Ethics (Nac1)

Front 1

(def)

branch of philosophy that concerns the distinction between right and wrong on the basis of a body of knowledge, not just on the basis of opinions

Back 1

ethics

Front 2

(def)

beliefs and attitudes that may influence behavior and the process of decision making

Back 2

values

Front 3

(def)

behavior in accordance with customs or tradition, usually reflecting personal or religious beliefs

Back 3

morality

Front 4

_____ ______ _____ is the process of thinking through what one ought to do in an orderly and systemic manner.

Back 4

Ethical decision making

Front 5

True/False:

The ability to participate in the ethical decision-making process is a desired, however not required, trait of a professional nurse

Back 5

False- it is a requirement of professional nursing practice

Front 6

What resource is used to guide the actions of nurses?

Back 6

The ANA code of ethics

Front 7

Are ethical codes legally binding?

Back 7

No, however the state board in most states has the authority to reprimand nurses for failure to follow ethical codes

Front 8

(def)

respect for an individual's right to self-determination (informed consent)

Back 8

autonomy

Front 9

(def)

the obligation to do or cause no harm to another (do no harm)

Back 9

nonmaleficence

Front 10

(def)

the duty to do good to others and to maintain a balance between benefits and harms

Back 10

beneficence

Front 11

(def)

the equitable distribution of potential benefits and tasks

Back 11

justice

Front 12

(def)

the obligation to tell the truth

Back 12

veracity

Front 13

(def)

the duty to do what one has promised

Back 13

fidelity

Front 14

What occurs when there is a conflict between two or more ethical principles?

Back 14

an ethical dilemma

Front 15

(Def)

choosing an action that produces the greatest amount of good for the greatest amount of people

Back 15

utiltarianism

Front 16

(def)

an ethical theory that states the act itself is right or wrong regardless of the action

Back 16

deontology

Front 17

Give examples of guidelines that encompass deontology. (5)

Back 17

- ethical principles and moral rules
- truth-telling
- respect for human dignity
- the Golden Rule
- autonomy, beneficence, etc.

Front 18

What is an ethics committee?

Back 18

a multidisciplinary team that develops and establishes policies and procedures that will help assist others in the ethical decision-making process

Front 19

In order, list the 7 steps of the decision-making process.

Back 19

1. Identify the participants
2. Identify possible outcomes
3. Why is the situation problematic
4. Identify the ethical issue
5. Identify all possible actions and weigh outcomes
6. Act
7. Evaluate

Front 20

What is the purpose of evaluating the outcome of an ethical decision?

Back 20

to help in future situations

Front 21

Who must obtain informed consent?

Back 21

MD

Front 22

A nurse can obtain a signature for informed consent, however she/he should verify what prior to obtaining that signature?

Back 22

that the patient understands options, implications, etc.

Front 23

To provide consent, a person must be what age?

Back 23

18 (OR legally able to provide consent)

Front 24

True/False:

A person must be mentally and physically competent to provide consent

Back 24

true

Front 25

Informed consent states that a patient agrees to allow care based on what? (3)

Back 25

Full disclosure of treatment
Benefits/alternatives
Consequences of refusal

Front 26

True/False:

A competent person may refuse care and treatment, however they cannot refuse food and nutrition.

Back 26

False- a competent person can refuse all

Front 27

What are the guidelines for witnessing a Living Will?

Back 27

- two adult witnesses not related by blood or marriage
- witnesses cannot be entitled to any portion of the estate

Front 28

Who must notify the MD that a living will exists?

Back 28

the patient or family

Front 29

Does a living will have to be written?

Back 29

no, it can be written, oral, or non-verbal as long as it is witnessed by 2 people

(Note** written is best)

Front 30

A living will may be registered with the _______ ___ _______.

Back 30

Secretary of State

Front 31

True/False:

A living will may be revoked at any time.

Back 31

True

Front 32

What is a Health Care Power of Attorney?

Back 32

a declaration that appoints someone to make health care decisions on your behalf

Front 33

With a DNR, a client who suffers a cardiac or respiratory arrest will not receive what?

Back 33

CPR

Front 34

Who is responsible for deciding when a DNR is appropriate?

Back 34

the primary physician

Front 35

Who is included in the decision making process for a DNR?

Back 35

the client and his/her family

Front 36

True/False:

A DNR order must be written or oral.

Back 36

False- it must be written

Front 37

What happens if a patient is DNR but the patient's representative disagrees?

Back 37

the Ethics committee will be used in an attempt to resolve the dilemma

Front 38

True/False:

A DNR is immediately canceled if the client/client's representative requests the DNR be revoked.

Back 38

True (laws may vary by state)