Leadership and Management: Ethics – Flashcards

Occurs when there is a conflict between two or more ethical principles; there is no "correct" decision

What are the two ethical theories?

Which ethical theory: Focused on the Greater Good Consequences are important Actions are judged by their utility; evaluated according to the usefulness of their consequences Greatest good with least harm Greatest good for the greatest number of people who may be affected by an action.

Which ethical theory is focused on: The study of duty, focused on duties and rules, believes that actions are based on moral rules and unchanging principles, believes we are ethically bound to act from a sense of duty, and believes that consequences are considered irrelevant?

What are the eight ethical principles?

Which ethical principle believes: Respect for an individual's right to self-determination; respect for individual liberty

What ethical principle believes: Duty to do good to others and to maintain a balance between benefits and harms. Promoting good; doing good to others

What ethical principle believes: The principle of doing no harm.

What ethical principle believes: the obligation to tell the truth

What ethical principle believes: that fairness, treating people equally and without prejudice regardless of social or economic background

Which ethical principle believes: in the process of allowing a person to make a decision for another person

Which ethical principle believes: In loyalty, fairness, truthfulness, advocacy, and dedication to relationships and most importantly, keeping one's promise

Which ethical principle: Is the highest ethical principle, and acknowledges the inherent, intrinsic and unconditional worth of others

The client on the postpartum unit tells the nurse, "My husband thinks he is the father of my baby but he is not. What should I tell him?" Which response supports the ethical principal of non-maleficence? a) "You should tell him the truth before he becomes attached to the infant." b) "How do you think you husband will feel if he knows he is not the father?" c) "I know my husband would want to know if my child was his or not." d) "Do you know what the real father is planning on doing about the baby?"

The client involved in a MVA is being prepped for surgery. The client asks the nurse "What happened to my child?" The nurse knows the child is dead. Which response supports the ethical principal of non-maleficence? a) "I will find out for you and let you know after surgery." b) "I am sorry but your child died at the scene of the accident ?" c) "You should concentrate on your surgery right now" d) "You are concerned about your child. Would you like to talk?"

The nurse is discussing a tubal ligation with a 17 year old with Down's syndrome. The adolescent does not want the surgery but her parents are telling her she must have the surgery. Which statement by the nurse would be an example of the ethical principal of justice? a) "I think this requires further discussion before scheduling this procedure." b) "You will not be able to have children after you have this procedure." c) "You should have this procedure because you can not care for a child." d) "You can refuse this procedure and your parents can't make you have it."

The nurse is discussing an upcoming surgical procedure with an older client diagnosed with cancer. Which action is an example of the ethical principal of fidelity? a) The nurse makes sure the client understands the procedure before signing the permit b) The nurse refuses to disclose the client's personal information to the CNO. c) The nurse tells the client his diagnosis when the family did not want him to know. d) The nurse tells the client that she does not know the client's diagnosis

What is moral distress and moral residue?

The nurse demonstrates nonmaleficence by doing which of the following? Select all that apply. A. Observing the six rights of medication administration. B. Reviewing practitioner orders for accuracy and completeness. C. Striving to improve patient satisfaction. D. Keeping knowledge and skill up-to-date. E. Dressing professionally, with name badge clearly visible.

Which of the following represents a teleological theory?

The primary role of an ethics committee is which of the following?

Ethical dilemmas may be referred to the ethics committee by which of the following?

Mrs. Jones rides the elevator to the fifth floor, where her husband is a patient. While on the elevator, Mrs. Jones hears two nurses talking about Mr. Jones. They are discussing the potential prognosis and whether Mr. Jones should be told. The nurses are violating which of the following ethical principles?

The nurse realizes that neglecting to inform the patient about the plan of care is a violation of which of the following?

During morning report, the night nurse tells you that Mr. P., who is admitted for pancreatitis, is a drug addict and an alcoholic and caused all his own problems. You realize that this nurse is exhibiting a lack of which of the following?

A nurse caring for a cancer patient demonstrates paternalism when she cannot decide if she should give the patient discouraging lab results. This dilemma represents a conflict between which principles?

An elderly woman, age 88, is admitted to the emergency department in acute respiratory distress. She does not have a living will, but her daughter has power of attorney (POA) for health care and is a health care professional. The patient has end-stage renal disease, end-stage Alzheimer's disease, and Congestive heart failure. Her condition is grave. The doctors want to intubate her and place her on a ventilator. The sons agree. The daughter states that their mother would not want to be on a machine just to prolong her life. Apply the Ethical Positioning System Models to this case.