Ethical Principles in Nursing Practice
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Questions and Answers

Which ethical principle emphasizes respecting the patient's right to make their own healthcare decisions?

  • Beneficence
  • Justice
  • Nonmaleficence
  • Autonomy (correct)
  • Moral outrage is a feeling of anger or disgust in response to perceived unethical actions or injustices.

    True (A)

    What is the ethical principle that requires healthcare professionals to tell the truth and be honest with patients?

    Veracity

    The ethical principle of _____ obligates healthcare professionals to act in the best interest of the patient.

    <p>Beneficence</p> Signup and view all the answers

    Match the ethical principle to its description:

    <p>Nonmaleficence = The duty to keep promises and commitments to patients Autonomy = Respecting the patient's right to make their own healthcare decisions Justice = Fairness in treatment, including equitable allocation of resources Fidelity = The duty to do no harm to patients, intentionally or unintentionally Veracity = The duty to tell the truth and be honest with patients Beneficence = An obligation to act for the benefit of the patient and protect the rights of others Confidentiality = Obligations not to disclose confidential information without authorization Moral Outrage = Strong feeling of anger or indignation in response to perceived wrongdoings</p> Signup and view all the answers

    Which scenario demonstrates the principle of beneficence?

    <p>A nurse providing emotional support to a patient who is anxious about their diagnosis (B)</p> Signup and view all the answers

    Nurses have a legal and ethical obligation to respect a patient's Do Not Resuscitate (DNR) order, even if the family members disagree.

    <p>True (A)</p> Signup and view all the answers

    What is the difference between a patient leaving a healthcare facility 'Against Medical Advice' (AMA) and a patient refusing care?

    <p>A patient refusing care may decline specific treatments or interventions, while a patient leaving AMA chooses to leave the healthcare facility altogether, despite the provider's advice.</p> Signup and view all the answers

    Cultural competency involves understanding and respecting different _____ perspectives, which can influence healthcare decisions.

    <p>cultural</p> Signup and view all the answers

    Which ethical principle is most relevant to a nurse adhering to a patient's request for confidentiality?

    <p>Confidentiality (C)</p> Signup and view all the answers

    What is the primary purpose of the NCSBN's NURSYS database?

    <p>To manage nurse licensure and disciplinary information across states (D)</p> Signup and view all the answers

    Nurses are not required to report medical errors when they occur.

    <p>False (B)</p> Signup and view all the answers

    What should nurses respect regarding end-of-life care?

    <p>Patients' wishes regarding life-prolonging treatments.</p> Signup and view all the answers

    Nurses need to advocate for patients while respecting their cultural _____ regarding treatments.

    <p>values</p> Signup and view all the answers

    What does transformational leadership primarily focus on?

    <p>Empowering others to achieve their full potential (B)</p> Signup and view all the answers

    Match the types of conflict in nursing with their descriptions:

    <p>Interpersonal Conflict = Occurs between individuals due to personality clashes Interprofessional Conflict = Occurs between members of different professional groups Clinical Judgment = Use of critical thinking to assess situations Problem-Solving = Synthesizing data and evaluating options for decisions</p> Signup and view all the answers

    Democratic leadership involves making decisions independently without staff input.

    <p>False (B)</p> Signup and view all the answers

    What is a key skill for managing interpersonal conflict in nursing?

    <p>Active listening (C)</p> Signup and view all the answers

    What is the purpose of advance directives?

    <p>To communicate a client's wishes regarding end-of-life care.</p> Signup and view all the answers

    Triaging patients involves determining the priority of patient care.

    <p>True (A)</p> Signup and view all the answers

    The __________ Act defines the scope of nursing practice in each state.

    <p>Nurse Practice</p> Signup and view all the answers

    What role does risk management serve in nursing?

    <p>It helps identify and mitigate potential risks to improve patient safety.</p> Signup and view all the answers

    When conflicts arise between nurses and pharmacists, this is categorized as _____ conflict.

    <p>interprofessional</p> Signup and view all the answers

    Match the leadership styles with their characteristics:

    <p>Transformational Leadership = Empowers others and creates positive changes Democratic Leadership = Involves staff in decision-making Authoritarian Leadership = Makes decisions independently Laissez-Faire Leadership = Provides minimal direction to skilled teams</p> Signup and view all the answers

    Which of the following leadership styles might lead to a lack of accountability if the team lacks experience?

    <p>Laissez-Faire Leadership (C)</p> Signup and view all the answers

    What must a nurse do if a medical error occurs?

    <p>Report the error and file an occurrence report (D)</p> Signup and view all the answers

    Emotional intelligence is not important for conflict resolution in nursing.

    <p>False (B)</p> Signup and view all the answers

    What is the role of the State Board of Nursing?

    <p>To establish standards for nursing practice and ensure nurses meet educational and ethical criteria.</p> Signup and view all the answers

    Malpractice claims can be avoided by __________ high professional standards.

    <p>maintaining</p> Signup and view all the answers

    The ANA Code of Ethics emphasizes which of the following values?

    <p>Commitment to patient care (A)</p> Signup and view all the answers

    Flashcards

    Nonmalficence

    The duty to do no harm to patients, intentionally or unintentionally.

    Autonomy

    Respecting the patient's right to make their own healthcare decisions.

    Justice

    Fairness in treatment and equitable allocation of resources.

    Fidelity

    Keeping promises and commitments made to patients.

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    Veracity

    The duty to tell the truth and be honest with patients.

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    Beneficence

    An obligation to act for the benefit of the patient.

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    Confidentiality

    The obligation to not disclose patient information without authorization.

