A nurse is assisting with the plan of care for a child whose parents refuse to accept the medical treatment prescribed by the provider. Which of the following actions should the nurse plan to take first to address this ethical dilemma?

Examine personal values.

Agree on a desired outcome.

Create a plan of action.

Collect the relevant facts.

Answer and Explanation

The Correct Answer is D

A.   Examine personal values: Understanding personal biases is important, but this is not the initial step in ethical decision-making.
B.   Agree on a desired outcome: Reaching a consensus is essential but should come after gathering the necessary information.
C.   Create a plan of action: Developing a plan is premature without gathering facts and understanding the situation.
D.   Collect the relevant facts: Gathering all relevant information is the first step to understanding the ethical dilemma and determining an appropriate response.

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Correct Answer is A

Explanation

A. Advance directives: Advance directives may contain information about the client's wishes for organ donation, along with other end-of-life preferences.
B. Informed consent: Informed consent is related to specific treatments or procedures and does not address organ donation.
C. Provider's prescription: Providers do not write prescriptions for organ donation; it is a legal decision made by the client.
D. Do-not-resuscitate (DNR) order: A DNR order only indicates that no resuscitation should be attempted in the event of cardiac or respiratory arrest.

A. "Once the form is notarized, it cannot be changed." B. "My health care surrogate can decide my treatment if I am unable to." C. "My attorney will need to notarize the document.” D. "I have to choose a member of my family to be my health care surrogate.”

Correct Answer is B

Explanation

A. "Once the form is notarized, it cannot be changed." Advance directives can be changed or revoked by the client at any time.
B. "My health care surrogate can decide my treatment if I am unable to." A healthcare surrogate is legally authorized to make decisions when the client is incapacitated.
C. "My attorney will need to notarize the document." Notarization is not typically required by an attorney; any authorized notary public can perform this task.
D. "I have to choose a member of my family to be my health care surrogate." Clients can choose any trusted individual, not necessarily a family member.

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A nurse is assisting with the plan of care for a child whose parents refuse to accept the medical treatment prescribed by the provider. Which of the following actions should the nurse plan to take first to address this ethical dilemma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled for surgery. While reviewing the client’s medical record the nurse notes the client is an organ donor. Which of the following documents provides information about organ donation?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client about advance directives. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

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