Deontology ANS✔✔ behaviors determined to be right or wrong without concern for the consequences of specific
actions
Deontology ANS✔✔ when the patient is sedated, and decisions need to be made regarding care, should the nurse act on
what the nurse knows to be the desire of the patient, or is the nurse obligated to listen to a spouse whose wishes
conflict with those of the patient?
Utilitarianism ANS✔✔ behaviors are determined to be right or wrong solely based on their consequences
"Greatest happiness" principle- the right action brings the greatest happiness to most people
Utilitarianism ANS✔✔ A cancer patient is asked to participate in a new chemotherapy regimen. Although society may
benefit from information gained during the drug trial, the patient may become gravely ill. Should the nurse support the
patient's participation to benefit other people from the finding of the study, or should the nurse support the patient's
right to refuse treatment?
Autonomy ANS✔✔ self-determination, is the freedom to make decisions supported by knowledge and self-confidence
Nurses promote autonomy when they include patients in the process of developing care plans
Nurses act autonomously when they stand up for their beliefs in critical situations
Accountability ANS✔✔ willingness to accept responsibility for one's actions
provide safe patient care and address potential problems
Advocacy ANS✔✔ supporting or promoting the interests of others
, Solution 2024/2025
Pepper
requires nurses to focus on patients' needs and benefits
Beneficence ANS✔✔ defined as doing good.
Nurses demonstrate beneficence when acting on behalf of others and placing a priority on the needs of others rather
than in personal thoughts and feelings
Example: a nurse is assigned an incarcerated murderer or rapist. The concept of beneficence necessitates providing care
for the prisoner without reproach.
Confidentiality ANS✔✔ limits sharing private patient information
All health care professionals are required by law to maintain confidentiality
Health Insurance Portability and Accountability Act (HIPAA)
Fidelity ANS✔✔ keeping promises or agreements made with others
Essential for building trusting relationships
Example: a nurse acknowledges a request for pain medication, assesses the patient's pain level and quality, and returns
within a few minutes with the analgesic medication
Justice ANS✔✔ to act fairly and equitably.
Mandates that all people are treated impartially.
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