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Questions and Answers
What is the primary ethical obligation of professional nurses?
What is the primary ethical obligation of professional nurses?
What is considered a major ethical issue confronting critical care nurses?
What is considered a major ethical issue confronting critical care nurses?
What does bioethics refer to in healthcare?
What does bioethics refer to in healthcare?
Which of the following describes ethical dilemmas?
Which of the following describes ethical dilemmas?
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What role does a code of ethics serve in nursing?
What role does a code of ethics serve in nursing?
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What ethical issue relates to the distribution of healthcare resources?
What ethical issue relates to the distribution of healthcare resources?
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Which of the following is NOT typically an ethical dilemma faced by critical care nurses?
Which of the following is NOT typically an ethical dilemma faced by critical care nurses?
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Which practice illustrates ethical decision making in nursing?
Which practice illustrates ethical decision making in nursing?
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What is the first step in ethical decision making?
What is the first step in ethical decision making?
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Which ethical principle relates to the right of self-determination concerning medical care?
Which ethical principle relates to the right of self-determination concerning medical care?
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What does nonmaleficence primarily emphasize?
What does nonmaleficence primarily emphasize?
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Which of the following is NOT an element of informed consent?
Which of the following is NOT an element of informed consent?
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What is considered negligence in nursing practice?
What is considered negligence in nursing practice?
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Which ethical principle focuses on truthfulness?
Which ethical principle focuses on truthfulness?
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What aspect does justice focus on in healthcare?
What aspect does justice focus on in healthcare?
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What is a possible consequence of failing to obtain informed consent?
What is a possible consequence of failing to obtain informed consent?
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Study Notes
Introduction to Ethics
- Critical care nurses face ethical and legal dilemmas related to procedures such as informed consent.
- Ethical dilemmas are often by-products of advanced medical technologies.
- Ethics defines what is right or wrong.
- Bioethics involves using ethics to solve healthcare problems.
- Making ethical decisions requires aligning choices with ethical principles.
- A code of ethics acts as a guide for individuals and groups to make decisions regarding ethical issues.
Ethical Issues/ Dilemmas
- Ethical dilemmas arise when there are conflicting moral claims that we either do not know how to resolve, do not agree on how to resolve, or cannot find a satisfactory resolution.
- Critical care nurses face ethical issues regarding informed consent, confidentiality, withholding or withdrawing treatment, organ and tissue transplantation, and resource allocation in healthcare.
Ethical Decision Making
- Ethical dilemmas threaten patients' rights.
- The primary ethical obligation of professional nurses is to protect their patients' basic rights.
- Ethical decision making involves determining right from wrong in situations where clear distinction is not readily available.
- Ethical Decision Making Steps:
- State the dilemma
- Collect, analyze, and interpret the data
- Consider choices of action
- Analyze advantages and disadvantages
- Make the decision
Ethical Principles
- Autonomy: The right of self-determination concerning medical care.
- Beneficence: The obligation to do good for the patient.
- Nonmaleficence: The obligation to not intentionally harm.
- Justice: The fair distribution of healthcare resources.
- Veracity: The truthfulness, the patient's right to know.
- Confidentiality: Respect for the patient's right to control their information.
Legal Accountability in Nursing
- Nurses in critical care have legal responsibilities to patients.
- Nurses should stay aware of evolving case law and judicial trends to prevent negligence and malpractice.
- Negligence is the failure of a person to act in a reasonable manner.
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Elements of a Malpractice Claim:
- The nurse had a specific professional duty to the patient.
- The nurse did not carry out his or her duty.
- The nurse caused injury to the patient
- The patient's injury resulted from the nurse's negligent action.
- Informed consent is based on the principle that competent adults have the right to self-determination, enabling them to decide whether to accept or reject medical treatment.
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Elements of Informed Consent:
- Capacity: The individual's ability to understand information regarding a proposed medical intervention.
- Voluntariness: Ensures that consent is given without coercion.
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Information: Includes:
- Diagnosis of the patient's health problem and condition
- Nature, duration, and purpose of the proposed treatment or procedure
- Probable outcome of any medical or nursing intervention
- Benefits of medical or nursing intervention
- Potential risks that are generally considered hazardous or common
- Alternative treatments and their feasibility
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Description
This quiz explores the ethical and legal dilemmas faced by critical care nurses, focusing on issues such as informed consent and resource allocation. It delves into bioethics, ethical decision-making, and the importance of a code of ethics as a guide in resolving conflicts. Test your knowledge on how ethics intersect with medical technologies and patient rights.