Nursing Ethics Chapter 6
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Questions and Answers

What is ethics?

  • Not applicable to nursing practice except on a personal level.
  • A minimum standard that is written and enforced.
  • The worth assigned to an idea or action.
  • A system of standards or moral principles that define actions as being right or wrong. (correct)
  • What is patient abandonment?

  • Only applicable if the health care professional leaves the building where the patient is housed.
  • A legal matter concerned with refusing to care for a patient.
  • A professional practice matter.
  • Grounds for termination of employment. (correct)
  • The study of nursing was originally?

  • Disease-oriented. (correct)
  • Focused on the psychosocial needs of the patient.
  • Only offered to those of a higher social status.
  • Only offered through religious institutions.
  • What is beneficent paternalism?

    <p>A focus on patient care that involves the input of the patient above all others.</p> Signup and view all the answers

    What is the primary function of ethics committees?

    <p>Typically composed of many disciplines involved in health care.</p> Signup and view all the answers

    What best defines the term values?

    <p>A person's unchanging beliefs regarding right or wrong.</p> Signup and view all the answers

    Nursing ethics are?

    <p>Values and ethical principles that govern nursing practice, conduct, and relationships.</p> Signup and view all the answers

    The Western secular belief system focuses on?

    <p>Individual autonomy and rights.</p> Signup and view all the answers

    What does nonmaleficence mean?

    <p>First do no harm.</p> Signup and view all the answers

    Colleague reporting involves reporting?

    <p>Fellow nurses who are tardy.</p> Signup and view all the answers

    Which statement would the nurse disregard when considering the personal code of ethics applied to nursing?

    <p>A nurse may refuse to give postabortion care to a woman if ethically opposed to abortion.</p> Signup and view all the answers

    Which measure is included in the nursing standards of practice?

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

    Which ethical principle is being implemented when the nurse checks the temperature of formula before feeding an infant patient?

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

    Which ethical principle is demonstrated when a nurse gives the wrong medication to a patient and reports it immediately to the supervisor?

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

    Which ethical principle is demonstrated when an older adult patient agrees to colon surgery for cancer after having discussed all aspects of the surgery, risks, and benefits with the surgeon?

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

    Which ethical principle is breached when a nurse discusses a patient by name at home with a family member?

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

    Which ethical principle is being breached when a nurse provides less time to a patient with AIDS because of personal beliefs about the disease?

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

    Which example justifies beneficent paternalism?

    <p>A physician asks the court for permission to perform a potentially lifesaving procedure for a child because the parents have refused to sign an authorized treatment form.</p> Signup and view all the answers

    Which of the following does not include ethical codes for LPNs?

    <p>Hospital medical ethics committees</p> Signup and view all the answers

    Which example would illustrate how ethics has changed for nursing?

    <p>A patient asks the nurse to keep the patient's addiction a secret even though the patient is taking prescribed drugs that could interact with alcohol. The nurse makes a decision based on ethical and legal knowledge.</p> Signup and view all the answers

    Both morals and ethics are concerned with dealing with right or wrong behavior and character.

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

    Define ethics.

    <p>A system of standards or moral principles that direct actions as being right or wrong.</p> Signup and view all the answers

    Define morals.

    <p>Dealing with right or wrong behavior/character.</p> Signup and view all the answers

    Define values.

    <p>The worth you assign to an idea or action, affected by age, experience, maturity, and freely chosen.</p> Signup and view all the answers

    Define law.

    <p>Minimum ethic that's written and enforced.</p> Signup and view all the answers

    Define nursing ethics.

    <p>Values and ethical principles governing nursing practice, conduct, and relationships.</p> Signup and view all the answers

    Define professional ethics.

    <p>Principles a person must adhere to in respect of their interactions and business dealings in their professional life.</p> Signup and view all the answers

    Define personal ethics.

    <p>Principles a person identifies with regarding people and situations they deal with in everyday life.</p> Signup and view all the answers

    Nursing education was originally disease-oriented, but now patients are encouraged to be active in planning their care.

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

    List the principles of ethics.

