1. What is this term: begins in childhood, shaped by experiences in the family unit
  2. Culture refers to these 4 things (slide 9).
    • Attitudes
    • Values
    • Goals
    • Practices
  3. Match: Deontology

  4. Match: Utilitarianism

  5. Match: Feminist Ethics

  6. Match: Ethics of Care

  7. Match: Commitment to include patients in decisions

  8. Match: Taking positive actions to help otehrs

  9. Match: Avoidance of harm or hurt

  10. Match: Being fair

    a. Autonomy
    b. Beneficence
    c. Nonmaleficence
    d. Justice
    e. Fidelity
  11. Match: Agreement to keep promises, continuing loyalty and support

  12. Fill in: In nursing, ethical dilemmas almost occur in the presence of __a__. To resolve this, it's important to distinguish between __b__, __b__, and __b__.
    • a. conflicting values
    • b. values, facts, and opinion
  13. Nursing Code of Ethics are a set of guiding principles that all members in nursing accept. It includes these 4 things:
    • Advocacy
    • Responsibility
    • Accountability
    • Confidentiality
  14. 94% of respondents in a survey admitted to being affected by lateral violence. List the top 4 things that would be considered lateral violence.
    • 1. Bickering amongst staff (43%)
    • 2. Backstabbing (36%)
    • 3. Scapegoating (6%)
    • 4. Sabotage (3%)

    Others: micromanaging, second guessing, inappropriate tx by senior staff
  15. There are 3 labor unions in California that represent nurses. What are they?
    • 1. State Employees International Union (SEIU)
    • 2. United Nurses of CA (UAN)
    • 3. CA Nurses Association (CNA)
  16. What are the 3 criteria for a problem to be an Ethical Dilemma?
    • Awareness of options
    • Moral nature to the dilemma
    • Two or more options with true choice
  17. What is this term: An act of discovery in which "collective wisdom" guides a group to the best possible decision.
    Consensus building
  18. What is the name of the person who came up with the Four Square Model? 
    What are the 4 things in the model?
    • Jonsen:
    • 1. Medical Indications
    • 2. Quality of Life
    • 3. Patient Preferences
    • 4. Contextual Features (Principles of Loyalty and Fairness)
  19. In Jonsen's Four Square Model, which of the four do these questions refer to: What is the patient's medical problem? What are goals of tx? Probability of success? How can pt. benefit and avoid harm?

    B. Beneficience / Nonmaleficience
  20. In Jonsen's Four Square Model, which of the four models do these questions refer to: What are the prospects with or without tx for a return to baseline? What deficiencies will pt. likely to experience if tx is successful? 

  21. In Jonsen's Four Square Model, which of the 4 models do these questions refer to: Is the pt. mentally capable and legally competent? Has pt. been informed of risks and benefits? Consent given?

    A. Autonomy
  22. In Jonsen's four square model, which of the four models do these questions refer to: Are there family issues that may influence tx decisions? Or financial and economic factors? Is there conflict of interests? Any religious or cultural factors?

    B. Principles of Loyalty and Fairness
  23. What are the 3 benefits that can arise from an ethical care conference?
    • 1. Brings together all parties of interest to improve communication (patient, family, medical staff)
    • 2. Presents all aspects (ethical, legal, religious,etc.) in a neutral setting.
    • 3. Utilizes the knowledge of the community in the conference
  24. List 5 indications for an ethical care conference
    • 1. Pt lacks decision-making capacity
    • 2. Complex medical care, including multiple organ failure
    • 3. Pt. and/or family has difficulty coping with medical-decision making
    • 4. Moral value issues 
    • 5. Professional moral distress (compromising of professional integrity)
  25. List the 5 opening comments of a Care Conference
    • 1. Purpose
    • 2. Medical decisions
    • 3. Individual opinions
    • 4. Ethical expertise
    • 5. Confidentiality
  26. List in order of who may speak first in a care conference

    Spiritual Care staff
    Primary Physicians
    patient or patient support group
    Nursing staff
    Support Therapist
    • 1. Patient or patient support group
    • 2. Primary physicians
    • 3. Nursing staff
    • 4. Support therapists
    • 5. Spiritual care staff
  27. List the 5 key points to cover in a care conference
    • 1. Review clinical facts
    • 2. ID issues in tx options
    • 3.k ID personal feelings of the participants
    • 4. Discuss all possible solutions and tx options
    • 5. Facilitate ethical decision-making process
  28. A conviction or act that is considered to be a failure to meet qualifications, functions or duties of a RN to a substantial degree is a failure to meet:

  29. Assaulting or abusive conduct, like applying restraints without orders, is in violation of this:

    C. Failure of Nonmaleficence and autonomy
  30. Failure to comply with any mandatory reporting requirements violates this:

    C. Failure of veracity, fidelity, confidentiality
  31. Can't act according to their own beliefs is called this
    Moral Distress
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