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Exam (elaborations)

FNP STUDY Questions with 100% Complete Solutions, Graded to Pass

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American Nurses Association Code of Ethics - "...developed as a guide for carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession." Beneficence - - Defined as the healthcare provider's obligation to help people in need Nonmaleficence - Defined as the requirement that the healthcare provider do no harm, whether with or without intention. If harm is unavoidable, the provider is obligated to minimize harm. Nonmaleficence is usually viewed as the corollary to beneficence. To ensure patient autonomy - Healthcare provider must put aside his or her personal or professional opinion of what the patient should do, and provide him or her with unbiased information about the risks and benefits of treatment. One Goal of Autonomy: Avoiding Paternalism - In a situation where the healthcare provider believes the patient would benefit from therapy but the informed patient declines intervention, the patient's wishes must be followed. Autonomy is not an absolute right - - Limitations are placed when person's autonomy could interfere with the rights, health or well-being of another. - Common example - Mycobacterium tuberculosis (or for other contagious condition) therapy can be provided under court order to a competent person In a situation where the patient is cognitively impaired-Decision-making often deferred to a - healthcare proxy. Competency in decision making - The ability to exercise rights, more in particular the ability to exercise one's right to give or refuse informed consent Competency - • Respect for autonomy leads to determination of competency. • The law presumes that all adults are competent, until demonstrated otherwise, to make decisions regarding their healthcare. Justice - - Defined as the assertion that all people are to be treated in the same equitable manner regardless of socioeconomic status, ethnicity, sexual orientation, diagnosis or other personal characteristics. Utilitarianism - - Defined as allocation of healthcare resources so that the best is done for the greatest number of people. - Rationale-Healthcare is a finite, costly resource that needs to be carefully allocated. What is the most cost effective form of healthcare? - Primary prevention services, aimed at avoiding health problems, can help with healthcare cost savings and help actualize the principle of utilitarianism. Veracity - Defined as the principle stating that the provider should be honest and give full disclosure to the patient, abstain from misrepresentation or deception, and report known lapses of the standards of care to the proper agencies.

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