Shared Flashcard Set

Details

Med/surg--chap3
Critical thinking, ethical decision making
38
Nursing
Undergraduate 2
08/30/2011

Additional Nursing Flashcards

 


 

Cards

Term
Nursing process
Definition
a deliberate problem-solving approach for meeting people's health care and nursing needs.
Term
Nursing process has 5 steps:
Definition

Assessment

Diagnosis

Planning

Implementation

Evaluation

Term
______ data are gathers through the health history and the physical assessment.
Definition
Assessment
Term
The ___is conducted to determine a person's state of wellness or illness and is best accomplished as part of a planned interview.
Definition
Health History
Term
_____is a personal dialogue between a patient and a nurse that is conducted to obtain.
Definition
Interview
Term
The purpose of the ____ (which can be done before, after, or during after health history) is to identify those aspects of a patient's physical, psychological, and emotional state that indicate a need for nursing care.
Definition
Physical Assessment
Term
Critical Thinking
Definition
___ a discriminating process of producing ideas, opinions, or judgement, underlies independent decision making. It includes questioning, analysis, synthesis, interpretation, inference, inductive and deductive reasoning, intuition, application, and creativity.
Term
Communication
Definition
___ a complex, ongoing, interactive process of exchanging information, forms the basis for building relationships. It includes listening, as wel as oral, non verbal, and written skills and the use of emerging technologies.
Term
Clinical Judgement
Definition
___ the interaction of knowledge, skills and attitudes, is essential for the nurse to function as a member of the interdisciplinary team in a complex constantly changing health care environment. It uses critical reasoning, EBP, and holistic approach to patient centered care.
Term
Collaboration
Definition
___ defined as active engagement of nursing students in regional and global health care concerns, creation of a climate of diversity of culture and opinion that recognizes the importance of inclusion of differing points of view.
Term
Characteristics of critical thinking:
Definition

systematic

organized

conscious

outcome oriented

Term
Critical-thinking skills:
Definition

Interpretation

Analysis

Evaluation

Inference

Explanation

Self-regulation

Term
Nurses must use ___ to plan, provide nursing care. It goes beyond basic problem solving--it is a center of process of clinical reasoning, clinical judgment.
Definition
Critical thinking
Term
How to become a critically thinking nurse:
Definition

Novice to expet concept

Study habits

Multiple views

Research

Attentive

Group Effect (no isolation)

Ask Questions (after hmwrk completed)

Flexibility

Term
Basic Ethical principles:
Definition
Autonomy    beneficence     confidentiality    fidelity    double effect     justice      nonmaleficence    paternalism     respect for persons      sanctity of life     veracity
Term
Evaluation
Definition
determination of the patient's responses to the nursing interventions and the extent to which the outcomes have been achieved
Term
Implementation
Definition
actualization or carrying out of the plan of care through nursing interventions
Term
moral dilemma
Definition
situation in which a clear conflict exists between two or more moral principles or competing moral claims
Term
moral problem
Definition
competing moral claim or principle; one claim or principle is clearly dominant
Term
moral uncertainty
Definition
conflict that arises within a person when he or she cannot accurately define what the moral situation is or what moral principles apply but has a strong feeeling that something is not right
Term
morality
Definition
the adherence to informal personal values
Term
Nursing diagnoses
Definition
actual or potential health problems that can be managed by independent nursing interventions
Term
nursing process
Definition
a deliberate problem-solving approach for meeting people's health care and nursing needs.
Term
planning
Definition
development of goals and outcomes, as well as a plan of care designed to assist the patient in resolving the diagnosed problems and achieving the identified goals and desired outcomes.
Term

This is an example of what?

 

A nurse wishes to be truthful with patient but family, physician wishing to spare patient distress prohibit informing patient about his condition.

Definition
Ethical dilemma
Term
Autonomy
Definition
Self-rule; individual rights, privacy, and choice
Term
Beneficence
Definition
duty to do good and the active promotion of benevolent acts (eg. goodness, kindness, charity).
Term
Confidentiality
Definition
the concept of privacy, information obtained from an individual will not be disclosed to another unless it will benefit the person.
Term
Double Effect
Definition

A principle tha may morally justify some actions that produce both good and evil effects. A 4 criteria must be fulfilled:

1) action itself is good/morally neutral

2) agent sincerely intends the good (evil effect may be foreseen but is not intended)

3) good effect is not achieved by means of the evil effect

4) proportionate or favorable balance of good over evil

Term
Fidelity
Definition
a promise kept; the duty to be faithful to one's commitments.
Term
Justice
Definition
that like cases should be treated alike
Term
Nonmaleficence
Definition
the duty not to inflict harm as well as to prevent and remove harm
Term
Paternalism
Definition
the intentional limitation of another's autonomy, justified by an appeal to beneficence or the welfare or needs of another.
Term
Respect for persons
Definition
synonymously wiht autonomy, however, it goes beyond accepting the notion or attitude that people have autnomous choices, to treating others in such a way that enables them to make choices
Term
Sanctity of life
Definition
the perspective that life is the highest good. Therefor, all forms of life, including mere biologic existence, should take precedenc over external crieteria for judging quality of life.
Term
Veracity
Definition
the obligaiton to tell the truth and not to lie or deceive others.
Term
Ethical Analysis Steps:
Definition

-Assess ethical/moral situations of problem

-collect information

-List alternatives; compare alternatives with applicable ethical principles, professional code of ethics

-decide, evlauate decision

Supporting users have an ad free experience!