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29 Cards in this Set
- Front
- Back
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Ethics
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The branch of philosophy that concerns the distinction of right from wrong on the basis of a body of knowledge, not just on the basis of opinions.
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Morality
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Behavior in accordance with custom or tradition and usually reflects personal or religious beliefs.
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Bioethics
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Ethics specific to health care and serve as a framework to guide behavior in ethical dilemmas.
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Ethical dilemma
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Occurs when there is a conflict between two or more ethical principles, there is no "correct" decision.
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Philosophy
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The rational investigation of the truths and principles of knowledge, reality, and human conduct.
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Personal philosophy
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stems from an individual's beliefs and values, which in turn, develop based upon a person's experiences in life, cultural influences, and education.
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Deontology
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Actions are based on moral rules and unchanging principles, such as, "do unto others as you would have them do unto you." An ethical person must always follow the rules, even if doing so causes a less desireable outcome.
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Teleology
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A person must take those actions that lead to good outcomes. The outcome of an act determines whether the act is good or of value and that achievement of a good outcome justifies using a less desirable means to attain the end.
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Virtue ethics
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A person's character must be developed so that by nature and habit, the person will be predisposed to behave virtuously.
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Justice and equity
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A "veil of ignorance" regarding who is affected by a decision should be used by decision makers because it allows for unbiased decision making. An action is chosen that is fair to all, including those persons who are most disadvantaged.
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Relativism
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No universal ethical standards. Whatever a person thinks is right, is right.
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values
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Personal beliefs about the truth of ideals, standards, principles, objects and behaviors that give meaning and direction to life.
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Ethics committees
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Serve to make decisions on ethical dilemmas caused by the complexities found in health care. Membership includes representatives from nursing and administration, medicine, clergy, clinical social service, nutritional service, pharmacy and the legal profession.
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Beneficence
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The duty to do good to others and to maintain a balance between benefits and harms.
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Nonmaleficence
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The principle of doing no harm.
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Justice
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The principle of fairness
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Autonomy
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Respect for a person's right to self-determination. (legal rights-right to refuse, informed consent, advanced directive)
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Fidelity
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The principle of promise keeping.
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Respect for others
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The right of people to make their own decisions.
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Veracity
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The obligation to tell the truth
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When the nurse is obtaining the patient's consent, the patient states that the surgeon did not inform the the patient of the risks of surgery. The nurse should
A.tell the patient the risks. B.report the surgeon to the ethics committee. C.report the surgeon to the unit manager. D.inform the surgeon that the patient is unaware of the risks. |
D. inform the surgeon that the patient is unaware of the risks.
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The nurse notices a coworker has been drinking and is not able to practice safely. The nurse should
A.inform the manager the manager or shift director imediately. B.warn the coworker that black coffee is in order. C.discuss the situation with the other nurses working. D.do nothing, but keep an eye on the nurse |
A. inform the manager or shift director immediately.
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The nurse demonstrates nonmaleficence by doing which of the following? Select all that apply.
__Observing the six rights of medication administration. __Reviewing practitioner orders for accuracy and completeness. __Keeping knowledge and skill up-to-date. __Dressing professionally with name badge clearly visible. |
All.
Observing the six rights of medication administration. Reviewing practitioner orders for accuracy and completeness. Keeping knowledge and skill up-to-date. Dressing professionally with name badge clearly visible. |
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The nurse manager has an ethical responsibility to
A.the patient B.the organization C.the profession D.the patient, the organization, the profession, and society |
D. the patient, the organization, the profession, and society.
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The primary role of an ethics committee is to
A.decide what should be done when ethical dilemmas arise B.prevent the practitioner from making the wrong decision C.provide guidance for the health care team and family of the patient D.prevent ethical dilemmas from occurring |
C. provide guidance for the health care team and family of the patient.
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Ethical dilemmas may be referred to the ethics committee by
A.medical practitioners only B.nursing and medical practitioners, lawyers, all health care team members, and families of patients C.lawyers only D.hospital administration only |
B. nursing and medical practitioners, lawyers, all health care team members, and families of patients.
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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?
A.Autonomy B.Confidentiality C.Beneficence D.Nonmaleficence |
B. confidentiality
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The nurse realizes that neglecting to inform the patient about the plan of care is a violation of
A.the Patient's Bill of Right's B.the patient's right to privacy C.the patient's right to confidentiality D.the fifth amendment of the constitution |
A. the Patient's Bill of Rights.
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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 this nurse is exhibiting a lack of
A.autonomy B.compassion C.discernment D.trustworthiness |
B. compassion
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