Nursing Values Clarification

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the result of clarifying one's values?

Making a choice without considering consequences

Avoiding personal and professional values

Ignoring personal and professional values

Incorporating values into one's behavior and affirming them to others (correct)

What is the purpose of values clarification for clients?

To only consider nurses' values

To impose nurses' values on clients

To identify clients' values related to a particular health problem (correct)

To ignore clients' values

What is ethics?

The study of morality

The practices or beliefs of a certain group

The expected standards of moral behavior of a particular group

All of the above (correct)

What is bioethics?

Ethics applied to human life or health Signup and view all the answers

What is nursing ethics?

Ethical issues that occur in nursing practice Signup and view all the answers

What is morality?

Private, personal standards of what is right and wrong Signup and view all the answers

What is moral development?

The process of learning to distinguish right from wrong Signup and view all the answers

What is the significance of the American Nurses Association's Nursing: Scope and Standards of Practice publication?

It holds nurses accountable for their ethical conduct Signup and view all the answers

What is the primary purpose of a Code of Ethics for Nurses?

To inform the public about the minimum standards of the profession. Signup and view all the answers

What is a result of social and technological changes in nursing?

Exposure of new ethical problems in nursing. Signup and view all the answers

What is a potential conflict experienced by nurses?

Conflict among loyalties and obligations to clients, families, and institutions. Signup and view all the answers

What is the nurse's first loyalty according to the nursing code of ethics?

To the client. Signup and view all the answers

What is a characteristic of ethical problems in nursing?

They involve a difficult choice between actions that conflict with the needs of one or more persons. Signup and view all the answers

What is the purpose of a Code of Ethics for Nurses in relation to the public?

To provide a sign of the profession's commitment to the public it serves. Signup and view all the answers

What can be used to justify an action in making ethical decisions?

Moral principles or frameworks. Signup and view all the answers

What is a purpose of the Code of Ethics for Nurses in relation to nurses?

To remind nurses of the special responsibility they assume when caring for the sick. Signup and view all the answers

What is the primary factor guiding the decision-making process in ethical dilemmas?

A process of weighing reasons Signup and view all the answers

What is the primary purpose of the 4A's to Rise Above Moral Distress?

To implement a plan to reduce moral distress Signup and view all the answers

Which of the following is a key aspect of the Ethics IDEA Framework?

Identifying the ethical question and relevant facts Signup and view all the answers

What is the primary goal of supporting each family member in ethical decision-making?

To enhance the family support system Signup and view all the answers

Which of the following is a key strategy to enhance ethical decision-making and practice?

Becoming aware of one's own values and ethical aspects Signup and view all the answers

What is the primary reason for seeking continuing education opportunities in ethics?

To stay knowledgeable about ethical issues in nursing Signup and view all the answers

What is the primary obligation of the nurse in ethical decision-making?

To maximize the client's well-being Signup and view all the answers

What is the primary purpose of the Ethics IDEA Framework in ethical decision-making?

To guide the nurse in gathering all relevant information Signup and view all the answers

What is the primary goal of the doctrine of informed consent?

To preserve and protect individual autonomy Signup and view all the answers

What is a key aspect of the competency element of informed consent?

The client's cognition is not impaired to an extent that would interfere with decision making Signup and view all the answers

Who has the right to access a client's medical information?

The client and those involved in their medical care Signup and view all the answers

What is the primary purpose of protecting the confidentiality of client records and communications?

To maintain the trust and confidence of the client Signup and view all the answers

What type of records have additional special protection under the privacy rules?

Mental health and substance abuse records Signup and view all the answers

What is the duty of the nurse in regards to confidential patient information?

To protect the confidentiality of patient information Signup and view all the answers

What is considered individually identifiable health information?

Any health information in oral, written, or electronic form Signup and view all the answers

Who ultimately owns the information contained in a client's medical record?

The client Signup and view all the answers

Which of the following groups may be vulnerable to euthanasia?

All of the above Signup and view all the answers

What is a consequence of legislating in favor of euthanasia?

Removal of constraints on doctors' conduct Signup and view all the answers

What is the basis of a client's right to refuse treatment?

The principle of autonomy Signup and view all the answers

What is a means to ensure that a patient's wishes are followed?

