Chapter 6 Flashcards Preview

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Flashcards in Chapter 6 Deck (36)
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1
Q

The right to self determination

A

Autonomy

2
Q

The duty to do good

A

Beneficence

3
Q

A person’s words or actions that indicate he/she lacks good intentions towards another

A

Betrayal

4
Q

A subdiscipline of applied ethics that studies questions surrounding biology, medicine, and the health professions

A

Bioethics

5
Q

Brief excursions from an established boundary for a therapeutic purpose

A

Boundary crossing

6
Q

A deviation from the established boundary in the healthcare provider and client relationship where the healthcare provider’s needs and the client’s needs are confused

A

Boundary violation

7
Q

Guidelines for behavior specific to a moral framework for professional practice

A

Code of ethics

8
Q

The sum total of individual and collective experience, knowledge, and good sense

A

Collective ethical wisdom

9
Q

A problem that confronts one, with a choice of solutions that seem or are equally unfavorable

A

Ethical dilemma

10
Q

The subtle, even unnoticed, slippage of ethical standards

A

Ethical erosion

11
Q

A process that obscures the ethical dimensions of a decision

A

Ethical fading

12
Q

The philosophical study of right action and wrong action, also known as morality

A

Ethics

13
Q

A recently developed moral theory based on insights of Gilligan that rejects the traditional male-centered ethics that focused on rationality, individuality, and abstract principles in favor of emotion, caring relationships, and concrete situations

A

Ethics of care

14
Q

Duty to keep one’s promise

A

Fidelity

15
Q

Supports and promotes patients’ healthcare rights and enhances community health and policy initiatives that focus on the availability, safety, and quality of care

A

Health advocacy

16
Q

the elimination of arbitrary distinctions and the establishment of a structure of practice with a proper share, balance, or equilibrium among competing claims

A

Justice

17
Q

Care at the end of life for which there is little hope of benefit

A

Medical futility

18
Q

The process in which an individual tries to determine the difference between what is right and what is wrong in a personal situation by using logic

A

Moral reasoning

19
Q

Designates the conventional beliefs of a particular society

A

Morality

20
Q

Duty to do no harm

A

Nonmaleficence

21
Q

The means of producing stronger, sustainable performance through ethical pathways consistent with the vision, mission, and values of the organization

A

Organizational integrity

22
Q

A state of wholeness and peace experienced when our goals, actions, and decisions are consistent with out most cherished values

A

Personal Integrity

23
Q

An American school of philosophy that rejects the esoteric metaphysics of traditional European academic philosophy in favor of more concrete questions and answers

A

Pragmatism

24
Q

Guideline derived from philosophical perspectives

A

Principle

25
Q

The limits of the professional relationship that allow for a safe therapeutic connection between the healthcare provider and the client

A

Professional boundary

26
Q

When a person knows what is right doesn’t want to do it

A

Rationalization

27
Q

Those choices that conform to ethical norms or principles

A

Right choices

28
Q

The degree to which one can be relied upon without surveillance by the observer

A

Trust

29
Q

The principle of utility or the greatest happiness principle

A

Utilitarianism

30
Q

Truth telling, or the duty to tell the truth

A

Veracity

31
Q

Action taking by a person who goes outside the organization for the public’s best interest when the organization is unresponsive after the danger is reported through proper organizational channels

A

Whistle-blowing

32
Q

Sources of ethical dilemmas:

A

Values, communication, diversity, legislation, nurses, patients, organizational differences

33
Q

Nurse-nurse ethical dilemmas

A
  • nurses espousing different standards of practice
  • guidelines to reporting unprofessional and unsafe behaviors
  • substance use disorders
34
Q

Nurse-patient dilemmas

A
  • decision making authority
  • pain management
  • dying process futile care
  • patient privacy
  • communication among providers
  • patient restraint
  • technology issues (alarms)
35
Q

Nurse-organization dilemmas

A
  • lack of congruency among nurse values, individual patient needs, and the demands of the organization
  • management of errors
  • staffing adequacy
  • documentation technology
36
Q

Strategies to address ethical issues:

A
  • Self-knowledge specific to ethical concepts, issues, and resolutions
  • Demonstrating moral courage
  • Clarity of one’s professional role
  • Trust building: being able to communicate openly and honestly with colleagues, patients, and families
  • Managing practice breakdown errors: disruption or absence of any of the aspects of good practice