Test Bank For Nursing Ethics Across the Curriculum and Into
Practice 5th Edition By Janie B. Butts; Karen L. Rich
How do we approach healthcare ethics philosophically? - ANSWER:- We are all
natural philosophers: it is a profoundly human and humanizing endeavor
philosophy - ANSWER:"the love of wisdom"
- wisdom = holistic understanding aiming at living well
- merely thought that has been thought out
key philosophical activities - ANSWER:(1) contemplation (reflectively attending to
reality/ the world around us)
(2) analysis (breaking things down in order better to understand them, seeking
conceptual clarity; Socrates: what do you mean by X?)
(3) synthesis (putting things together, seeing the "big picture," and trying to achieve
an integrated worldview/ wholeness/ wisdom);
(4) argument/reasoning (aimed at establishing the truth).
What do philosophy and health care have in common? - ANSWER:(1) Both involve
confronting ultimate questions
+ Confronting big questions in reflective manner in way delivered care
(2) Both aim at wholeness
+ wisdom: holistic understanding
+ therapy: heal the soul
+ medicine: healing of the body yet need to understand holistic being when
delivering care
(3) Both can be regarded as a spiritual exercise / way of life
+ become more whole persons, growth, development
Ignatian values highlighted by the college of nursing - ANSWER:- Men and Women
for and with Others
- Faith that does justice
- Cura personalis (care for the whole person)
- Finding God in all things
principlism - ANSWER:- belief system based on a set of moral principles that are
embedded in a common morality
- the major theory in bioethics, first articulated in 1977
- presented by Thomas Beauchamp (Georgetown) and James Childress (University of
Virginia) in "Principles of Biomedical Ethics"
Beauchamp and Childress' principlistic approach to bioethics - ANSWER:- ethical
dilemmas involve clashes between 4 prima facie principles:
+ respect for autonomy
+ nonmaleficence
, + beneficence
+ justice
prima facie principles - ANSWER:- apply unless overridden by other principles
- "primary, on its face"
- it would be expected to take precedence
What happens when two prima facie principles are in conflict? - ANSWER:- If all four
principles are prima facie and two or more are in conflict, then some method of
balancing the principles needs to be found to solve the problem (ethical dilemma)
+ perhaps the most frequent conflict involves balancing the principles of beneficence
and autonomy
autonomy - ANSWER:- freedom and ability to act in self-determined manner
example of autonomy in nursing practice - ANSWER:- Obtaining informed consent
- Facilitating and supporting patients' choices
- Allowing patients to refuse treatment
- Disclosing truthful information
- Maintaining privacy and confidentiality
What common hospital practice follows from the right to privacy? - ANSWER:HIPPA:
protection of personal health information (PHI)
- Close the door and pull curtain when assessing or doing cares
- Monitor who can see patient
- Ask visitors to step out for procedures
- Right to privacy of own body (pro-choice in abortion argument)
Health Insurance Portability and Accountability Act (HIPPA) - ANSWER:- Designed to
protect people from disclosure of their personal health information
- Goal: ensure privacy while facilitating the flow of information necessary to meet
the needs of patients
When do patients tend to lose autonomy? - ANSWER:- people generally lose the
right to exercise autonomy or self-determination when actions pose risk to self or
others
ethicist/philosopher supporting right to autonomy - ANSWER:Mill: one doesn't have
to answer to anyone else or be judged for actions if it doesn't concern others
(revolutionary at the time)
What is required for informed consent? - ANSWER:- Information
- Voluntariness
- Capacity (competence)
nurse's role in obtaining informed consent - ANSWER:- Identify person to give
consent - Verify patient understands instructions/teaching
Practice 5th Edition By Janie B. Butts; Karen L. Rich
How do we approach healthcare ethics philosophically? - ANSWER:- We are all
natural philosophers: it is a profoundly human and humanizing endeavor
philosophy - ANSWER:"the love of wisdom"
- wisdom = holistic understanding aiming at living well
- merely thought that has been thought out
key philosophical activities - ANSWER:(1) contemplation (reflectively attending to
reality/ the world around us)
(2) analysis (breaking things down in order better to understand them, seeking
conceptual clarity; Socrates: what do you mean by X?)
(3) synthesis (putting things together, seeing the "big picture," and trying to achieve
an integrated worldview/ wholeness/ wisdom);
(4) argument/reasoning (aimed at establishing the truth).
What do philosophy and health care have in common? - ANSWER:(1) Both involve
confronting ultimate questions
+ Confronting big questions in reflective manner in way delivered care
(2) Both aim at wholeness
+ wisdom: holistic understanding
+ therapy: heal the soul
+ medicine: healing of the body yet need to understand holistic being when
delivering care
(3) Both can be regarded as a spiritual exercise / way of life
+ become more whole persons, growth, development
Ignatian values highlighted by the college of nursing - ANSWER:- Men and Women
for and with Others
- Faith that does justice
- Cura personalis (care for the whole person)
- Finding God in all things
principlism - ANSWER:- belief system based on a set of moral principles that are
embedded in a common morality
- the major theory in bioethics, first articulated in 1977
- presented by Thomas Beauchamp (Georgetown) and James Childress (University of
Virginia) in "Principles of Biomedical Ethics"
Beauchamp and Childress' principlistic approach to bioethics - ANSWER:- ethical
dilemmas involve clashes between 4 prima facie principles:
+ respect for autonomy
+ nonmaleficence
, + beneficence
+ justice
prima facie principles - ANSWER:- apply unless overridden by other principles
- "primary, on its face"
- it would be expected to take precedence
What happens when two prima facie principles are in conflict? - ANSWER:- If all four
principles are prima facie and two or more are in conflict, then some method of
balancing the principles needs to be found to solve the problem (ethical dilemma)
+ perhaps the most frequent conflict involves balancing the principles of beneficence
and autonomy
autonomy - ANSWER:- freedom and ability to act in self-determined manner
example of autonomy in nursing practice - ANSWER:- Obtaining informed consent
- Facilitating and supporting patients' choices
- Allowing patients to refuse treatment
- Disclosing truthful information
- Maintaining privacy and confidentiality
What common hospital practice follows from the right to privacy? - ANSWER:HIPPA:
protection of personal health information (PHI)
- Close the door and pull curtain when assessing or doing cares
- Monitor who can see patient
- Ask visitors to step out for procedures
- Right to privacy of own body (pro-choice in abortion argument)
Health Insurance Portability and Accountability Act (HIPPA) - ANSWER:- Designed to
protect people from disclosure of their personal health information
- Goal: ensure privacy while facilitating the flow of information necessary to meet
the needs of patients
When do patients tend to lose autonomy? - ANSWER:- people generally lose the
right to exercise autonomy or self-determination when actions pose risk to self or
others
ethicist/philosopher supporting right to autonomy - ANSWER:Mill: one doesn't have
to answer to anyone else or be judged for actions if it doesn't concern others
(revolutionary at the time)
What is required for informed consent? - ANSWER:- Information
- Voluntariness
- Capacity (competence)
nurse's role in obtaining informed consent - ANSWER:- Identify person to give
consent - Verify patient understands instructions/teaching
