NR-222 Health & Wellness Final Exam

NR-222 Health & Wellness Final Exam

What are the steps involved with communication?

• Exchange information, thoughts and feelings

List factors for effective communications

• Value clarification- know our own values and what we are comfortable with

Do not impose own values on clients Therapeutic use of self (self-concept and self-esteem)

What are the barriers to effective communication?

• Language, cognitive impairment, hearing/visual impairment, unresponsiveness

Stages of a therapeutic relationship

• Orientation/introductory phase (meet and greet); Working Phase

(interactions/building relationship), Termination Phase (handing over care, ending relationship)

Accountability

• ability to answer for one’s own actions

Autonomy

• the right to determine what treatments or interventions one will accept

Beneficence

• the quality or state of doing or producing good

Competence

• ability to provide care

Confidentiality

• status of maintaining privacy

Consent

• process of ensuring that a person has all of the appropriate information necessary to

come to a decision about participation

Dilemma

• Questions of what is right and what should be done

Ethical issues

• Situations that present dilemmas involving right and wrong

Malfeasance

• Performance by a public official of an act that is legally unjustified, harmful,

wrongdoing

Moral

• Feelings and values related to right and wrong

Non-malfeasance

• avoidance of harm or hurt

Responsibility

• willingness to respect obligations and to follow through on promises

Self-determination

• Free choice of one’s own acts without external compulsion

Veracity

• Devotion to the truth

Types of ethics

• Deontology, Utilitarianism, Feminist, Ethics of care

Deontology Ethics

• Defines actions as right or wrong

Utilitarianism Ethics

• Actions that are good and aimed at yielding the greatest amount of

pleasure/happiness, causing the least amount of pain/harm

Feminist Ethics

• Inequality of care between people

Ethics of care

• importance of understanding relationships especially as they are revealed in personal

narrative

Describe the Code of Ethics

• Set of guiding principles - group expectation and standards of behavior that all

members of a profession accept created by ANA

What are the principles of the Code of Ethics?

• Responsibility, Accountability, Advocacy and Confidentiality

Provisions of Ethics 1- Practices with compassion and respect for all 2-Primary commitment is the patient 3- Promote, advocate and strive to protect health, safety and rights of patient 4- Responsible and accountable for practice 5- Owes same duties to self, preserve integrity/safety and learning 6- Establishes, maintains and improves health care 7- Participates in advancement of professions thought practice, education, knowledge development 8- Collaboration with other professional to promote health 9- Responsible for articulating nursing values, integrity of profession and shaping social policy

Process of solving an ethical dilemma

• Ask if this is an ethical dilemma
• Gather all relevant information
• Clarify values
• Verbalize the problem
• Identify possible courses of action
• Negotiate a plan
• Evaluate the plan

Family function Process of continual change in the system as information and energy are exchanged between the family and environment