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Ethical Theories
Moral Reasoning & ethical terms
Code of Ethics Values
100

In Bearskin article "critical lens on culture in nursing practice" removal of the medicine pouch is an example of

Cultural iatrogenisis

100

What Act provides broad protection to enable review of documents for quality improvement purposes?

The Ontario Quality of Care Information Act

100

Providing free flu vaccinations follows which ethical theorist

Utilitarian

100

What is Kohlberg's stages of moral reasoning

Preconventional - obedience & punishment

Conventional - Right thing to do and begin to think of others

Postconventional Move beyond feelings and needs by searching for principles of justice

100

A client questions why you are asking questions about eating habits, employment, living conditions. What would the client be worried about?

Value 5 Maintaining Privacy & Confidentiality

200

According to Suby (2013) "Social media in health care: Benefits, concerns & Guidelines for use.  What were the primary concerns of social media?

Personal use during work hours

Breach of privacy (posting/video)

Reputation-need to respond to complaints includes discovery of employees doing inappropriate posts/pics when not working

200

Define Gross negligence

conscious and voluntary disregard

200

Kantian ethics fall under what overarching theory and what his some main points of his view

Deontological

Not based on consequences of action but on fulfilling duty

•People are free to make choices & moral choices need to be based on “reason” not “emotion”

•Our duty is determined from Maxims (rule of conduct)

•Ways to determine rules of conduct is to consider categorical imperatives (a rule that has no exceptions)

•Golden rule “Do onto others only that which you are prepared to have them do unto you.”

200

What does fiduciary mean

upholding the trust of the patient

200

Describe value 6 in the code of ethics & provide an example of not following this value 

Promoting & Respecting Informed Decision making

eg. Woith "lessons learned from the homeless" nurses disrespect homeless

300

What were the major themes that were found in Engel, Salfi, Micsinszki & Bodnar "Informed strangers: Witnessing and responding to unethical care as students nurses?

Good employee bad nurse-Focus on self within the context of the organization and work relationships

Damage care-Potential or actual harm done to the patient as a result of nursing actions or neglect

Negotiating the gap-How nursing students and eventual graduates react to the ethics and care that they witness being provided and how they make sense of it

300

Which law is being broken if a nursing student posts details about a patient on an anonymous website

Statue Law

300

Based upon capacity to feel pleasure & pain a vegetative state would NOT impact dignity because they can experience suffering. Which ethical theory would support this statement

Utilitarian

300

A surgeon who is getting consent from a client and promises that the procedure has 100% successful rate can be describe as what? 

inducement
300

A critique of the Romanow Report is

Value 2 Promoting Health & Well Being

Overemphasis on individual responsibility

400

In the article by Mitchell, Therapeutic lying to assist people with dementia in maintaining medication adherence. What ethical principles does he claim are adhered to when lying but are in opposition to what other principles

principles of beneficence and non-maleficence are  fulfilled by telling a lie but is in opposition to the principles of veracity, dignity and autonomy.

400

Describe the difference between intentional and unintentional tort and give examples

unintentional tort - unintended accident that leads to injury (pt falls because nurse forgot to make call bell accessible)

intentional 

Fraud, misrepresentation, slander, libel and false imprisonment intentional infliction of emotional distress (Nurse talks poorly and degrading to a client)

400

What is the major difference between Gilligan's theory and Kohlberg's theory of moral development

Gilligian's theory is grounded in relationships

phase 1 focus on self & survival

phase 2 goodness as self sacrifice - rely on others and social acceptance

phase 3 heightened understanding of choice between own needs and care of others

500

According to Two models of mistake-making in professional practice (Crigger , 2005), a culture of perfectionism in health care has what impact?

discourages rectification of errors

500

A nurses walks into a patients room and says laughingly "I am off in 15 minutes so you better not press that call bell again" The family can sue which would fall under what law

Civil Law - Slander

500

If your personal values and beliefs conflict with the patients choice of treatment, what might you experience

moral distress