Questions and Answers
What does the concept of accountability refer to?
What is the primary focus of the utilitarian approach to ethics?
What is casuistry?
What is the primary basis for moral behavior in feminist ethics?
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What is the main goal of ethics committees?
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What is an example of an ethical dilemma?
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What is moral distress?
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What is the primary focus of ethics of care?
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What is the primary goal of patient education?
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What is the last step in processing an ethical problem?
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What is the purpose of the 'teach-back' method in patient education?
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What are the three domains of learning?
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What is the purpose of the ACCESS model in patient education?
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What is the stage of coping with impaired functions in patient education?
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What is the purpose of feedback in patient education?
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What are the three stages of health that patient education aims to promote?
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According to the acceptance stage, what does a patient do?
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What is a characteristic of a Magnet certified hospital?
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What is the primary role of an RN in patient care?
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What is the main goal of case management?
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What is shared governance in healthcare organizations?
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What is the primary focus of patient-and-family-centered care?
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What is a key feature of a Magnet certified hospital's practice environment?
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What is the ultimate goal of the nursing team in patient care?
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What is the main purpose of therapeutic communication techniques?
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What does culture influence in communication?
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What is the significance of nontherapeutic techniques?
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What should you consider when adapting your communication techniques?
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What is the primary goal of interprofessional collaboration among nurses and healthcare providers?
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How can you evaluate the success of a patient's plan of care?
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What is the outcome of critical thinking and decision making in clinical judgment?
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What should you do if a patient's expected outcomes are not met?
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What is the purpose of interprofessional rounding?
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Who is responsible for making clinical decisions?
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What is the result of a head-to-toe assessment?
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What does reflection involve in clinical judgment?
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What is autonomy in patient care?
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What is authority in patient care?
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Study Notes
Ethics in Healthcare
- Accountability refers to answering for one's own actions.
- Confidentiality involves respecting patient privacy.
- Values are deeply held beliefs that affect choices and behaviors, and can change over time due to cultural and social influences.
Approaches to Ethics
- Deontology is based on a "duty" to do what's right simply because it's right, adhering to rules and principles such as fidelity to promises, truthfulness, and justice.
- Utilitarianism focuses on outcomes, aiming for the greater good and best outcomes.
- Casuistry involves bending policies to justify preferred outcomes using one's own facts.
- Feminist ethics emphasize natural caring for others as the basis for moral behavior, focusing on emotions and relationships.
- Ethics of care focus on understanding relationships, personal narratives, and context in which ethical problems arise, with patient advocacy as a top priority.
Ethical Problems
- Ethical dilemma: lying to people, even if it's a white lie.
- Moral distress: being forced to take a specific action that goes against one's beliefs.
Ethics Committee
- An ethics committee is devoted to teaching and processing ethical issues and dilemmas, involving individuals from different disciplines and backgrounds.
Processing an Ethical Problem
- 7 steps: Ask, Gather, Identify problem, Name problem, Possible Action, Take action, Evaluate the plan.
Patient Education
- Goal: help individuals, families, or communities achieve optimal levels of health.
- Education plan starts from day one, focusing on maintenance and promotion of health, restoration of health, and coping with impaired functions.
Effective Communication
- Involves feedback from sender and receiver.
- Effective educator delivers instruction and evaluates success of teaching plan by gaining feedback from receiver.
Domains of Learning
- Cognitive learning: understanding, with 6 levels of understanding (Bloom's taxonomy).
- Affective learning: attitudes.
- Psychomotor learning: motor skills.
Cultural Factors in Patient Education
- ACCESS helps focus on cultural factors influencing patient education outcomes.
Patient-Centered Care
- Four core concepts: respect for patients' values, coordination of care, information sharing, and emotional support.
Case Management
- Coordinates and links health care services across all levels of care for patients and their families, streamlining costs and maintaining quality.
Decision Making
- Shared governance: decentralized structure, allowing decisions to be made at staff level.
- Responsibility: duties and activities employed to perform.
- Autonomy: making independent decisions about patient care.
- Authority: legal ability to perform tasks, assign tasks, and follow up.
- Accountability: assuming responsibility for outcomes of actions, clinical judgments, and omissions.
- Staff involvement: all staff members actively participate in activities.
Interprofessional Collaboration
- Involves collaboration among nurses and health care providers, with a goal of delivering quality, safe patient care and creating a positive work culture.
Critical Thinking and Clinical Judgment
- Clinical judgment is the observed outcome of critical thinking and decision making.
- Clinical decision making: technicians or other assistive personnel cannot make or take immediate action.
Therapeutic Communication
- Techniques encourage the expression of feelings and ideas, conveying acceptance and respect.
- Nontherapeutic techniques discourage further expression of feelings and ideas, leading to negative responses or behaviors.
Sociocultural Considerations
- Culture influences thinking, feeling, behaving, and communicating.
- Speech and language considerations should be adapted based on patient needs.
Patient Outcomes
- Evaluate patient outcomes, identifying factors that influenced outcomes and modifying the plan of care accordingly.
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Description
This quiz covers key concepts in healthcare ethics, including accountability, confidentiality, and values. It also touches on resolving ethical conflicts by distinguishing between values, facts, and opinions.