A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult children disagree about continuing nutritional support. The dilemma is referred to the ethics committee. Which of the following actions should the nurse expect the committee to take?

Assist in weighing the options involved in the decision.

Provide a legal representative for the family.

Recommend the best course of action for the client.

Decide how the nursing team should resolve the dilemma.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Ethics committees are tasked with providing guidance and recommendations in ethical dilemmas. They don't make the final decisions, but rather facilitate discussions and help individuals involved in the situation to weigh the options and make informed choices. This is consistent with the committee's role in addressing complex ethical decisions.

Choice B rationale:

Providing a legal representative for the family is not the primary role of an ethics committee. Legal representation is a separate matter and might be considered in situations where there are legal implications, but the committee's primary function is to address ethical concerns and conflicts.

Choice C rationale:

While ethics committees can offer recommendations, their focus is not necessarily on determining the best course of action for the client. Instead, they help individuals explore ethical principles and values to make decisions that align with the client's best interests.

Choice D rationale:

The ethics committee does not make decisions on behalf of the nursing team. Its role is to provide guidance and promote ethical discussions. Deciding how the nursing team should resolve the dilemma is beyond the committee's scope.

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Correct Answer is C

Explanation

The correct answer is C.

Choice A: Take extra wheelchairs to the emergency department While having extra wheelchairs available can be helpful in a disaster situation, it is not the primary responsibility of the PACU charge nurse. The logistics of equipment distribution would typically be managed by a different team or department.

Choice B: Send PACU assistive personnel to assist with triage Triage is a critical part of disaster response, but it is typically performed by trained emergency department personnel or those with specific training in disaster triage. PACU personnel should focus on their area of expertise, which is post-anesthesia care.

Choice C: Identify stable clients for transfer to a surgical unit This is the correct action. By identifying stable clients for transfer, the PACU charge nurse can free up space for incoming patients who may require immediate post-operative care. This action helps to ensure that the PACU is ready to receive patients who are likely to come from the emergency department after immediate lifesaving interventions.

Choice D: Report to the command center for further instructions While communication with the command center is important in a disaster situation, the PACU charge nurse’s primary responsibility is to manage the care environment and patient flow within their specific unit. Other teams or personnel would likely handle tasks like reporting to the command center.

A. Notify the charge nurse of the client's request for transfer. B. Assure the client that their concern has been shared with the staff. Tell the client that future calls will be answered in a timely manner. C. Ask the client to verbalize their expectations.

Correct Answer is C

Explanation

Choice A rationale:

Notify the charge nurse of the client's request for transfer. This action might be taken eventually, but it is not the first step. The nurse should directly address the client's concerns before escalating the situation to the charge nurse.

Choice B rationale:

Assure the client that their concern has been shared with the staff. Tell the client that future calls will be answered in a timely manner. While it's important to reassure the client, promising timely responses to calls before understanding their expectations might not effectively address the underlying issue. It's better to communicate openly with the client first.

Choice C rationale:

Ask the client to verbalize their expectations. This is the correct choice. By asking the client to express their expectations, the nurse can gather crucial information about the client's concerns and needs. This allows the nurse to address the specific issues that led to the client's dissatisfaction and work toward a resolution that aligns with the client's preferences.

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A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult children disagree about continuing nutritional support. The dilemma is referred to the ethics committee. Which of the following actions should the nurse expect the committee to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A facility has been notified of a train derailment resulting in multiple clients experiencing life-threatening injuries. The external disaster plan has been activated. Which of the following actions should a charge nurse on the PACU take?

Correct Answer is C

Explanation

A client on a general surgical unit tells a nurse that staff members are not answering the call light promptly. The client requests to be transferred to another unit. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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