A nurse manager is leading a discussion about ethical dilemmas. Which of the following situations should the nurse manager include as an example of an ethical dilemma?
A visitor experiences a minor burn after spilling coffee
A parent wants her 14-year-old adolescent to receive radiation treatment against his will
A nurse witnesses another nurse administer an incorrect medication
A client receives an operation on the wrong side of her body
The Correct Answer is B
a. While unfortunate, a minor burn from spilling coffee does not present an ethical dilemma.
b. This situation involves a conflict between parental authority and the adolescent's autonomy, representing an ethical dilemma.
c. This situation may involve ethical considerations, such as whether to report the error, but it does not inherently involve conflicting moral principles.
d. Operating on the wrong side of the body represents a medical error rather than an ethical dilemma.
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Related Questions
Correct Answer is A
Explanation
a. In emergency situations where obtaining informed consent is not feasible due to the client's unconscious state and immediate need for surgery to preserve life or prevent further harm, the client may be transported to the operating room without obtaining formal consent. This action is based on the principle of implied consent for emergent, life-saving interventions.
b. Delaying surgery to obtain informed consent could result in further harm to the client if immediate intervention is necessary to stabilize their condition.
c. Obtaining telephone consent from the facility administrator is not appropriate in this situation, as the client's immediate medical needs take precedence over administrative procedures.
d. Asking the anesthesiologist to sign the consent is not appropriate, as consent should ideally be obtained from the client or their legally authorized representative.
Correct Answer is D
Explanation
a. Involving the client's partner may be helpful for additional support, but it does not ensure accurate communication if the partner also does not speak the same language as the client.
b. While incorporating gestures and hand signals can be useful, they may not fully convey complex medical information and may lead to misunderstandings.
c. Interpreting the client's body language can provide some insight into their understanding, but it may not accurately represent their comprehension of the information.
d. Providing an interpreter ensures accurate communication and understanding between the nurse and the client, promoting effective teaching and informed decision-making.
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