Week 4

Question 1

define values

Answer 1

our conception of what is good and most desirable

Question 2

define belief

Answer 2

convictions that we generally hold to be true without actual proof

Question 3

define ethics and the 3 key types

Answer 3

definition: philosophy that aids in organizing our thoughts and reasoning from right to wrong
1) bioethics: philosophy of inquiry for healthcare workers
2) feminist ethics: an approach of examining moral dilemmas that acknowledges gender and the social construct of gender as important and influenced in our world views
3) Nursing ethics: CNA

Question 4

Define morality

Answer 4

the beliefs and traditions we hold in how we conduct ourselves towards others

Question 5

define moral integrity and its 4 key terms

Answer 5

moral integrity:
1) moral autonomy: ability to chose what’s right/wrong, stand up for your beliefs

2) keeping a promise: don’t break promise
3) being steadfast: staying true to own values & belief in face of adversity
4) moral seamlessness: our ability to be a morally consistent person

Question 6

Define moral distress

Answer 6

knowing the right thing to do but constrained from doing so

The feeling a nurse gets when you know you can’t do what you think is right

Question 7

define ethical dilemma

Answer 7

When there are equally compelling reasons for or against 2 or more actions/options,

“damned if you do, damned if you don’t”

Question 8

What are the 3 ethical theories?

Answer 8

1) consequentialism: Utilitarian theories basically means the moral rightness or ethical soundness of an action is judged by how much good or happiness it might produce
2) deontological: knowing our moral duties and acting according to them
3) principals: framework for solving real world ethical dilemmas in healthcare

Question 9

What are the 4 principles of principalism?

Answer 9

1) respect for autonomy: patient has the right to accept or reject
2) beneficence: doing what is best for the patient
3) non-malifience: “first do no harm”
4) justice: for allocation of resources, patients receive some care

Question 10

What are 4 main objectives of the ethics committee?

Answer 10

1) promote the rights of patients
2) promote shared decision making between patients
3) promote fair policies and procedures that maximize health patient
4) enhance the ethical approach of healthcare professionals

Question 11

Which document states the guidelines when consent is required?

Answer 11

The Health Care consent Act (HCCA)

Question 12

Which document states the guidelines for when consent is needed but patient is incapable of doing so?

Answer 12

Substitute decisions Act( SDA)

Question 13

What are the 2 key factors that make consent informed?

Answer 13

1) The person received the information about the treatment that a reasonable person in the same circumstances would require to make a decision
2) The person received responses to his/her requests for additional information about the treatment

Question 14

What are the steps in terms of gaining consent?

Answer 14

1) assess capacity
- no minimum age for consent. HCP uses judgment

2) provide emergency treatment
3) inform the client that a SDM will make the decision
4) identify SDM
5) Obtain consent from SDM

Question 15

What is the ethical decision making model from CNO?

Answer 15

1) assessment
2) plan/approach
3) implement
4) outcome/evaluate

Question 16

What are the CNA code of ethics standards?

Answer 16

Provide safe, compassionate, competent, and ethical nursing care
Promoting health and wellbeing
Promoting and respecting informed decision-making
Preserving dignity
Maintain privacy and confidentiality
Promoting justice
Accountable

Question 17

What are the CNO practice ethics standard?

Answer 17

client well-being
client choice
privacy and confidentiality
respect for life
maintaining commitments
truthfulness
fairness