Concept Guide Exam 2
Ethics: The study or examination of morality Beneficence: Requires that the
through a variety of different approaches procedure be provided with the intent of doing
good for the patient involved. Demand that
HIPPA and nursing research in 2003
health care providers develop and maintain
The law that protects the basic rights and skills and knowledge, continually update
privacy of the patient to control the disclosure training, consider individual circumstances of all
of that patient’s personal health care patients, and strive for the net benefit.
information.
Fidelity: Strict observance of promises,
Information can only be shared with works duties, etc.
directly involved with the patient’s care.
Justice: Must be distributed equally among all
Ethical responsibility shown by nurse groups in society. Requires that procedures
uphold the spirit of existing laws and are fair to
Intermediary: Nurses have more direct contact all players involved
with patients than any other health care
member. They interact more and receive more Living will and DPAHC:
information.
Living will: Allows a person to show specific
Moral distress: Nurse is aware of the right and documentation of what medical treatment they
moral action to take in any given situation but want or do not want if they become terminally
they are unable to carry out the action because ill.
of external constraints (E.g. Heavy workload,
DPAHC: Allows a person to appoint an agent or
lack of nurses, financial constraints in a facility,
proxy decision maker to make health care
conflicts with co-workers/managers)
decisions in the case the patients capacity is
Patient advocacy: Speaking for the patient to lost.
the fullest extent. It’s up to nurses to plead their
**The living will goes into effect when a person
sense in a legal manner.
has a terminal illness and lacks capacity.
Moral principles
DPAHC is not constrained by a terminal state of
Veracity: Truth (Obligated to tell the health.
truth to the patient, even if the family doesn’t
Lack of decision capacity may be temporary.
want you to)
Palliative vs hospice
Nonmaleficence: Do no harm
Palliative: The process that is focused on
Autonomy: Requires that the patient
relieving pain and physical symptoms,
have autonomy of thought, intention, and
enhancing psychosocial support, and enhancing
action when making decisions regarding health
the families to feel meaningful to resolve the
care procedures. Therefore, the decision-
patient’s pain as they are passing. This is
making process must be free of coercion or
comfort care that is NOT federally funded.
coaxing. In order for a patient to make a fully
informed decision, she/he must understand all Hospice: A program that is sponsored by
risks and benefits of the procedure and the Medicare to provide comfort care for the
likelihood of success. terminally ill and the families. An individual has
to meet specific guidelines. These people have 6
months or less to live.
, Concept Guide Exam 2
Moral distress vs burnout Passive euthanasia: Omission of an action to
prevent death, allowing death to occur. (E.g.
Moral distress: Inability to carry out a moral
honoring a DNR)
decision.
Values vs. attitudes vs. beliefs
Perceived constraints:
Values: Belief about the worth of something.
Physicians: nurse administrators; other
Highly prized ideals, customs, conduct, and
nurses
goals
The law; threat of lawsuit
Attitudes: Feelings toward a person, object, or
Advanced directives and information to make idea. Includes thinking and feeling component
informed consent
Beliefs: Something that one accepts as true. Not
Advanced directives: Allows a person to make always based on fact
future decisions about his/her health care.
GI
These documents are typically written but can
also be verbal. Diet for constipation
Informed consent: For a patient to give Increase the intake of high-fiber foods if
informed consent they must have the autonomy intake is inadequate (25 to 38g,
to do so. They must have: cognitive ability to depending on age and sex)
understand, deliberate reasoning skills, be able Increase fluid intake (eight to ten 8-
to come to a conclusion, must not be coerced, ounce glasses/day)
information about what will happen if they do Eat a well-balanced diet that includes
not give consent, and must be able to freely five servings of whole grains, fresh
consent based on values an wishes. fruits, and vegetables
Confusion with informed consent Ways of the GI system with food
Adults who do not have autonomy and need a Stomach, duodenum, pancreas,
decision maker or individuals under 18 cannot jejunum, ileum, colon, rectum, and anus
give consent. If someone does have the right to Food enters the stomach and is mixed in
informed consent but this becomes by churning of the stomach, the food is
questionable, the ability is taken away. A nurse moved along by peristaltic activity (slow
can question ability of an adult even if the gastric wave is occurring
health care provider doesn’t. Cephalic stage: when there is
anticipation of food entering your
Right of terminally ill patient
stomach, secretions of gastric acid is
Right to die: Formal advanced directives can completed
assist in the making of end of life decisions even Gastric phase: once food enters the
if the patient does not have mental capacity stomach
(can be used when a patient is in a coma) Hydrogen chloride in the stomach starts
to trigger the release of pepsin, pepsin
Active euthanasia: Someone other than the begins the digestions of proteins in the
patient performs an action to end the patients food substrate (focuses in on digestion
life. (E.g. lethal injection) of proteins)
Ethics: The study or examination of morality Beneficence: Requires that the
through a variety of different approaches procedure be provided with the intent of doing
good for the patient involved. Demand that
HIPPA and nursing research in 2003
health care providers develop and maintain
The law that protects the basic rights and skills and knowledge, continually update
privacy of the patient to control the disclosure training, consider individual circumstances of all
of that patient’s personal health care patients, and strive for the net benefit.
information.
