Professional Caring and Ethics
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Comprehensive practice flashcards covering AACN Practice Alerts, Advocacy, Moral Agency, and Patient Characteristics for the CCRN Exam.
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50 Terms
What does the AACN Practice Alert state regarding family presence during resuscitation and invasive procedures?
Family presence is BENEFICIAL and helps meet the psychosocial needs of patients and families.
According to the AACN Practice Alert, what is the recommendation for family visitation in the adult ICU?
Family visitation is beneficial and the alert supports UNRESTRICTED visitation of a support person or persons.
From whose point of view does the nurse advocate in Advocacy and Moral Agency?
The nurse advocates from the patient/family point of view.
How should a nurse approach hospital rules that do not benefit the patient or family?
The nurse works with his/her manager to amend rules for the benefit of the patient/family.
Should a nurse go against hospital policy to advocate for a patient?
No, the nurse should never go against hospital policy, but should work with management to secure permission.
What is the appropriate nursing action if a family wishes to burn sage against hospital open flame policy?
The nurse advocates with hospital management to secure permission for the religious practice to be carried out.
What must a nurse do before allowing a family to use an herbal remedy?
The nurse must consult with a pharmacist first to ensure it is safe.
What does the nurse always consider in the plan of care regarding the patient's social network?
The nurse always considers the patient’s support system.
How does a nurse support the patient's autonomy in communication?
The nurse empowers the patient to speak for themselves.
What end-of-life information must the nurse ensure ALL patients understand?
That palliative options are available to relieve suffering.
How should a nurse handle clinical collaboration?
The nurse initiates collaboration and doesn’t wait for other clinicians to initiate it first.
What specific differences should the nurse incorporate into the plan of care?
Differences in race, culture, ethnicity, lifestyle, education, values, and beliefs.
What dual educational role does the nurse have?
The nurse finds opportunities TO TEACH and to BE TAUGHT.
How does the nurse contribute to professional best practices?
By questioning and evaluating clinical practice, reading professional literature, and sharing knowledge.
What are the eight AACN Patient Characteristics to consider in care planning?
Resiliency, Vulnerability, Stability, Complexity, Resource Availability, Participation in Care, Participation in Decision Making, and Predictability.
What is the definition of Resiliency?
The capacity to return to a restorative level of functioning by using compensatory coping mechanisms; the ability to bounce back quickly after injury.
How is Vulnerability defined in patient care?
Susceptibility to stressors.
What is the definition of Stability?
Ability to maintain equilibrium.
What is the definition of Complexity?
The involvement of 2 or more body systems.
What categories are included under Resource Availability?
Social, psychological, monetary, technological, etc.
What is Participation in Care?
The extent to which the patient and the patient’s family engage in aspects of care.
What is Participation in Decision Making?
The extent to which the patient and patient’s family engage in decision making.
What is the definition of Predictability?
A characteristic that allows one to expect a certain course of events or course of illness.
What should a nurse look for when answering CCRN questions about Professional Caring?
Is there an opportunity for the nurse to teach?
What is a primary rule regarding hospital policy in nursing ethics?
Follow the hospital policy!
How should a nurse handle a patient's preferences within the system?
Advocate for your patient’s preferences within the hospital system.
What is a core action regarding patient interactions in caring practices?
Listen and put the patient’s needs first.
What is the nurse's responsibility regarding physician orders?
Communicate with the physician to ensure you understand their orders and plan of care.
How should a nurse handle a clinical error?
Be transparent; if there is an error, the nurse should report it.
What should a nurse do if they feel they cannot care for patients safely during a shift due to a lack of knowledge?
Request education if you need it to care for patients safely.
What must the nurse verify regarding patient and family education?
Ensure that the patient and their family understand the information/teaching provided to them.
Which AACN characteristic refers to 'bouncing back' after injury?
Resiliency.
What role does the nurse play in the hospital hierarchy regarding advocacy?
The nurse works with management to secure permissions for family needs rather than acting against policy.
Does the AACN support restricted visitation in the Adult ICU?
No, it supports UNRESTRICTED visitation of a support person or persons.
In Advocacy and Moral Agency, what is prioritized along with the patient?
The patient's family point of view.
According to the transcript, how many body systems must be involved for a case to be considered complex?
2 or more body systems.
What is meant by the characteristic of Predictability in a clinical setting?
The ability to expect a specific course of illness or events.
When should education be requested in a clinical setting?
If the nurse needs it to care for patients safely during their shift.
What is a key requirement of being transparent as a professional nurse?
Reporting errors.
What are the components of professional growth mentioned?
Questioning practice, reading professional literature, and sharing knowledge.
Whose collaboration is the nurse expected to initiate?
Collaboration with other clinicians.
What is the primary indicator of Participation in Care?
Engagement in aspects of care by the patient and family.
What specific form of engagement defines Participation in Decision Making?
The extent to which the patient and family engage in decision making.
What is the purpose of palliative options identified in the transcript?
To relieve suffering at the end of life.
Besides medical data, what else is incorporated into the plan of care?
Differences in race, culture, ethnicity, lifestyle, education, values, and beliefs.
On which page does the review of AACN Patient Characteristics begin and end?
It begins on Page 28 and continues onto Page 29.
What is a characteristic of a nurse who exercises moral agency?
Empowering the patient to speak for themselves.
Which AACN patient characteristic specifically mentions monetary and technological factors?
Resource Availability.
According to the text, what is the 'bounce back' ability officially called?
Resiliency.
What are the two items mentioned in the AACN Practice Alert regarding family presence?
Resuscitation and invasive procedures.