| Term | Definition |
|---|
| Ethics | rightness of conduct, what ought to be, serves as framework |
| autonomy | independence, your own personal freedom, right to choose treatment or not |
| beneficience | ethical principle that you as a nurse are promoting for a clinet, like giving them pain meds before PT |
| non-maleficence | to do no harm to a client above all, so you don't give an IV because it will hurt, ultimately, the patient decides |
| veracity | telling the truth above all |
| fidelity | keeping your commitment, come right back if you say you'll be right back |
| ethical principal of respect & trust | regardless of your own beliefs, you trust that your client knows what is best for them personally |
| ANA code of ethics includes values, integrity, social reform, as well as: | human dignity, commitment to the patient, health safety & rights of a patient, coolaboration to promote health |
| advancement of the profession, responsible for practice/delegation | are some of the ANA code of ethics, as well as: personal & professional growth, influence practice environment |
| nursing practice act | defines standards for nursing, protect public health & safety, welfare, protection from unqualified nurses |
| patient's self determination act | basis for advance directives, knowing you have a right to execute your advanced directive |
| patient's bill of rights | statement of the rights to which patients are entitled as recipients of medical care |
| life & death, right to know are examples of contemporary ethical issues, as well as: | research, privacy & confidentiality |
| nursing standards of practice | standards governing what you can & cannot do as a nurse |
| ethical responsibility of a nurse | advocacy - protect & support the patient rights |
| accountability - you'll be held accountable for all actions you perform, nursing practice standards | ethical responsibility of a nurse |
| 1953 Louise McManas (the 1st nurse to earn a PHD) established the need for research application in nursing & wrote about: | the need for nurses to think analytically. |
| Why is the process of critical thinking continual? | You make one decision which causes something then you have to critically think about THAT. |
| Not lying when you don't know the answer is an example of which "habit of the mind" for critical thinking? | intellectual integrity |
| Getting the details per situation, getting all the factors is an example of which "habit of the mind" for critical thinking? | contextual perspective |
| Nurses need to be critical thinkers because: | complexity of problems that will be faced |
| how to use strategies to maximize their potential | In nursing, using "think A-B-Cs" (airway, breathing, circulation) is strategy to make you think critically. It is an example of this critical thinking skill: |
| Using the critical thinking skill, reflection or pondering, avoids: | jumping to conclusions |
| Due to research, using the bladder scan, a non-invasive way to measure whether or not there is anything in the bladder, this is an example of: | evidenced based practice (EBP) |
| Process of evidenced based practice (mnemonic - I Saw A Indian Eating) | Identify problem, Search for best evidence, Appraise the evidence, Integrate it w/clinical expertise & patient preference, Evaluate the decision |
| Evidence based practice | Evidence exists that shows doing something specific works. |
| The nursing process directs care & communication, creates a record that can be used for research, and documentation of: | healthcare needs for insurance purposes |
| 5 columns to the care plan: | problem, goal, interventions, rationale, evaluation |
| There are usually how many AEB in a nursing diagnosis? | 1-3 |
| Which of the 5 columns in a care plan is your nursing diagnosis? | problem |
| For each intervention in a careplan, you have a: | rationale |
| There are typically 1-3 Why's in a careplan these "why's" are referred to as: | R/T (related to) |
| HIPAA, privacy act to protect patients, stands for: | Health Insurance Portability and Accountability Act |
| What is the major purpose of the privacy rule? | define and limit the circumstances when an individual's protected health information is used or disclosed. (regulate the exchange of electronic information and protect patient confidentiality) |
| PHI stands for Protected Health Information. What exactly is "protected health information"? | Anything at all that can identify a patient |
| PHI is an attempt to: | It is an attempt to allow the sharing of pertinent health information while protecting our patients. |
| How does PHI benefit providers? | Minimizes potential for civil and/or criminal penalties and fines |
| Incidental Use and Disclosure of PHI: | Permissible is a bedside conversation overheard by patient's family or the patient in the next bed...but you don't discuss things in an elevator or something |
| I/O indicators; I/O stands for Intake & Output. Here are some intake & output indicators: | weight, skin turgor, edema, venous filling, tongue, eyeballs, lungs, BP, pulse |
| These are advanced directives: | Living Will, Durable power of attorney |
| Living Will: | Medical treatments, etc., that a person wants if they become ill. |
| Durable Power of Attorney: | The individual that is appointed to make decisions if that person is unable to themselves |
| Ethics is concerned with motives and attitudes and: | the relationship of these attitudes to the good of the individual |
| Paternalism | Acting in what is determined to be someone else's best interest either without seeking the individuals input or ignoring his or her stated preferences |
| accredidation institution nationwide for all acute care settings, they created the "dirty dozen" dangerous abbreviations: | JCAHO |
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