Fidelity: Strict observance of promises,
Information can only be shared with works duties, etc.
directly involved with the patient’s care.
Justice: Must be distributed equally among all
Ethical responsibility shown by nurse groups in society. Requires that procedures
uphold the spirit of existing laws and are fair to
Intermediary: Nurses have more direct contact all players involved
with patients than any other health care
member. They interact more and receive more Living will and DPAHC:
information.
Living will: Allows a person to show specific
Moral distress: Nurse is aware of the right and documentation of what medical treatment they
moral action to take in any given situation but want or do not want if they become terminally
they are unable to carry out the action because ill.
of external constraints (E.g. Heavy workload,
DPAHC: Allows a person to appoint an agent or
lack of nurses, financial constraints in a facility,
proxy decision maker to make health care
conflicts with co-workers/managers)
decisions in the case the patients capacity is
Patient advocacy: Speaking for the patient to lost.
the fullest extent. It’s up to nurses to plead their
**The living will goes into effect when a person
sense in a legal manner.
has a terminal illness and lacks capacity.
Moral principles
DPAHC is not constrained by a terminal state of
Veracity: Truth (Obligated to tell the health.
truth to the patient, even if the family doesn’t
Lack of decision capacity may be temporary.
want you to)
Palliative vs hospice
Nonmaleficence: Do no harm
Palliative: The process that is focused on
Autonomy: Requires that the patient
relieving pain and physical symptoms,
have autonomy of thought, intention, and
enhancing psychosocial support, and enhancing
action when making decisions regarding health
the families to feel meaningful to resolve the
care procedures. Therefore, the decision-
patient’s pain as they are passing. This is
making process must be free of coercion or
comfort care that is NOT federally funded.
coaxing. In order for a patient to make a fully
informed decision, she/he must understand all Hospice: A program that is sponsored by
risks and benefits of the procedure and the Medicare to provide comfort care for the
likelihood of success. terminally ill and the families. An individual has
to meet specific guidelines. These people have 6
months or less to live.
, Concept Guide Exam 2
Moral distress vs burnout Passive euthanasia: Omission of an action to
prevent death, allowing death to occur. (E.g.
Moral distress: Inability to carry out a moral
honoring a DNR)
decision.
Values vs. attitudes vs. beliefs
Perceived constraints:
Values: Belief about the worth of something.
Physicians: nurse administrators; other
Highly prized ideals, customs, conduct, and
nurses
goals
The law; threat of lawsuit
Attitudes: Feelings toward a person, object, or
Advanced directives and information to make idea. Includes thinking and feeling component
informed consent
Beliefs: Something that one accepts as true. Not
Advanced directives: Allows a person to make always based on fact
future decisions about his/her health care.
GI
These documents are typically written but can
also be verbal. Diet for constipation
Informed consent: For a patient to give Increase the intake of high-fiber foods if
informed consent they must have the autonomy intake is inadequate (25 to 38g,
to do so. They must have: cognitive ability to depending on age and sex)
understand, deliberate reasoning skills, be able Increase fluid intake (eight to ten 8-
to come to a conclusion, must not be coerced, ounce glasses/day)
information about what will happen if they do Eat a well-balanced diet that includes
not give consent, and must be able to freely five servings of whole grains, fresh
consent based on values an wishes. fruits, and vegetables
Confusion with informed consent Ways of the GI system with food
Adults who do not have autonomy and need a Stomach, duodenum, pancreas,
decision maker or individuals under 18 cannot jejunum, ileum, colon, rectum, and anus
give consent. If someone does have the right to Food enters the stomach and is mixed in
informed consent but this becomes by churning of the stomach, the food is
questionable, the ability is taken away. A nurse moved along by peristaltic activity (slow
can question ability of an adult even if the gastric wave is occurring
health care provider doesn’t. Cephalic stage: when there is
anticipation of food entering your
Right of terminally ill patient
stomach, secretions of gastric acid is
Right to die: Formal advanced directives can completed
assist in the making of end of life decisions even Gastric phase: once food enters the
if the patient does not have mental capacity stomach
(can be used when a patient is in a coma) Hydrogen chloride in the stomach starts
to trigger the release of pepsin, pepsin
Active euthanasia: Someone other than the begins the digestions of proteins in the
patient performs an action to end the patients food substrate (focuses in on digestion
life. (E.g. lethal injection) of proteins)
