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NR599 Ethical Decision Making: Questions With Solutions
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NR599 Ethical Decision Making: Questions With Solutions
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NR599 Ethical Decision Making: Questions WithSolutions
ANA's Code of Ethics for Nurses Right Ans - 1. Respect for human dignity
2.Respect for individual right to self-determinism
3. Primary commitment to the patient (defined as individual, family, group, or
community)
4. Advocacy for the patient
5. Participation in the creation, maintenance, and improvement of healthcare
environments
6. Advancing the profession
7. Collaboration with others to meet health needs
8. Shaping social policy
issues in healthcare having an ethical component Right Ans - 1. Failure to
adopt technology or use it adeptly
2. Lack of regard to data integrity such as discrepancies in record information
that are noted but no corrective action is taken
3. Failure to address threats to privacy and personal health information
4. Inappropriate access of PHI without a need to know
5. Failure to keep informed of emerging developments and issues
6. Failure to recognize and use technology to advance the profession
7. Failure to engage in policy discussions that impact healthcare delivery.
8. Failure to recall that the patients is their primary focus
9. Failure to actively participate in the selection use, and/or evaluation of
technology that has the potential to improve healthcare.
3 ethical issues that can result in patient harm Right Ans - 1. Noting
discrepancies in record information without corrective action is irresponsible.
- Nurses need to demonstrate accountability for data integrity or risk that it
may be compromised.
2. Failure to adopt technology or not using it well or as designed can also
jeopardize patient safety. - example might be an APN who continues to use
written notes when automated documentation is the expectation. This
deviation might be quicker and easier initially for the individual provider, but
it creates a fragmented patient record, increasing the likelihood that
, important information will be lost, and because it is unstructured data, it is
invisible for data analysis.
3. The biggest ethical challenge comes when nurses fail to embrace their roles
in shaping health policy and social change.
- Nurses need to be aware of the facts related to features of HIT legislation,
particularly the Patient Protection and Affordable Care Act (ACA).
- ACA was intended to improve care and reduce disparities and help reform
healthcare.
- Distributive justice is the major ethical principle underlying health-reform
initiatives.
Distributive Justice Right Ans - - the major ethical principle underlying
health-reform initiatives (ACA)
- refers to fair, equitable, and appropriate distribution in society determined
by justified norms that structure the terms of social cooperation.
Practice-based ethics Right Ans - ethics examines the ways men and
women can exercise their power in order to bring about human-benefit - the
ways in which one can act in order to bring about the conditions of happiness.
ethical dilemma Right Ans - - when moral issues raise questions that
cannot be answered with a simple, clearly defined rule, fact, or authoritative
view.
- A difficult choice or issue that requires the application of standards or
principles to solve. Issues that challenge us ethically.
moral dilemma Right Ans - - Situations for which there is no clear evidence
that one of several alternatives is morally right or wrong.
- arise with uncertainty, as is the case when some evidence a person is
confronted with indicates an action is morally right and other evidence
indicates that this action is morally wrong.
- uncertainty is stressful and in the face of inconclusive evidence on both sides
of the dilemma, causes the person to question what he or she should do.
ethical decision-making model Right Ans - to help one choose the best
action when situational factors and personal beliefs create uncertainty.
social media Right Ans - healthcare providers can enhance the patient care
delivery system, promote professional collegiality, and provide timely
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