Both A and B Signup and view all the answers

Why is euthanasia considered an 'in-human act'?

It goes against the natural law Signup and view all the answers

What is a concern with legislating in favor of euthanasia?

It may lead to the removal of constraints on doctors' conduct Signup and view all the answers

Who is the decision-maker when a patient is incompetent?

The patient's family Signup and view all the answers

What is a challenge to the values of healthcare providers?

Both A and B Signup and view all the answers

Study Notes

Values Clarification

Chosen beliefs are affirmed to others, incorporated into one's behavior, and repeated consistently in one's life.
Nurses need to reflect on their values about life, death, health, and illness to clarify their values.
Awareness of personal and professional values is essential to consider attitudes about specific issues.

Clarifying Client Values

Nurses need to identify clients' values as they influence and relate to a particular health problem.
The following process helps clients clarify their values:
- List alternatives
- Examine possible consequences of choices
- Choose freely
- Feel about the choice
- Affirm the choice
- Act with a pattern

Ethics

Ethics is a method of inquiry that helps people understand the morality of human behavior.
Ethics can refer to the practices or beliefs of a certain group (e.g., medical ethics, nursing ethics).
Ethics can also refer to the expected standards of moral behavior of a particular group as described in the group's formal code of professional ethics.

Bioethics and Nursing Ethics

Bioethics is ethics applied to human life or health.
Nursing ethics refers to ethical issues that occur in nursing practice.
The American Nurses Association (ANA) has updated its Nursing: Scope and Standards of Practice (2010) publication, which holds nurses accountable for their ethical conduct.

Morality and Moral Development

Morality refers to private, personal standards of what is right and wrong in conduct, character, and attitude.
Moral development is the process of learning to tell the difference between right and wrong and of learning what ought and ought not to be done.
It is a complex process that begins in childhood and continues throughout life.

Nursing Codes of Ethics

Nurses are responsible for being familiar with the code that governs their practice.
The Code of Ethics for Nurses outlines the minimum standards of the profession and helps the public understand professional nursing conduct.

Ethical Problems in Nursing

Nurses' growing awareness of ethical problems has occurred largely because of social and technologic changes and conflicting loyalties and obligations.
Ethical problems in nursing include conflicting loyalties and obligations to clients, families, primary care providers, employing institutions, and licensing bodies.

Making Ethical Decisions

A difficult choice exists between actions that conflict with the needs of one or more persons.
Moral principles or frameworks exist that can be used to provide some justification for the action.
The choice is guided by a process of weighing reasons.
The decision must be freely and consciously chosen.

Moral Distress

The nurse may feel torn between obligations to the client, the family, and the employer.
The 4A's to Rise Above Moral Distress: Ask, Affirm, Assess, Act.

Ethics IDEA Framework

I – Identify the facts and the ethical question
D – Determine the ethical principles in conflict
E – Explore your options
A – Act on your decision and evaluate

Examples of Nurses' Obligation in Ethical Decision Making

Maximize the client's well-being.
Balance the client's need for autonomy with family members' responsibilities for the client's well-being.
Support each family member and enhance the family support system.
Carry out hospital policies.
Protect other clients' well-being.
Protect the nurse's own standards of care.

Strategies to Enhance Ethical Decisions and Practice

Become aware of your own values and the ethical aspects of nursing.
Be familiar with nursing codes of ethics.
Seek continuing education opportunities to stay knowledgeable about ethical issues in nursing.

The nurse acts as a client advocate to ensure that the following three major elements of informed consent have been addressed:
- Knowledge
- Competency
- Free Will

Confidentiality and Privacy

Protecting the confidentiality of client records and communications.
The nurse has a duty to protect confidential patient information.
Protected health information is any individually identifiable health information in oral, written, or electronic form.

Euthanasia

Euthanasia fundamentally upsets the balance between doctor and patient.
It is an inhuman act that neglects the proclamation of the inviolable right to life.
It is an offense against the virtue of hope.

Refusal of Treatment

The client's right to refuse treatment is based on the principle of autonomy.
A competent patient is the decision-maker who can refuse treatment, and whose decision should be followed.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz covers the importance of values clarification in nursing, including reflecting on personal and professional values, and identifying clients' values related to health problems.