Term
|
Definition
| Study what right & wrong related human conduct. What right & what wrong varies depending individual, society, & situation. |
|
|
Term
|
Definition
| One’s private & personal standards what right & wrong regarding conduct, character, & attitude. |
|
|
Term
|
Definition
| do good, do no harm, public trust |
|
|
Term
|
Definition
| Accept being cause action. Condition being accountable your actions. |
|
|
Term
|
Definition
| accept consequences action |
|
|
Term
|
Definition
| one’s right make own decisions |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| faith agreements or promises |
|
|
Term
|
Definition
| telling truth & maintaining trustworthiness |
|
|
Term
|
Definition
| typically “gray” & subjective |
|
|
Term
|
Definition
|
|
Term
|
Definition
| conflict/ opposition between personal values, moral principals, laws, personal & professional obligations, rights individual, society rights |
|
|
Term
| Current ethical dilemmas? |
|
Definition
| reproductive issues, birth control, abortion, alternative fertilization, genetic issues, stem cell research, organ transplants, death (removal life support, euthanasia, advanced directives) |
|
|
Term
| Ethical decision-making process? |
|
Definition
| collect facts, describe situation, describe dilemma, sort information, list all possible courses actions, make decision |
|
|
Term
| Ethical decision-making guidelines? |
|
Definition
| collect facts, what would happen everyone behaved this way?, discuss concerns with authority, examine your motivation |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Done voluntarily & without payment. Protect people from prosecution who voluntarily render aid others emergency. |
|
|
Term
|
Definition
| Based violation Nurse Practice Act (patient injury not prerequisite & results disciplinary action board). Nursing licenses can suspended/revoked. |
|
|
Term
|
Definition
| based malpractice definition (breach duty caused injury & results damages paid victim) |
|
|
Term
|
Definition
| neglect physician/nurse apply education & skills caring patient other physicians/nurses customarily apply caring similar patients similar circumstances; failing perform your duties any reasonable/prudent nurse done same situation |
|
|
Term
|
Definition
| act atrocious human life endangered/lost |
|
|
Term
|
Definition
| physical/ verbal restraint without consent patient/appropriate authority; confining/restricting patient against will except situations specified law |
|
|
Term
| Confidentiality & relationship HIPPA? |
|
Definition
| HIPPA regulations require medical information kept confidential |
|
|
Term
|
Definition
| making false/malicious (intentionally harmful) statements someone may harm another person’s character/ reputation |
|
|
Term
|
Definition
| fundamental right patients right make own decisions regarding their own health care; patients can accept or reject health care; patient who accepts health care said give consent; consent legal, must both voluntary (freely given) & informed (patient clearly understands alternatives) |
|
|
Term
|
Definition
| threat touch without permission |
|
|
Term
|
Definition
| touching another person without permission |
|
|
Term
|
Definition
| intentional deception prevent person receiving what lawfully his/hers |
|
|
Term
|
Definition
| legal obligation person make good loss/damage something which responsible |
|
|
Term
| Informed consent violated? |
|
Definition
| NOT allowing patient right make own decision, accept/reject health care, freely give consent & informed, withdraw/ refuse treatment, keep patient informed/ ask permission, children under 18 given parent/legal guardian, legal guardian mentally incompetent client, obtain prior pre-op surgery procedures, inform client procedure |
|
|
Term
| Policies/procedures important health care facility? |
|
Definition
| identify acceptable standards care & cover wide range topics from safety to specific nursing procedures; employers develop avoid legal problems, state action expected specific situations |
|
|
Term
|
Definition
| how handle? Tell them what you can do, work meet their needs, educate, don’t promise what can’t deliver |
|
|
Term
|
Definition
| doesn’t follow advice, doesn’t take responsibility own treatment, blames others bad outcome; document what you told them & details about behavior |
|
|
Term
| Common reasons malpractice claims? |
|
Definition
| FAILURE evaluate/assess, identify/assure safety, recognize significant change, document/report symptoms, follow up, administer/document medication correctly, plan care based protocols/policies, implement plan care, educate/respond/communicate/document, act advocate, inappropriate/incomplete medical/discharge orders, impaired nursing, neglect |
|
|
Term
| Decrease risk being named malpractice claim? |
|
Definition
| work within scope practice, only accept assignment which qualified, delegate & supervise, continue educational training, report any errors supervisor appropriate action taken |
|
|
Term
| Characteristics appropriate documentation? |
|
Definition
| factual, to point, accurate, legible, relate plan treatment, approved abbreviations, approved chart corrections |
|
|
Term
|
Definition
| right task, right circumstance, right person, right direction/communication, right supervision |
|
|
Term
| Legal responsibility regarding delegation? |
|
Definition
| Nurses delegate tasks appropriate skill & education level health care provider who receiving assignment. RNs cannot delegate nursing process, client education, tasks require nursing judgment LPNs/AP. Task factors- prior delegating client care, nurse should consider predictability outcome, potential harm, complexity care, need problem solving/innovation, level interaction with client. Delegatee factors- considerations selection appropriate delegate. |
|
|
Term
|
Definition