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    Informed Consent

    Patients have the right to withdraw from procedures anytime after signing consent.

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    Self Determination

    The right of a patient to make their own health care decisions.

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    Leaving AMA

    When a patient leaves a healthcare facility against medical advice.

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    Advance Directives

    Documents that communicate a client's wishes for end-of-life care.

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    Transformational Leadership

    A leadership style focused on empowering others for positive change.

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    Democratic Leadership

    Involves staff in decision-making processes.

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    Authoritarian Leadership

    A style where decisions are made independently with strict control.

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    Laissez-Faire Leadership

    A hands-off approach allowing independent decisions by team members.

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    Emotional Intelligence

    The ability to manage emotions during conflict and stress.

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    NCSBN

    An organization that comprises all U.S. state and territorial boards of nursing.

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    Nurse Licensure

    Regulated by the State Board of Nursing establishing nursing standards.

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    End-of-Life Care

    Care focused on respecting patients' wishes regarding life-prolonging treatments.

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    Nurse Practice Act

    Defines the scope of nursing practice within each state.

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    ANA Code of Ethics

    Guidelines providing ethical principles for nursing practice.

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    Occurrence Report

    A report filed to document medical errors and improve safety.

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    Interpersonal Conflict

    Conflict between individuals due to misunderstandings or personality clashes.

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    Interprofessional Conflict

    Conflict between different professional groups, such as nurses and doctors.

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    Clinical Judgment

    The ability to assess situations and make sound patient care decisions.

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    Problem-Solving in Leadership

    Involves synthesizing data and evaluating options to improve outcomes.

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    Risk Management

    The process of identifying, assessing, and managing risks to patient safety.

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    Cultural Conflicts

    Conflicts arising from differences in cultural values affecting patient care.

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    Triaging Patients

    The process of prioritizing patient care based on urgency.

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    Study Notes

    Ethical Principles in Nursing Practice

    • Nonmaleficence: Duty to do no harm, intentionally or unintentionally, to patients.
    • Autonomy: Respecting a patient's right to make their own healthcare decisions.
    • Justice: Fairness in treatment, including equitable resource allocation (e.g., organ transplants).
    • Fidelity: Keeping promises and commitments to patients.
    • Veracity: Honesty and truthfulness in interactions with patients.
    • Beneficence: Acting for the patient's benefit, protecting them from harm, removing harmful conditions, and helping those in danger.
    • Confidentiality: Protecting patient information from unauthorized disclosure.
    • Moral Outrage: Strong feelings of anger or indignation towards perceived injustice or wrongdoing.

    Patient Rights and Advocacy

    • Do Not Resuscitate (DNR) Orders: Nurses must respect DNR orders, even if family members disagree, as long as the patient made the decision with informed consent.
    • Informed Consent: Patients have the right to withdraw from procedures at any time. Nurses must notify the provider if a patient changes their mind after signing the consent form.
    • Cultural Competency: Understanding and respecting different cultural perspectives. Examples include patients deferring healthcare decisions to family members or religious beliefs influencing care refusal.
    • Refusal of Care: Patients have the right to refuse treatment, even if risks or consequences are explained to them.
    • Self-Determination: Patients are entitled to make their own healthcare choices. This includes the right to accept or refuse treatment, including the right to leave a facility without a discharge.

    Leadership in Nursing

    • Transformational Leadership: Focuses on empowering others and creating positive changes.
    • Democratic Leadership: Involves staff in decision-making, such as hiring and care planning.
    • Authoritarian Leadership: Decisions are made independently and control is maintained over the staff. May not be effective in all settings.
    • Laissez-faire Leadership: A hands-off approach; staff and team make decisions independently. This approach may not work well if staff lacks experience.
    • Informal Leadership: Influence without formal titles, often by personal skills and expertise, leading others in a team setting.
    • Emotional Intelligence: Important for conflict resolution and stress management in leadership roles.
    • Leaving AMA (Against Medical Advice): A patient's decision to leave a healthcare facility despite advice from healthcare providers.
    • Advance Directives: Communicating a patient's end-of-life wishes when they are unable to do so.
    • Nurse Licensure: State-regulated, ensuring nurses meet established standards for education and ethics.
    • Nurse Practice Act: Defines the scope of nursing practice in each state, important for nurses to understand.
    • ANA Code of Ethics: A set of ethical principles nurses must adhere to.

    Patient Care Scenarios

    • End-of-Life Care: Nurses must respect patients' wishes regarding life-prolonging treatments, including advance directives and durable power of attorney.
    • Managing Medical Errors: Reporting and documenting errors.
    • Cultural Conflicts: Nurses must be sensitive to cultural values and beliefs when caring for patients.
    • Conflict in Nursing - Interpersonal Conflict: Conflict between individuals due to misunderstandings or misinterpretations.
    • Conflict in Nursing - Interprofessional Conflict: Conflict between different professions (e.g., nurses and doctors).

    Critical Thinking and Decision-Making

    • Clinical Judgment: Nurses use critical thinking to assess situations and make decisions, prioritizing patient care.
    • Problem-solving: Leadership roles involve synthesizing data and gathering input to make informed decisions.
    • Triaging Patients: Priority setting based on urgency of patient needs.
    • Role & Purpose of Risk Management: Managing potential risks.

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    Description

    This quiz explores the fundamental ethical principles that guide nursing practice, including nonmaleficence, autonomy, and justice. It also covers patient rights and advocacy, emphasizing the importance of informed consent and respecting patients' decisions. Test your knowledge on how these principles impact nursing care.

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