Ethical Standards Sherpath

ana code of ethics for nurses provision summary

1. practice compassion, respect inherent dignity, work and uniqueness of each patient 2. pt is primary commitment 3. promote, advocate for and protect the rights, health, safety of pt 4. nurse has authority, accountability and responsibility for nursing practice; makes decisions; takes action 5. responsibility to promote health and safety, preserve character and integrity, continue personal and professional growth. 6. establish, maintain and improve ethical environment 7. advance the profession of nursing through research, prof standard development 8. collaborate with other health care professionals 9. articulate nursing values, maintain integrity of profession, integrate principle of social justice.

how is a moral or ethical dilemma defined?

a circumstance when a decision has to be made between two undesirable possibilities.

a nurse manager reports a medication error that a staff nurse failed to report. which role in the ethical dilemma framework is the nurse leader portraying?

advocator: she is serving as a patient advocate by doing what is right and reporting the error. this action will protect further patients from harm.

which ethical principle is displayed when a nurse respects a patient's informed decision to refuse a life-saving blood transfusion?

autonomy: being able to choose what you want in regards to your care.

a nurse is offered her "dream job" in another department, and her current nurse manager encourages her to take the new position. which ethical principle did the nurse manager display?

beneficence: doing good.

a nurse leader reviews the code of ethics for nurses to decide if a situation is an ethical dilemma. which role in the ethical dilemma framework is the nurse leader acting within?

decision maker

match the components of the ethical decision-making framework with the appropriate definition

develop possible options or solutions: organization find the problem and decide if it represents a dilemma: development review and document the process, actions and outcomes: planning decide how to carry on: assessment

which ethical principle was violated when the nurse manager switched nurse bears schedule from days to nights after telling her she could have days?

fidelity: doing what you say you are going to do/keeping a promise

the health care team decides to withhold a terminal diagnosis from a patient until the consulting psychiatrist develops a treatment plan. this is an example of which ethical principle?

paternalism: deciding to make a decision for someone else, usually when the other person does not have sufficient data or experience.

nurse A worked in the department for 5 years with exemplary evaluations. nurse a is very pleasant and professional on shift; however, she is not very social outside of work. nurse b has worked in the department for the same amount of time; however, she has been written up for being rude to a patient's family and is frequently late for work. nurse b is very popular and spends time with the nurse manager and colleagues outside of work. both nurses apply for a leadership position, and the nurse manager awards the promotion to nurse b. which ethical principle is not being displayed by the nurse manager?

justice: treating patients equally and fairly

a nurse manager tells the nurse that he has to stop acting up and being lazy on shift or he will be fired. the discussion occurs in front of the whole department, and the nurse manager's tone is condescending and demeaning. the nurse manager does not give any guidance or constructive feedback. which ethical principle is the nurse manager not upholding?

nonmaleficence: doing no harm

a nurse manager learns that nurse has not been providing a complete report about her patient to the oncoming shift. how can the nurse's actions be classified?

secretive behavior: happens when the nurse keeps inappropriate things form other caregivers or becomes guarded when questioned about his or her behaviors with a patient, as in this scenario.

which are provisions of the code of ethics for nursing?

the nurse advances the profession through research. the nurse promotes health by teaching a nutrition class. the nurse advocates for the patient by calling a rapid response team. the nurse practices with compassion when caring for a patient who is receiving comfort care.

a nurse in a long-term facility is going through a rough divorce. one of her patients notices that the nurse has red eyes, is quiet and distracted. the patients asks the nurse if she is okay and the nurse proceeds to tell the patient about her divorce. why might this cause the nurse manager to be concerned?

the nurse is at risk for a boundary violation by sharing personal information with a patient.

which are the purposes of the code of ethics for nurses?

to explain key ethical issues or concerns of the profession. to give members of the health care profession guidelines for their practice. to explain the minimum standards of conduct by the health care profession to the public.

an emergency department nurse is talking on the phone with a friend and misses the signs and symptoms of a ruptured ovarian cyst in a patient. where would this relationship be plotted on the continuum of professional behavior?

under involvement: happens when a nurse does not pay enough attention to a patient, is disinterested or is neglectful, as in this case.