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1. Nursing Process The nursing process is an organized sequence of problem solving
steps used to identify and manage health concerns of clients.
2. What does the Code of Refers to the ideals, duties, and obligations that nurses are expect-
Ethics refer to? ed to uphold as members of the nursing profession.
3. What rules does the ANA's Rules for nurses about client privacy, Nursing conduct, and nursing
Code of Ethics outline? behaviors to protect clients and the profession
4. 9 Provisions of the ANA 1: Respect for others/human dignity
Code of Ethics 2: Primary Commitment to Patient
3: Advocacy for Patient
4: Accountability and Responsibility for Practice
5: Duty to self and duty to others
6: Contribution to Healthcare Environments
7: Advancement of the Nursing Profession
8: Promotion of community and World Health
9: Promotion of the Nursing Profession
5. Respect for Others The nurse practices with compassion and respect for the inherent
dignity, worth, and unique attributes of every person
6. Duty to self and duty to The nurse owes the same duties to self as to others, including the
others responsibility to promote health and safety, preserve wholeness of
character and integrity, maintain competence, and continue per-
sonal and professional growth. THE DUTY TO PROGRESS YOURSELF
NOT JUST TO CARE FOR OTHERS
7. Contribution to Healthcare The nurse through individual and collective effort, establishes,
Environments maintains, and improves the ethical environment of the work setting
and conditions of employment that are conducive to safe, quality
health care.
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8. Advancement of the Nurs- The nurse in all roles and settings, advances the profession through
ing Profession research and scholarly inquiry, professional standards develop-
ment, and the generation of both nursing and health policy.
9. Promotion of Community Equality of health. The nurse collaborates with other health pro-
and World Health fessionals and the public to protect human rights, promote health
diplomacy, and reduce health disparities.
10. Promotion of the Nursing The profession of nursing, collectively through its professional or-
Profession ganizations, must articulate nursing values, maintain the integrity of
the profession, and integrate principles of social justice into nursing
and health policy.
11. 6 Ethical Principles 1.) Autonomy: Understand the idea that patients are their own peo-
ple. They are individuals. Client's right to make their own decisions
2.) Beneficence: Doing good and acting in the best interest of a
client by providing care that benefits them.
3.) Nonmaleficence: Doing no harm
4.) Veracity: Telling the truth
5.) Fidelity: Honesty, keeping promises or commitments
6.) Justice: Nurses obligation to provide treatment and allocation of
resources in a manner that is impartial, fair, and equitable.
12. Values of the Nursing Pro- 1.)Altruism: To do something, or take action, for the sake of bene-
fession (5) fiting someone else.
2.) Human Dignity: Implies that each individual, regardless of things
such as race, religion, sex, gender, etc., has value and shall be
respected simply because human beings are equal. Maintain client
privacy, showing respect, providing culturally competent care, and
ensuring confidentiality.
3.) Integrity: The quality of being honest and having strong moral
principles. Be truthful and honest.
4.) Autonomy: Self-determination. Client has right to make own
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decision.
5.) Social Justice: The awareness of the basic right to health and
well-being of every individual. Nurses obligation to support and
protect the rights of clients throughout the world and fight for social
justice.
13. Steps of Ethical Decision 1.) Is there an ethical dilemma?
Making (8) 2.) Clearly identify the ethical dilemma (What is the problem and
who is affected)
3.) Identify ALL possible solutions
4.) Apply Ethical Principles to Solutions (to see pros and cons)
5.) Include all relevant individuals and factors (Interprofessional
team involved if not yet, This would be time to involve priest if
requested by patient)
6.) Decide on a solution (As a group...If a decision cannot be met,
revisit previous steps)
7.) Review decision (Has everything been considered? Has anything
changed? Has anything been overlooked? If something comes up,
revisit previous steps)
8.) Put the Decision into action (Effective collaboration with team so
everyone knows their individual roles and responsibilities. This step
will also include an evaluation of the effectiveness of the solution)
14. Emergency Medical Treat- Ensures that all individuals, regardless of their insurance or finan-
ment and Labor Act cial status, have equal access to emergency medical care
15. 3 major provisions that 1.) All clients must have medical screening evaluation (MSE)
must be in place due to 2.) If experiencing an emergency, Hospital must stabilize client. If
Emergency Medical Treat- the hospital cannot provide the specific level of care, they must
ment and Labor Act transfer stabilized client to a new facility
3.) In the event client cannot be stabilized, a physician or other
qualified medical professional must verify and sign off transfer,
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clearly indicating that the benefits of transfer outweigh the risks of
transferring an unstable client.
16. Tort Law Carrying out an act, or failing to carry out an act, which results in
injury or harm to a client.
17. negligence and malprac- The failure of a person who has professional training to act in a
tice reasonable and prudent manner. Malpractice is by a professional,
negligence is not.
18. Negligence issues that 1.) Follow professional and facility established standards of care
prompt most malpractice 2.) Use equipment in a responsible and knowledgable manner
suits include failure to(6) 3.) Communicate effectively and throughly with clients
4.) Document care the nurse provided
5.) Notify the provider of a change in client's condition
6.) Complete a prescribed procedure.
19. Malpractice Failure by a health professional to meet accepted standards
20. Implied Consent Agreement by the client to the administration of care as demon-
strated by the client's actions rather than by formal verbal or written
consent.
21. When to use informed con- 1.) Informed consent is used during invasive procedures like surg-
sent vs. Implied eries, Implied is often used when using nursing interventions.
22. Examples of Advance Di- 1.) Living will
rectives (4) 2.) Durable power of attorney for health care
3.) Organ donation form
4.) Do not intubate (DNI) order
23. Federal Regulations(5) 1.) HIPAA
2.) Americans with Disability Acts
3.) Mental Health Parity Act