問題一覧
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Can be used to justify or critique entries in professional codes of ethics as well as general policies and practices in health care and organizations
ethical theories
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Healthcare ethics
rights ethics, duty ethics, utilitarianism, virtue ethics, religious ethics, pragmatism
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Knowingly stating falsehoods with the intent to deceive
lying
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Intentionally misleading someone, whether by lying, pretense or other means
deception
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Emphasizes human rights
rights ethics
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Right conduct respects rights
right ethics
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Focuses on duties and principles
duty ethics
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Right action follows moral rules
duty ethics
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Duty to respect autonomy
duty ethics
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Prioritizes actions that maximize overall good
utilitarianism
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Intrinsic good
utilitarianism
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Emphasizes character
virtue ethics
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Right action reflects good character
virtue ethics
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Based on religious beliefs and teachings
religious ethics
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Focuses on practical consequences and context
pragmatism
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Pluralism
pragmatism
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Rights ethics
locke, libertanism, commutarianism
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Duty ethics
kant ross, absolutism, prima facie duties
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Utilitarianism
act vs rule, views of good, bentham, mill
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Virtue ethics
classical, modern, plato, aristotle, macintyre
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Religious ethics
world religions, divine command, religious exemplars, theologians
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Pragmatism
classical, casuistry, james, dewey
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Protects patient autonomy and informed consent
rights ethics
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Ensures healthcare professionals fulfill their obligations to patients
duty ethics
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Balances benefits and harms to provide the best overall outcome for most people
utilitarianism
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Promotes compassion, honesty, and other virtues in healthcare professionals
virtue ethics
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Guides healthcare decisions following religious principles
religious ethics
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Considers specific situations and finds solutions that work in practice
pragmatism
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Consists of the clash of rights and the question is which right has priority in the situation
dilemma
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Morally right when and because it respects human rights
conduct
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Ascribing human rights to each person is one way to express the dignity and the authority of individuals to be counted as moral equals to other individuals
true
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Universal, inalienable, and inherent to all human beings regardless of nationality, race, religion or other status
human rights
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Cannot be taken away
inalienable
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All human rights are equally important, and none can be fully enjoyed without the others
indivisible and interdependent
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Mature and competent adults have the ability, ad well as the morao authority, to assert these claims
human rights
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Infants and incapacitated adults need to rely on others to assert their claims on their behalf
natural rights
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People can also authorize others to exercise rights on their behalf, as when they sign a durable power of attorney document, stipulating who has the right to make healtchcare decisions should they be rendered unable
human rights
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Areas of freedom and benefits recognized in a particular legal system
legal rights
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John Locke formulated the first systematic rights ethic, listing the most basic rights as life, liberty and property
true
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Rights not to be interfered with
liberty rights
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Negative rights
liberty rights
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Rights not to be killed, not to be kidnapped, and not to have one’s property stolen
liberty rights
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Positive rights
welfare rights
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Rights to receive essential goods when one is unable to earn those goods on one’s own and when the community has the resources to provide them
welfarw rights
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Arise from contracts, promises, legislation, school membership, and relationships with professionals
special moral rights
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Refer to particular relationships and memberships
special moral rights
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Object to taxing people to support government welfare programs such as medicate and unemployment compensation
libertarianism
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Constitute a minority among rights ethicists, most of whom believe that human rights include both liberty and welfare rights
libertarianism
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Building strong communities
communitarianism
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Believe in welfare as well as liberty rights
communitarianism
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Emphasize that rights must be understood within moral communities based on mutual respect and goodwill
communitarianism
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Focuses on actions being “right or wrong” based on rules and principles, rather than the consequences
deontology
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Locke believed that we should not lie under circumstances and that this was a rule that could not be broken regardless of the consequences
false
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Act so that you treat humanity, whether in your own person or in that of another, always as an end and never as a means only
duty ethics
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Always show moral RESPECT toward yourself and others
duty ethics
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Commiting suicide or neglecting one’s takents violates the duties of self respect
duty ethics
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Tell the truth and keep your promises
duty ethics
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Criticism of this model is that the rules prescribed can be too rigid and inflexible
duty ethics
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Genuine duties that sometimes habe exceptiona when they conflict with other duties having greater importance in a given situation
ross prima facie duties
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Deriving from one’s own actions, either in making commitments
fidelity
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Causing harm to others
reparation
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Deriving from other people’s acts of service toward oneself
gratitude and reciprocity
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Maintain fair distributions of benefits and burdens
justice
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Based on the sheer opportunity to help others
beneficence
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Linked to opportunities to develop one’s talents
self-improvement
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Not injuring others
nonmalificence
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Produce the most good for the most people, equally the interests of each person affected by one’s actions
utilitarianism
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UTILITARIANISM
focus on consequences, maximizing benefits, resources allocation
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An act is right when it maximizes good effects, more than any other options available in a situation
act utilitarianism
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Moral decision making requires one to identify all the feasibke options in each situation, to weigh likely good snd bad consequences for each option, and then to select the option that maximizes the good overall
act utilitarianism
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People should follow a particular set of rules that, were they adopted in a society, would maximize overall good
rule utilitarianism
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Only intrinsic good
pleasure
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Only intrinsic bad
pain
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Sole end for which mankind are warranted, individually or collectively, in interfering with the liberty of action of any of their number is self protection
harm principle
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Intrinsic good consists in satisfying human preferences, as manifested in how individuals spend their money
preference satisfaction
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Organ allocation, triage during a disaster
utilitarianism
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Character ethics
virtue ethics
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Shifts the focus to these latter concerns, especially to the kinds of person one should aspire to be
virtue ethics
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The virtue governing the appetites, enabling one to locate the mean between harmful self-denial and overindulgence
temperance
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Irtue of confronting danger by locating the mean between cowardice and foolhardiness
courage
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Virtue of giving, whose mean lies between stinginess and wastefulness
generosity
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Resides in the mean between lacking candor and revealing everything, even when it violates confidentiality or causes great harm to others
truthfulness
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Focuses greater attention on moral motivation and moral psychology
virtue ethics
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VIRTUE ETHICS
moral motivation and moral psychology, personal relationships, moral aspiration, renews attention to communities
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Moral motivation
religious ethics
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Virtue of love paramount
christianity
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Emphasizes compassion
buddhism
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Emphasizes righteousness and justice
judaism
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Emphasizes piety and pursuit of excellence
islam
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Emphasizes harmony, peace of mind, health, well-being and beauty
navaho
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Explores how responsible moral judgment can be exercised without resorting to a comprehensive theory
pragmatism
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These means includes rights, responsibilities, and ideals of character even though they cannot be encapsulated in comprehensive and systematic theories
pragmatism
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Refers to a cluster of approaches to ethics that are wary of abstract rules and elaborate systems of principles
pragmatism
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Heavily emphasize the importance of context— of looking closely at the facts and values pertinent to particular situations
pragmatism
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Emphasize paradigms— clear cut cases
pragmatism
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Unclarity about how to apply moral concepts and principles
vagueness
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More than one plausible moral interpretation if a situation
ambiguity
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Principles pointing in different directions
conflict
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Differing viewpoints among involved persons
disagreement