N254 Exam 3 Ethical Issues in Nursing – Flashcards

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what influences your moral decisions?
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values, attitudes, ethics
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When an ethical issue arises, one of the most important nursing responsibilities in managing client care situations is which of the following? a. be able to defend the morality of one's own actions b. remain neutral and detatched when making ethical decisions c. ensure that a team is responsible for deciding ethical questions d. follow the client and family wishes exactly
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a
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concerned for the well being of others
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altruism
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self-determination/self decision making
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autonomy
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concern for the well being/dignity of a person and respecting their individuality
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human dignity
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treating everybody fairly
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social justice
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enduring beliefs or attitudes about the worth of a person, object, idea or action. can influence decisions and actions, including ethical decision making
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values
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basic way of life, give direction to life, and form the basis of behavior. organized values internally along a continuum from most important to least important.
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value system
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interpretations or conclusions that people accept as true. based more on faith than fact, and don't necessarily involve values. may last only briefly
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beliefs (or opinions)
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mental positions or feelings toward a person, object or idea. usually lasts over time
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attitudes
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example of ?: wanting your patient to not be in pain
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altruism
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example of ?: making the right decision about holding a medication or calling the doctor about a problem
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autonomy
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example of ?: respecting choices the patient makes about declining a medication or a home remedy
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human dignity
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example of ?: don't take patient's pain medicines; fess up to any error that you made (med)
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integrity
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example of ?: having a prisoner as a patient and still treating them fairly
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social justice
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autonomy; non-maleficence; justice; fidelity; veracity
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moral principles
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right to make one's own decisions outward and inward
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autonomy
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someone who has the ability to make choices
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inward autonomy
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choices are not limited or imposed by other people
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outward autonomy
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duty to do no harm or no potential harm - EX. forgetting to leave the call light by the patient, not putting the bed rails up
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non maleficence
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means doing good ex. sitting by bedside to talk to lonely patient ex. seek to get care to a recently transferred patient
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beneficence
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AKA fairness ex. spending equal amounts of time w/ all pts
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justice
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means to be faithful in agreements and promises, even if its "i'll be right back with your meds" so you should be right back, not take forever
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fidelity
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refers to telling the truth. could be about a patients diagnosis, lying if that lie will relieve anxiety/fear, etc.
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veracity
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Following a motor vehicle crash, the parents refuse to permit withdrawal of life support from the child with no apparent brain function. Although the nurse believes the child should be allowed to die and organ donation considered, the nurse supports their decision. Which moral principle provides the best basis for the nurse's actions? a. autonomy b. beneficence c. non-maleficence d. justice
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A
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a formal statement of a group's ideals and values -international council of nurses -american nurses association
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code of ethics
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purpose of ? to inform and help the public to provide a sign
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code of ethics
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Which of the following situations is most clearly a violation of the underlying principles associated with professional nursing ethics? A. The hospital policy permits use of internal fetal monitoring during labor. However, there is literature to both support and refute the value of this practice. B. When asked about the purpose of a medication, a nurse colleague responds, "Oh, I never look them up. I just give what is prescribed orders." C. The nurses on the unit agree to sponsor a fund-raising event to support a labor strike proposed by fellow nurses at another facility. D. A client reports that he didn't quite tell the doctor the truth when asked if he was following his therapeutic diet at home.
answer
b
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