe the identity, so that the public knows what to expect.

Normative function: sets the standards to nurses to know outght to act and practice

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15
Q

Ethical Theory

A

Study of ethical theories allows the reflection about morality

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16
Q

What is a Masquerader Ethical Theory?

A

Something that looks like an ethical theory but does not guides how to act

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17
Q

Egoism

A

ONLY motive for human behavior is rational self-interest

There is no genuinely ethical behaviour - ethics is fiction!

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18
Q

Relativism

A

Moral judgements, principles, and ideals are relative to individual persons, cultures or groups, and have validity only for that individual/group/cultural member…

Morality is relative
Humility and toleration for views of others > how to condemn if everything is accepted? eg. genocide

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19
Q

Act Utilitarianism aka classic utilitarianism

A

in any given situation, you should choose an action that produces the greater good for the greatest number of people.

  • Greatest Happiness Principle
  • Theory of Action
  • Principle of equality
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20
Q

Greatest Happiness Principle

A

Actions are right in proportion as they tend to promote happiness, wrong as they tend to produce the reverse of happiness

  • Maximize the good consequences and minimize the bad ones
21
Q

Theory of action

A

An act is right if and only if there is no other action that either would produce a greater balance of utility verses disutility.

22
Q

Principle of equality

A

no one’s utility is any more morally significant than anyone else’s

23
Q

Utilitarianism in action

A

1) Project consequences of each action
2) Calculate how much happiness & balance happiness over unhappiness
3) Select the one that creates the greatest amount of happiness for the greatest amount of people

24
Q

Objections to Utilitarianism

A
  • How to predict outcomes and consequences
  • How happiness can be measured
  • Immoral actions
25
Solution to Act Utilitarianism: Rule Utilitarianism
version of the theory that says we ought to live by rules that, in general, are likely to lead to the greatest good for the greatest number. "An act is morally right if and only if it conforms with a set rules whose general observancy would maximize utility"
26
Beneficence
An ideal or principle of conduct, requires us to act in a way that benefits others. - Improving situations of others by avoiding bads or by directly producing goods. - Good intentions constitute an important aspect of beneficence
27
Epicurus
"Death- the most dreadful of evils - is nothing to us" - Death is the deprivation of sensation - Epicurus' stance on the non-harm of death descends from the nature of benefit and harm on his theory of value
28
Consequentialism
The view that the rightness or wrongness of actions depends on, and only on, the consequences
29
Strong NonConsequentialism
The view that the rightness or wrongness of actions does not depend at all on the consequences
30
Weak non-consequentialism
The view that rightness or wrongness depends on, but not only on, the consequences if actions
31
Autonomy
Respect for autonomy is allied most closely with the deontological ethical theory Self-determination: liberty to act in the world Autonomy may be jeopardized by: - internal agents - eg. disease - external agents - eg. rules, chemical or physical restraints
32
Informed consent is when there is...
- Capacity - Information to make a choice = knowledge - Voluntariness = no coercion
33
Paternalism
Information is withheld or presented in a misleading way to avoid causing the patient to worry or "harm" "For your own good"
34
3 bases for limiting someone's autonomy
incapacitation harm to others harm to self
35
Virtue theory
Morality is about character rather than rules (deontology) o or principles (utilitarianism)
36
Integrity
Moral autonomy: becoming a more fully autonomous moral agent means accepting responsability and being accountable Fidelity to promise: to make promises and to keep them Steadfastness: being true to ourselves and to our moral code, to our actions and stick to what is right Wholeness: the state of forming a complete and harmonious whole, requires reflection and values - Integrity demands actions and positive duties- not doing so is conducive to agreeing!
37
Positive versus Negative Duties
positive duty: a duty to do something | negative duty: a duty to refrain from doing something
38
Truthfulness
- Openness and disclosure of information to patients - Avoid jargon, ambiguity - Cultural and religious differences may also be barriers - Being truthful to patients is to promote beneficence and empower autonomy - right to choose and givign a sense of control - sometimes the ability of the nurse to be truthful is limited by policies and role
39
Factual Truth versus Truthfulness
Something that is accurate against the facts versus not intending to mislead
40
Confidentiality
Patients must be able to trust health care professionals to preserve confidentiality. Information revealed to others outside the therapeutic context, has the potential to cause harm.
41
3 dimensions of privacy
Privacy is the extend to which we are not accessible to others in that ... - we keep information about us non-accessible - we keep out physical selves non-accessible - we keep attention away from ourselves
42
Privacy versus Confidentiality
Privacy is the patient's right to keep personal information or any physically aspect private, when confidentiality is the duty of an entrusted health care provider to keep that information safe and to not disclose to public and others.
43
Confidentiality and other ethical theories
Deontological ethics: respect for privacy and confidentiality and it is not morally correct to treat other people as mere means Feminist ethics:
44
What information should be considered confidential?
All information acquired during a therapeutic context is therefore confidential
45
Confidentiality breaches may be...
- Undeliberate or unintentional - Due to systematic or individuals factors - Justifiable (in specific exceptions) or not
46
What justifies a breach in confidentiality?
Risk of harm - obligation to report
47
Distributive Justice
Distribution of resources Getting your fair share Theories of Justice: Libertarianism - distribute accordingly to what consumers are willing and able to pay for Utilitarianism - distribute goods to benefit the greater good and produce the most utility in society. Egalitarianism- people have unequal needs, distribute goods accordingly. Give more to whoever needs the most.
48
Procedural Justice
Concerns the process followed in making decisions - who decides. 3 main procedural principles: - explicitness: the public has the right to know how decisions were made - accountability - those entrusted to make allocation take responsability and are accountable for consequences - representative - decisions are made by people that represent and have in mind the public which they are making decisions for