Ethical Issues in Nursing – Flashcards
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Ethics
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Moral problems that arise in nursing practice that help nurses make ethical decisions
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Ethics
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Reflects the values, principles, practices, beliefs, guidelines & codes that should govern decisions in nursing
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foundation
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The nursing code of Ethics serves as a __________ for nurses' ethical practice /behavior
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values
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The nursing code of Ethics identifies specific _________ essential to ethical nursing practice
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endeavors
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The nursing code of Ethics identifies _________ that nurses may undertake to address social inequity, ethical relationships, responsibilities, & gives guidance for decision making about ethical matters
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reassures the public and legislators
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Nursing is a self regulated profession that __________
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provide rules
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The code of ethics DOES NOT _________ of ethical or moral behavior for every circumstance
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Offer guidance
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The code of ethics DOES NOT __________ about which values should take priority or how they can be balanced in practice
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Autonomy, beneficence, nonmaleficence, justice
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Four principles that guide the central idea of bioethics for moral decision making:
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Patient Autonomy
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The right of individuals to decide on the best course of action for them, is a cornerstone of nursing practice in Canada
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Beneficence
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'Do good' an obligation to benefit others /act to maximize potential benefits to the client
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Beneficence
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Providing comfort care to patients is an example of ________
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Beneficence
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Providing vaccination for the general population is an example of ________
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Beneficence
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Encouraging a patient to quit smoking and start an exercise program is an example of ________
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Beneficence
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Talking to the community about STD prevention is an example of ________
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Nonmaleficence
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Do not harm
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Bioethics
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Applied ethics involving questions that arise from healthcare or research
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Justice
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Ethical behavior conducted that treats people equitably/fairly. /Nurses are morally obligated to provide safe, competent, and ethical care to all patients * TREAT DIFFERENTLY ONLY AS THEIR MEDICAL CONDITION DICTATES
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1. Providing safe, compassionate, competent and ethical care - 2. Promoting health and well-being - 3. Promoting and respecting informed decision making - 4. Maintaining privacy and confidentiality - 5. Preserving dignity - 6. Promoting justice - 7. Being accountable
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List the 7 Values of the CNA Code of Ethics
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standards, code of ethics, competencies, entry level competencies
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Nurses use: Professional Practice ________ & Nursing ___________ and demonstrate that they have the __________ required of all RNs. New grads must meet _________________.
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Competent
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Speech, body languages, effort to understand
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Provide safe, compassionate, competent and ethical care
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Nurses value the ability to _____________ that allows them to fulfill their ethical and professional obligations to the people they serve & duty to provide care.
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Promoting health and well being
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Nurses work with all people to help them to attain their highest possible level of health and well being. > Carefully assessing and intervening as warranted... > Collaborate with other HCP when in clien'ts best interest
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Promoting and respecting informed decision making
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Nurses recognize, respect and promote a client/person's right to be informed, make decisions and do so in an open, accurate and transparent manner. > Provide information needed > Respect that capable persons may decline > Know that client may defer decision making to others > Provide nursing care only following informed consent; may withdraw consent at any point > Do not use power of position > Advocate for person if health comprised by factors beyond control
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Preserving dignity
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Recognize and respect the inherent worth of each person and advocate for respectful treatment of all persons
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Maintaining privacy and confidentiality
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Nurses safeguard the trust of clients that information learned in the context of a professional relationship is shared outside the health care team only with the clients permission or as legally required or where failure to disclose would cause significant harm
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Promote justice
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Nurses uphold principles of justice by safeguarding human rights, equity and fairness and by promoting public good > No discrimination > Non judgmental > Promote truthfulness > No threats, violence, torture > Fair allocation of resources
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Be accountable
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Nurses: > Act in a manner consistent with their professional responsibilities, regulated authority and standards of practice > Are answerable for their practice > Are safe to practice, self evaluate, continuously learn, within scope of practice > Are fit to practice - knowledge, skill, behavior, health, sobriety > Intervene when others are not accountable in their practice
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Ethical dilemma
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Conflict between two contradictory principles or values
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Power, trust, respect, choice, empathy, professional/psychological intimacy, fiduciary duty
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Name the 7 common Therapeutic relationship characteristics
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Cold and distant
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The Nurse and Professional Boundaries: Under-involvement leads to ___________
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Therapeutic relationship
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The nurse and professional boundaries: Zone of Helpfulness leads to a ____________
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Boundary violation
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The nurse and professional boundaries: Over-involvement leads to _____________
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Responsibility and accountability; knowledge based practice and competence; client relationships and advocacy; professional relationships and leadership; individual self regulation
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List the five Standards of Nursing Practice (CRNNS, 2012)
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Protect the public, explain expectations, legal references, assist agencies
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How are standards of professional practice used?
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Professional responsibilities and accountability; knowledge based practice; ethical practice; service to public; self regulation
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What are the five entry level competencies categories:
