Quiz Unit B Flashcards

(66 cards)

1
Q

_____ theory of moral development is related to societal values and norms.

A

Kohlberg’s

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2
Q

What is autonomy?

A

Freedom of action/self-determination

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3
Q

What is beneficence?

A

To do good. Can conflict with autonomy

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4
Q

What is veracity?

A

Devotion to the truth

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5
Q

Define malfeasance.

A

Not harming others

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6
Q

Define justice.

A

Fairness

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7
Q

What are the 3 main stages in Kohlberg’s theory?

A

Pre-conventional, conventional, and post-conventional

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8
Q

What are the goals of each stage?

A

In the pre-conventional, the goals are avoiding punishment and gaining reward. In the conventional stage, it is gaining approval and avoiding disproval. In the post-conventional, it is to agree upon rights, set personal and moral standards, and justice

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9
Q

When can confidentiality be breached?

A

If extreme harm to the patient or others is imminent

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10
Q

What government mandate is the privacy rule presented under?

A

HIPPA

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11
Q

What must you have to maintain your veracity towards a specific patient?

A

Knowledge about the patient’s lifestyle preferences, beliefs, and values

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12
Q

Does nonmalfeasance include unintentional harm?

A

Yes

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13
Q

What can beneficence interfere with?

A

Autonomy

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14
Q

_____ is the interference of a state or individual with another person, claiming that they will be better off/protected from harm.

A

Paternalism

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15
Q

What are the 2 socially oriented views on justice?

A

Justice based on deserving-those who contribute more deserve more, and Justice based on fairness, all deserve the same

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16
Q

What does applied ethics use to formulate theories?

A

Moral philosophy

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17
Q

Is it best to ascribe to a single moral theory, or to combine principles derived from many of them?

A

Combine them

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18
Q

Who are health care professionals accountable to?

A

To society as a whole and to the individuals who must trust us for care

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19
Q

Besides good care, what is another main responsibility that ensures we give good care?

A

We must recognize and address barriers to care

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20
Q

Define advocacy.

A

Aggressive action taken on behalf of society and individuals to protect or secure their rights

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21
Q

What is the basic premise of provision 1 of the ANA code of ethics?

A

We give proper care regardless of our personal feelings

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22
Q

What is the basic premise of provision 2 of the ANA code of ethics?

A

A nurse’s primary commitment is to the patient, whether an individual, family, or community

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23
Q

What is the basic premise of provision 3 of the ANA code of ethics?

A

We are advocates

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24
Q

Does provision 3 of the ANA code of ethics provide absolute regimen’s for patient protection, or just guidelines?

A

Guideline. The nurse must balance the pts right to privacy with protecting the pt from harm