    <p>Autonomy, nonmaleficence, beneficence, justice, fidelity.</p> Signup and view all the answers

    Define nonmaleficence.

    <p>Do no harm.</p> Signup and view all the answers

    Define autonomy.

    <p>Free to choose.</p> Signup and view all the answers

    Define beneficence.

    <p>Do good.</p> Signup and view all the answers

    Define fidelity.

    <p>Be true.</p> Signup and view all the answers

    Define justice.

    <p>Fair to all.</p> Signup and view all the answers

    Define beneficent paternalism.

    <p>Disrespectful attitude toward patients and what they have to contribute to care.</p> Signup and view all the answers

    Define ethics committees.

    <p>A multidisciplinary team that assists with ethical decisions.</p> Signup and view all the answers

    Define the western secular belief system.

    <p>Autonomy, consent to care, choose between treatments, consent/refuse treatment.</p> Signup and view all the answers

    What is the responsibility of nurses?

    <p>Patient advocacy, accountability, safety reporting.</p> Signup and view all the answers

    Study Notes

    Definition of Ethics

    • Ethics is a system of standards or moral principles that define actions as right or wrong.

    Patient Abandonment

    • Considered grounds for termination of employment, it involves refusing to care for a patient.

    Historical Focus of Nursing

    • The study of nursing was originally disease-oriented, emphasizing illness rather than holistic care.

    Beneficent Paternalism

    • Involves a focus on patient care that emphasizes patient input and collaboration in health care decisions.

    Ethics Committees

    • Composed of various healthcare disciplines, these committees assist in resolving moral questions in medical settings.

    Understanding Values

    • Values are unchanging beliefs regarding what is right or wrong and are influenced by experience, age, and maturity.

    Nursing Ethics

    • Govern nursing practice, conduct, and relationships through established values and ethical principles.

    Western Secular Belief System

    • Emphasizes individual autonomy and rights, significantly influencing healthcare delivery.

    Nonmaleficence Principle

    • Defined as "first do no harm," guiding nurses to prevent harm in patient care.

    Colleague Reporting

    • Involves reporting fellow nurses for unsafe behaviors, ensuring patient safety and maintaining professional standards.

    Personal Code of Ethics

    • Nurses may refuse to participate in procedures such as abortion if ethically opposed, but must be cautious to avoid legal issues like patient abandonment.

    Nursing Standards of Practice

    • Include accountability as a fundamental measure, ensuring nurses uphold professional responsibilities.

    Ethical Principles in Nursing

    • Nonmaleficence: Do no harm.
    • Beneficence: Act in the best interest of the patient.
    • Autonomy: Respect patient choices and decisions.
    • Fidelity: Maintain honesty and the patient's best interest.
    • Justice: Provide fair and equal treatment to all patients.

    Breaching Ethical Principles

    • Discussing a patient by name outside of professional settings breaches fidelity and patient privacy.

    Justice in Patient Care

    • Allocating care based on beliefs about a patient's condition may breach the principle of justice, as it promotes biases.

    Ethical Evolution in Nursing

    • Ethical standards have shifted, acknowledging the importance of patient autonomy and informed decision-making in care.

    Codes of Ethics for LPNs

    • Organizations like NAPNES and NFLPN provide ethical guidelines, while hospital medical ethics committees do not.

    Understanding Ethics vs. Morals

    • Both morals and ethics revolve around concepts of right and wrong behavior and character, highlighting their interconnected nature.

    Nursing Education Evolution

    • Initially disease-oriented, contemporary nursing encourages patient participation in care planning and decision-making.

    Core Ethical Principles

    • Autonomy, nonmaleficence, beneficence, justice, and fidelity shape the ethical landscape of nursing practice.

    Responsibilities of Nurses

    • Include patient advocacy, accountability, and the obligation to report unsafe practices, ensuring safety in healthcare environments.

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    Explore the complexities of ethics in nursing practice through this flashcard quiz. Focus on the distinction between personal and professional ethics, and test your knowledge of moral principles that guide nursing actions. Ideal for nursing students and healthcare professionals.

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