foundations/ethics of critical care

Question 1

traditions of beliefs about right or wrong in human behavior

Answer 1

morals

Question 2

inquiry and goal to understand morality

Answer 2

ethics

Question 3

when there is a conflict surrounding an ethical decision

Answer 3

ethical/moral dilemma

Question 4

principle; freedom to make own decision

Answer 4

autonomy

Question 5

principle; to do good and what is best for the patient

Answer 5

beneficence

Question 6

principle; to do no harm

Answer 6

nonmaleficence

Question 7

principle; having equal access to healthcare

Answer 7

justice

Question 8

provider tells patient that they know better so they should make decisions about the patient; no consent of the patient

Answer 8

paternalism

Question 9

unnecessary treatments and interventions

Answer 9

medical futility

Question 10

unnecessary actions

Answer 10

ethical futility

Question 11

contract with the patient that you will care for them

Answer 11

duty

Question 12

failure to act consistently or an inaction that doesn’t follow the standard of care

Answer 12

breach of duty

Question 13

action/inaction on the PART of the nurse that causes damage

Answer 13

causation

Question 14

intentional verbal or written act to cause harm

Answer 14

assault

Question 15

intentional physical touch/violence that causes harm

Answer 15

battery (CPR on DNR is considered battery!!)

Question 16

unethical and improper restraint

Answer 16

false imprisonment

Question 17

medical negligence leads to the patient passing away

Answer 17

wrongful death

Question 18

verbally talking poorly about a patient

Answer 18

slander

Question 19

defaming a person through writing

Answer 19

libel

Question 20

deviation from the standard of care

Answer 20

negligence

Question 21

inappropriately leaving the care of your patient

Answer 21

abandonment

Question 22

negligence associated with a professional

Answer 22

malpractice

Question 23

measures how alert/conscious the patient is to make their own decisions

Answer 23

decision making capacity

Question 24

describes the code/living will/POA status of the patient

Answer 24

advance directives

Question 25

document: specific tx options at end of life care but NOT FOR EMERGENCY situations

Answer 25

living will

Question 26

document: what patient wants in the case of an EMERGENCY situation

Answer 26

code status

Question 27

individual who makes decision for the patient; designated by pt; in line with pt wishes

Answer 27

power of attorney

Question 28

focused on comfort, symptom management, and treatment benefits anyone living with serious condition

Answer 28

palliative care

Question 29

focused on comfort and symptom management (NO TREATMENT) anyone with <6 months to live

Answer 29

hospice care

Question 30

discussing + prepping for future decisions about medical care if patient becomes to ill

Answer 30

advance care planning

Question 31

not initiating or starting a tx (tube feed is ordered but won't start it)

Answer 31

withholding

Question 32

discontinuation of life prolonging measures (pt is on ventilator - POA decides to pull it out)

Answer 32

withdrawing

Question 33

organization; seeks to establish professional standards of care and gives the beacon award

Answer 33

american association of critical care nurses (AACN)

Question 34

main priority of the AACN

Answer 34

education of critical care nurses

Question 35

organization: seeks to focus on nursing scope and standards of practice

Answer 35

american nurses association

Question 36

the ability to show standard of practice, patient focused care, directing coordination of care

Answer 36

leadership

Question 37

how we treat each other, role models, enthusiasm, positivity, feedback

Answer 37

environmental health

Question 38

innovative approach to manage pt issues; goal is to reduce morbidity and mortality

Answer 38

ABCDEF bundle

Question 39

explain all the letters of the ABCDEF bundle

Answer 39

a - assess and manage pain b - spontaneous breathing trial / spontaneous awakening trial c - choice of analgesia or sedation d - delirium assessment e - early mobility + exercise f - family engagement and empowerment

Question 40

gives ICU nurses more autonomy with management tools and parameters

Answer 40

order sets

Question 41

biggest spot for errors during care transition

Answer 41

med reconciliation

Question 42

priority with care transition

Answer 42

maintain quality of care

Question 43

goal of hospital readmission reduction program (HRRP)

Answer 43

reduce medicare fees in hospitals with high readmission rates

Question 44

the ability to handle/tolerate difficult situations

Answer 44

hardiness

Question 45

capacity to withstand and recover quickly

Answer 45

resilience

Question 46

desire for a certain thing to happen

Answer 46

hope

Question 47

believing in oneself and the ability to cope well

Answer 47

positive self-concept

Question 48

how a person perceives their control over their own actions vs events in life occur due to external forces

Answer 48

internal locus of control