| denial, anger, bargaining, depression, acceptance |
|
|
Term
|
Definition
| Unable believe/comprehend loss occurred. |
|
|
Term
|
Definition
| resists loss, strikes out others |
|
|
Term
|
Definition
| subtle/overt, promises make some type change order event not occur |
|
|
Term
|
Definition
| occurs when full impact apparent, grieving at fullest, sometimes leads withdrawal, focused on loss |
|
|
Term
|
Definition
| accepts loss, starts making plans future |
|
|
Term
|
Definition
| someone/something value gone, unavailable/changed |
|
|
Term
|
Definition
| whole range feelings, thoughts, behaviors related loss; individual’s experience loss |
|
|
Term
|
Definition
| process follow loss, involves working through grief |
|
|
Term
|
Definition
| applicable cases terminal illness, process disengaging/letting go, loved ones may withdraw, patients may find themselves without emotional support death nears |
|
|
Term
| Signs/symptoms impeding death? |
|
Definition
| decrease muscle tone, jaw sags (speech difficult), swallowing decreases, loss gag reflex, decrease peristalsis (loss sphincter control), decrease pulse/BP, cheyne-stokes, death rattle, decrease circulation, increase skin fragility, extremities mottle (bluish color, cool), temp may increase, decrease pain/touch/taste/smell, blurred vision, hearing last sense intact |
|
|
Term
| Nurse’s responsibilities providing post-mortem care? |
|
Definition
| make presentable for family, supine, place arms sides or across stomach, elevate HOB slightly, insert dentures/groom hair/ close eyes, blanket shoulders, remove inserted tubes/lines if no autopsy, return valuable family |
|
|
Term
|
Definition
| comfort care, treat symptoms disease, address physical/emotional/spiritual needs, focus improve quality life, death natural process should not hasten/prolong, minimizes diagnostic tests/invasive procedures, discourages use “heroic” measures, right dose narcotics provide maximum pain relief/minimum side effects, client expert whether or not pain/symptom relief adequate, food& drinks offered but not forced, care individualized & based goals client & family |
|
|
Term
|
Definition
| Example specific palliative care. Making inevitable death terminally ill patients dignified & humane. Provides compassionate care & understanding settings comfortable & familiar. |
|
|
Term
| Chemical impairment workplace affect U.S. economy? |
|
Definition
| Costs billions dollars annually because lowers productivity, increased absenteeism, use sick leave, injuries, workman’s comp claims |
|
|
Term
| LPNs responsibility if suspects co-worker chemically impaired? |
|
Definition
| follow policy, no policy, report supervisor, be objective |
|
|
Term
| Sign & symptoms chemical impairment? |
|
Definition
| Odor (alcohol) breath, slurred speech/unsteady gait, rhinorrhea, weight loss/gain, decline personal appearance, N&V/diarrhea, diaphoresis, multiple complaints/illness, frequent trips ER, pupil changes, insomnia/amnesia, isolation, marriage/family problems. Mood swings, elaborate excuses, unpredictable/unreliable |
|
|
Term
| Behaviors/signs workplace chemical impairment? |
|
Definition
| disorganized, inaccessible patients/staff, errors, patient complaints, frequent trips bathroom, exaggerated interest pain control/storage, prefers shifts where less supervision, illogical/dishonest charting, job changes, incorrect narcotic counts, discrepancies reports pain relief patients/ physician’s orders narcotic records, increase narcotic waste, numerous corrections narcotic records |
|
|
Term
| Do’s intervening chemical impairment? |
|
Definition
| Establish levels acceptable performance, record absenteeism/unacceptable performance/tardiness, be firm, be honest, speak with authority, be ready resistance/hostility, excuses (no excuse prolonged impairment), responsible own behavior, pan improvement, monitor |
|
|
Term
| Don’ts intervening chemical impairment? |
|
Definition
| diagnose, moralize (performance/attendance), cover up for friend, accept excuses, ask why (invites excuses) |
|
|
Term
|
Definition
| knowledgeable about cultures prevalent area practice |
|
|
Term
|
Definition
| belief one’s culture superior others |
|
|
Term
|
Definition
| concept includes anticipation & optimism & provides comfort during times crisis |
|
|
Term
|
Definition
| challenge belief systems or spiritual well being |
|
|
Term
|
Definition
| play important role clients’ ability achieve balance life, maintain health, seek health care, & deal with illness & injury |
|
|
Term
|
Definition
| system beliefs practiced outwardly express one’s spirituality |
|
|
Term
|
Definition
| assume everyone same & acts like another |
|
|
Term
| Key prerequisite enable nurse deliver culturally based care? |
|
Definition
| nurses’ understanding & awareness their own culture & any cultural biases that might affect care delivery. |
|
|
Term
| General cultural tendencies English-based culture U.S.? |
|
Definition
| express positive & negative feelings freely, prefer direct eye contact when communicating, address people casual manner, prefer strong handshake way greeting |
|
|
Term
|
Definition
| knowledge, values, beliefs, art, morals/law, customs/habits |
|
|
Term
|
Definition
| age, gender, sexual orientation, marital status, family structure, income, education level, religious views, life experiences |
|
|
Term
| Assessment & data collection? |
|
Definition
| meet client’s cultural needs, nurse must first perform cultural assessment identify those needs. Perform cultural assessment language common both nurse & client, or use facility-approved medical interpreter. Inform interpreter questions may be asked. Assess clients gestures, vocal tones, & inflections. |
|
|
Term
|
Definition
| death rituals, pain, nutrition, communication, family patterns/gender roles, culture/life transitions, repatterning, using interpreter, addressing spirituality |
|
|
