ANA Code of Ethics
Four Ethical Principles
End of Life Care
Communication and Compassion
Grief and Family Support
100

What does Provision 1 emphasize?

Compassion and respect for every patient.

100

Define autonomy.

Respecting the patient’s right to make their own decisions.

100

Difference between palliative and hospice?

Palliative: quality of life for serious illness; Hospice: comfort at end of life

100

Give an example of a “wish/worry” statement.

I wish you weren’t in this situation, but I’m worried your mother’s condition is deteriorating.

100

Name one Kubler-Ross stage.

Denial, Anger, Bargaining, Depression, Acceptance.

200

Which provision focuses on advocacy?

Provision 3 – Advocacy and Trust.

200

What is beneficence?

Acting in the best interest of the patient to do good.

200

What is IPOST?

Iowa Physician Orders for Scope of Treatment – provider order based on patient’s wishes.

200

What should you avoid saying to grieving families?

“They are in a better place” or “Everything happens for a reason.”

200

How do children show grief differently?

Behavioral changes, clinginess, developmental regressions.

300

Give an example of Provision 5 in practice.

Being your Best Self at work!

300

Give an example of non-maleficence.

Avoiding harm, such as preventing unnecessary procedures.

300

Who is first in Iowa decision-maker order?

The patient.

300

What is the best setting for giving bad news?

Quiet, private, sitting down.

300

Why are routines important for grieving children?

Provide predictability and a sense of control.

400

What does Provision 8 refer to?

Nurses collaborating and networking

400

How does justice apply in nursing?

Fair and equitable treatment for all patients.

400

Name one trigger for palliative consult.

Recurrent hospitalizations or obvious disease progression.

400

Give an example of an empathy statement.

I’m sorry you have to go through this, it must be hard.

400

Give one example of minimizing grief.

“At least you have other kids.” "This should be over soon." "You'll feel better tomorrow."

500

Which provision addresses global health?

Provision 10

500

Which principle is most challenged in Case Study 1?

Autonomy (patient wants DNR but chart says full code).

500

What does “patient’s voice should be the loudest” mean?

Care decisions should prioritize the patient’s goals and wishes.

500

Why are vague offers to help discouraged?

They lack action; instead, offer specific help like “I will bring dinner tomorrow.”

500

What is the main takeaway about grief stages?

They are not literal stages; grief is individual and non-linear.