Sexuality
True/false: sexual health is only defined as the absence of disease
False. Sexual health includes respect, safety and freedom from violence and discrimination. It includes a person’s well-being, and is relevant throughout their whole lives, not just during the reproductive years.
What is an important spiritual consideration when providing individualized, holistic person-centered care?
What is their belief system?
The client’s right to refuse treatment is an example of __________ laws
Civil
Which populations (by race) make up 80% of the population’s uninsured?
a) white & hispanic
B) black & hispanic
C) white & black
A) white and Hispanic
The patient
According to Dr. B’s lecture, what is the most effective method of evaluating sexual health nursing interventions?
Teach back or verbalizing understanding of education.
Differentiate between “spirituality” and “faith”
Spirituality pertains to a relationship with a higher being, while faith focuses on the belief or dogma of something for which there is no proof.
Which of the following are considered unprofessional conduct under the ANA code of ethics? Select 3
A) Breaching confidentiality
B) Advocating for patient
C) Failure to advocate
D) Falsifying the care record
E) Preparing for nursing actions
Are problems that require more specialized clinical expertise an example of primary, secondary or tertiary health care
Secondary
True/false: the utilitarian view of ethics states that “right/wrong” depends on the consequences of an action.
True. Utilitarian can be thought of as the “greater good”, while deontological view states that an action is “right/wrong” depending on the consequences (i.e. “duty based”).
Name at least three health states affecting a person’s sexuality (there are 8 total).
Chronic pain, disease of joints/impaired mobility, Type II Diabetes, cardiovascular disease, mental illness, surgery/altered body image, spinal cord injuries, medications.
Name the three spiritual needs
1. Need for meaning and purpose
2. Need for love & belonging
3. Need for forgiveness
Is respecting the patient’s choice even if it could harm them an example of utilitarian or deontological ethics?
Deontological. “An action is right or wrong independent of consequences”
What activities can you expect to be performed in a primary health care setting?
Family planning, prenatal and well-baby care, immunization against specific diseases, health risk screenings, diagnostic tests, health education, medications
How can a nurse demonstrate fidelity?
From class slides: by honoring their promise to the public to maintain competency
note: maintaining competency falls into the ANA code of ethics
After undergoing a hysterectomy, a patient complains of “not feeling like a woman anymore”. What is a nursing problem could you identify to work on?
Altered self-concept and body- image secondary to her sexual health issues (Taylor, ch 46).
What are some causes that can lead to a nursing diagnosis of spiritual distress (name at least 2)
End of life, death of a loved one, experiencing pregnancy
What is a Tort law?
a) protects the peoples’ rights
B) deals with civil wrongs where one person’s action or inaction harms another person
C) protected society/public
B) deals with civil wrongs where one person’s action or inaction harms another.
Traditional Jeopardy phrasing question: management of rare and complex disorders such as pituitary tumors and congenital malformations
What is tertiary health care?
What are the nursing implications of the ethical principal justice?
A) weighing the risks/benefits
B) fostering trust (eg. admitting errors)
C) preventing risk of harm
D) providing equity in resource distribution
D) providing equity in resource distribution
There are 6 factors affecting sexuality listed in our textbook. How many of them can you name? Points for 4/6
Culture, religion, ethics, developmental stage, lifestyle and menstruation
When implementing spiritual care plans, what’s an important consideration for protecting yourself as a nurse from misconduct?
Focus on meeting the patient’s needs without putting yourself in the center. Eg. instead of praying for a patient and risking being blamed for spiritual coercion, utilize the pastoral care professionals employed by the hospital.
A primary care provider’s orders indicated that a surgical consent form needs to be signed. Since the nurse was not present when the primary care provider discussed the surgical procedure, which statement “best” illustrates the nurse fulfilling the client advocate role?
A) “the doctor has asked that you sign the consent form”
B) “do you have any questions about the procedure?”
C) “what were you told about the procedure you’re about to have?”
D) “remember that you can change your mind about the procedure.”
C) “what were you told about the procedure you’re about to have?”
- in asking this, the nurse is assessing the client’s level of knowledge as a result of the discussion with the primary care provider. Based on this assessment, the nurse may initiate other actions.
What is the nurse’s role in health care reformation? A) increasing complexity of patient care
B) sending a patient home early so they avoid paying more for their hospital stay
C) advancing their practice
D) avoid providing input when decisions are being made
C) advancing their practice.
Other examples include cost containment, quality of service and improved access, promoting health/ preventing illness, and being at the table where decisions are being made
Match the following ethical principals to their definitions:
a) Autonomy. 1) Do no harm
b) veracity 2) right to self-determinationc) nonmaleficence . 3) tell the truth
A) 2 autonomy = self determination
B) 3 veracity = tell the truth
C) 1 nonmalificence = do no harm