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25
What does provision 4 of the ANA code of ethics state?
The nurse is responsible and accountable for individual nursing practice AND the delegation of tasks
26
What does provision 5 of the ANA code of ethics state?
The nurse owes the same duties to self as to others
27
What does provision 6 of the ANA code of ethics state?
The nurse participates in establishing, maintaining, and improving health care
28
What does provision 7 of the ANA code of ethics state?
The nurse participates in the advancement of the profession
29
What does provision 8 of the ANA code of ethics state?
The nurse collaborates with other health care professionals and the public
30
What does provision 9 of the ANA code of ethics state?
The profession of nursing is responsible for articulating nursing values, maintaining integrity and practice, and shaping societal policy
31
What is the difference between an issue and a dilemma?
An issue is an ethical problem in which a choice must be made. A dilemma, which can arise from unresolved issues, is a situation where a choice must be made btwn 2 or more undesirable options
32
Health promotion is the assessment of _____ as well as _____.
Strengths. Deficits.
33
What is the foundation for NANDA nursing diagnosis?
Gordon's functional health patterns
34
What are the 5 characteristics/foci of Gordon's health patterns?
Patterns (over time), Individual-environmental, Age, Functional (ADL levels), Cultural
35
How many interdependent patterns are there?
11
36
If a pattern is functional, it is a _____, but if it is dysfunctional, it becomes a _____ _____.
Strength. Nursing diagnosis
37
Each pattern reflects a _____ spiritual expression. Whose perspective is considered in this theory?
Biopsychosocial. Both the individuals and the nurses
38
What assessment parameters are used in the Health Perception/Health Management Pattern?
Current health practices, previous pattern adherence, use of healthcare system, system access, health perceptions/beliefs, reasons for past failures
39
What are some problems caused by global warming?
Vector borne illness, heat stroke, MI, Respiratory diseases, bronchitis, asthma
40
What are some negative effects to the compromise of the ozone layer?
Sunburn, compromised immune system and associated diseases, cataracts, non-melanoma and malignant melanoma skin cancers
41
Who is harmed most by the ozone depletion?
The very young, the very old, and those with respiratory dysfunction
42
What problems does acid rain cause in patients?
Cardiac and respiratory diseases
43
What does yellow dye number 5 cause in some children?
Hyperactivity
44
What is the problem with using antibiotics in animals we eat?
It MAY cause resistance in humans
45
What problems does mercury cause in patients?
It can cause learning disabilities/retardation in children, and damage to developing fetuses
46
What are some foodborne illnesses?
Campylobacter, salmonella, E. coli, calcivirus, Hepatitis A
47
What are some s/s of Hepatitis A?
Fever, diarrhea, abdominal cramping, N/V
48
Why do we, as nurses, care about asbestos?
Because it causes lung diseases like asbestosis, cancer, and mesothelioma, and because we need to educate clients about it
49
How can we help prevent biological contaminants from affecting the lives of our patients?
By educating them about the effects of dust mites, bacteria, mold, pollen, viruses, and animal dander, and education them about good housekeeping and maintenance practices, and proper ventilation/moisture control
50
What are the effects of carbon monoxide poisoning?
Fatigue, H/A, chest pain, N/V, impaired vision, MI, death
51
How do we prevent carbon monoxide poisoning?
Educate on proper care of equipment (furnace, generator, water heater), and buying and maintaining carbon monoxide detectors
52
What are the effects of lead poisoning?
Physical/mental delay/retardation, behavioral disorders, lower IQ, RBC damage, kidney disease, nervous system damage, convulsions/coma/death.
53
What are the effects of pesticides?
H/A, dizziness, weakness, nausea, liver/kidney disease, endocrine/nervous system damage
54
What should we know about radon?
It is a breakdown product of uranium in the ground. It causes respiratory difficulties and lung cancer within 2-5yrs of exposure, and test kits are available
55
Name some category A Biological agents.
Smallpox, anthrax, and bubonic plague. Theses are the worst ones
56
Name some category B biological agents.
Q fever, ricin, salmonella. Lower mortality potential
57
Name some category C biological agents
Yellow fever, multi-drug resistant TB
58
Name the 3 main types of radiological/nuclear particles, and the effect of each on the human body.
Alpha (least penetrating to skin), Beta (can penetrate skin), and Gamma (can pass thru human body and be absorbed by tissues)
59
70% of all terrorist attacks in the US are perpetrated with the use of explosives. What are some of the effects on the human body from an explosion?
It can move liquid within the lungs into the gas area causing hemorrhage, rupture of tympanic membranes
60
What are the 3 phases to disaster response?
Activation, implementation, and recovery
61
What is done during the activation phase of disaster response?
Survey damage and establish communications
62
What is done during the implementation phase of disaster response?
Search and rescue
63
What is done during the recovering phase of disaster response?
Reassess for missed victims and debrief
64
The joint commission requires hospitals to have a disaster plan. What 4 steps are required?
Mitigation, preparedness, response, recovery
65
What are some items we should carry in an emergency response tote bag?
ID, flashlight, batteries, portable radio, bottled water, important family documents, and first aid/hygiene products
66
Name the proper steps to family intervention.
Explain, validate forces pulling the family apart, encourage openness, help with coping, refer to counseling