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Ethics Unit I
Ethics Ch. 1,2,&4
| Question | Answer |
|---|---|
| Personal Values | Beliefs and attitudes held by you |
| Cultural Values | beliefs held by a group of people |
| Professional Values | attributes prized by a professional group |
| Moral Distress | occurs when you know the ethically appropriate action to take, but are unable to act or you act in a manner contrary to your personal & professional beliefs, thus undermining your integrity & authenticity |
| Respect for Persons | most fundamental principle. |
| Autonomy | Self-determination, right to choose |
| Coercion | form of influence that is credible threat of harm or force to control another |
| Persuasion | form of influence that is convincing someone of an action by merit of reason |
| Manipulation | form of influence that is swaying people to a specific course of action |
| Beneficence | doing good through acts of mercy, kindness, charity, altuism, or love |
| Non Maleficence | first, do no harm, intentially refraining from actions that do harm |
| Veracity | truth telling |
| Confidentiality | respect priviledged information |
| Fidelity | keep promises |
| Justice | treat people fairly |
| Distributive Justice | distribution of limited goods & services with unlimited demands |
| Compensatory Justice | compensate for wrong that has been done |
| Procedural Justice | ordering in a fair manner |
| Paternalism | making decisions for others |
| You are giving report on patients on the unit to the next shift and the wife of a patient walks in the report room. If you continue with report you will be violating which ethical element? | confidentiality |
| Mrs. Selms is 78 and recovering from a right hip replacement. She asked you to refill her water pitcher. You promised you would and then delegated this to the aid who did not do it. Which ethical principle have you violated? | Fidelity |
| Mrs. Selms has an order to ambulate 50 ft. today which she refuses to do. Insisting that she walk because it would do her good would be an example of what ethical principle? | Non Maleficence |
| Respecting Mrs. Selms choice to not ambulate now is an example of what ethical principle? | Autonomy |
| You have nine patients on the floor, but only eight clean sheets. Deciding who gets the clean sheets is an example of which ethical element? | Justice |
| Ethical Issues | where one or more moral principles exist, but no problem is created |
| Ethical problem | when at least two moral issues exist that create a challenge about what to do |
| Ethical Distress | a type of problem when you know the right course of action, but there is a barrier keeping you from doing it (such as family/relathioship, institutional, or legal) |
| Ethical Dilemmas | a type of problem where there are two or more correct courses of action, but you cannot do both |
| MORAL Model | massage the delimma, outline the options, resolve the dilemma, act by applying the chosen option, and look back and evaluate the entire process |
| Karen has entered the hospital and had an abortion. Her long time friend, Steve, calls from out of town and asks why she has been admitted. What do you say? What ethical elements are at play? | Moral distress - legal barrierConfidentiality, veracity, but most importantly autonomy - ask if she would like to speak to him. |
| Robert enters the hospital as a charity case. As his nurse, you recognize him as a wealthy recluse from your hometown 100 miles a way. What do you do? | Code of ethics - we don't care, we will give care to anyone. Healthcare is a right, not a privelege |
| Ethics Committee Functions | provide structure & guidelines for potential problems, open forums for discussion, ethics education, patient advocates, policy review & development |
| Sources of law and ethics | law - external to oneself, rules and regs of societyethics - internal to oneself, values and beleifs, individual interpretations |
| concerns of law and ethics | law - conduct and actions, what a persona did or failed toethics - motives, attitudes, and cultures, reasons for why one acted as they did |
| interests of law and ethics | law - society as a whole as opposed to the individualethics - good of the individual within the society |
| enforcement of law and ethics | law - courts, statutes, boards of nursing, etc.ethics - ethics committees, professional organizations, and you |
| Common Law | classification that is derived from principles rather than rules and regs. Based on justice, reason, and common sense |
| Civil Law | classification concerned with duties and rights of private citizens and is administered between citizens (injured parties usually collect money) |
| Public Law | classificiation concerned with the state in its political capacity and defines the relationship of person to the state |
| Criminal Law | classifications that define conduct which is "offensive or harmful to society as a whole" and legal action is brought by the state, city, or administrative body. Can be misdemeanors or felonies. |
| Internal Standards | Standards set by institutions that clarify role expectations. Examples are institutional policies/procedures, job descriptions, and nursing policy/procedures |
| External Standards | standards that transcend (apply to more than one) individual or instituation. Exapmles are state boards, professional organizations, federal organizations, and accrediting organizations |
| Mandatory Standards | dictate the end to be achieved and the means to achieve it. Recognized by the use of verbs like shall, will and must |
| Voluntary Recommendations | suggestions without an implied preference. Uses the verb "may" |
| Voluntary Suggestions | state a preference for a particular means of accomplishing some end. Uses the verb "should" |
| You have an order for Tylenol #3 q3h p.o. prn for pain. On addmission, your patient states he is allergic to codeine. You call the MD and get the order changed. This is an example of applying internal or external standard? | External |
| You have an order for Tylenol #3 q3h p.o. prn for pain. On addmission, your patient states he is allergic to codeine. You call the MD and get the order changed. Your decision shows that this standard would be called mandatory, vol rec, or vol sugg? | Mandatory |
Created by:
msmith15
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