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Exam 1 continued

Terms in this set (18)

Values
-enduring beliefs or attitudes
-influence decisions and actions
-may be unspoken, taken for granted
-learned through observation and experience
value system
basic to way of life
gives direction to life and form basis of behavior
beliefs
interpretations of conclusions accepted as true
attitudes
mental positions or feelings
essential nursing values
-altruism (concern well being of others)
-autonomy (self-determination)
-human dignity (basic human worth)
-integrity (appropriate code of ethics)
-social justice (treat everyone fairly)
patient values
-nurse should never assume that client has values
-nurse should not impose personal values
-redirect question back to client and their situation
nursing ethics
-nurses have been viewed as the most honest and ethical professionals in US Gallop Polls (1999 Firefighters ranked first)
-bioethics
-ANA #7 "the RN practices ethically"
Nursing code of ethics
formal statement of ideals and values shared by members of a group
-usually higher standard than legal standard
-reflects common moral judgment over time
-serves as standard for professional actions
moral principles
-statements about broad, general, philosophical concepts
-can serve as basis for ethical decision
-autonomy
-nonmaleficence
-beneficence
-justice
-fidelity (staying true)
-veracity (telling truth)
Ethical problems in nursing
-societal and technological changes
-conflicting loyalties and obligations
Ethical Decision Making
good decision is one that is in the client's best interest and preserves the integrity of all involved
moral distress
what may be in the client's best interest may be contrary to nurse's personal belief system.
-serious issue in the workplace
AIDS Ethical Issues
the moral obligation to care for an HIV-infected client cannot be set aside unless the risk exceeds the responsibility
active euthanasia
involves actions to bring about the client's death directly, with or without client consent.
-variation is assisted suicide-giving client means to kill themselves
Passive euthanasia
withdrawing or withholding life-sustaining therapy
ex: removing ventilator or withholding special attempts to revive a client
Advocate
-someone who expresses and defends the cause of another
-protects client's rights
-informs client about their rights
-provides information needed to make informed decision
-supports client's decision
-remains objective
-accepts and respects client's right to decide
Licensure of registered professional nurses is required primarily to protect:
1. nurses
2. patients
3. common law
4. health-care agencies
2. patients
when the nurse is administering a medication to a confused patient, the patient says, "this pill looks different from the one i had before." What should the nurse do?
1. ask what the other pill looked like
2. check the original medication order
3. explain the purpose of the medication
4. encourage the patient to take the medication
2. check the original medication order
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