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NUR 601 TEST 3 EXAM STUDY GUIDE QUESTIONS AND ANSWERS RATED A.
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NUR 601 TEST 3 EXAM STUDY GUIDE QUESTIONS AND ANSWERS RATED A.
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NUR 601 TEST 3 EXAM STUDY GUIDE QUESTIONSAND ANSWERS RATED A.
What are the common conflict strategies that most nurses use? Why may
these styles require reframing?
✔✔- Avoiding and compromising most common
- Next preference was accommodation
- Avoiding and accommodating lead to outcomes where one
disadvantages oneself
- Compromising runs a weak second, because in this strategy, all parties
are equally disadvantaged
- Using these strategies allows conflict to generate negative feelings
What are conflict management styles that may best serve APN?
✔✔Best one is truth telling without any underlying attitudes
Others...?
What are key components to ADR?
✔✔1. Emphasis on relationship building
2. collaboration
3. authenticity
4. self management
What is practice based bioethics? Why is context important? Why is this
important for the APN to master?
✔✔1. A bioethical approach deriving from professional responsibility is
symphonologic
,2. Symphonology is intended to be appropriate to the self-determination
of a patient, the purposes of a health-care setting, and the role of a health-
care professional
3. It further recognizes that the context guides what is possible and
desirable in the nurse/patient agreement
4. Ethical reasoning and clinical judgment share a common process, and
both serve to teach and inform the other
5.Ethical and professional aspects of practice are interwoven
6. There is no such thing as being competent without being competent in
ethical analysis
Autonomy
✔✔uniqueness and independence
Freedom
✔✔right to direct course of one's life
Objectivity
✔✔ability to deal with the reality of one's situation
Self-Assertion
✔✔right to control one's time and effort
beneficence
✔✔Obligation to help the patient. Remove harm, prevent harm, promote
good. Acting in the patient's best interest
,fidelity
✔✔faithfulness to the terms of an agreement
non-maleficence
✔✔The obligation to avoid harm
justice
✔✔Lack of bias...a right to a fair and equitable treatment. Fair and equal
distribution of societal resources.
veracity
✔✔conformance to the facts, accuracy
How do you apply principles of bioethics to clinical care situations?
✔✔Interaction between professional and patient to bring them into the
same ethical context?
The nurse must use ethical reasoning and clinical judgment.
Difference between ethical conduct and legal conduct.
✔✔"conformance with values vs following the rules"
How to problem solve an ethical dilema
✔✔1. Problem Identification - who, where, what
2. Values Identification - the 8 values - rank them appropriately
3. The Options - identify options for resolution of the problem
4. Identify the consequences of the options that you choose
, What resources are available for resolving ethical dilemmas?
✔✔1. Nurse Process - assessment, clarifying, helping the patient,
supporting their decision
2. ethics committees
3. Florida bioethics network
4. Kennedy institute of ethics at Georgetown
origin of conflict in healthcare - what was the early focus on? What kind
of role does conflict play for the nurse? What do recent studies suggest
about the dissatisfaction of nurses and the role of conflict?
✔✔1. Early focus on malpractice, union disputes, and other structural
conflicts
2. Conflict plays a central role in the daily life of the nurse
3. Recent studies about the dissatisfactions of nurses clearly support the
centrality of conflict
conflict research - Rosenstein
✔✔Rosenstein, 2002
- Direct link between disruptive physician behavior and nurse satisfaction
and retention
- Nurses feel insignificant support in conflicts from both administration
and physicians
- Nurses fear retribution and do not believe that physician counseling
processes are adequate
conflict research Baker
✔✔- Patient outcomes are adversely affected by team conflict
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