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 B
Explanation
a. While alerting the infection control department is important, directly addressing the issue with the involved personnel should be the initial action.
b. Discussing the issue with the assistive personnel (AP) allows for immediate clarification of the protocol and provides an opportunity to correct the behavior.
c. Reinforcing facility protocols at a staff meeting may be necessary but should not be the first step when immediate action is required.
d. Notifying the unit manager is important, but addressing the issue with the AP directly is the first step in resolving the situation and preventing future occurrences.
Correct Answer is A
Explanation
a. The client with Alzheimer's disease and bacterial pneumonia experiencing newly onset restlessness may indicate a change in their condition, such as worsening infection or delirium, which requires immediate assessment and intervention to address their underlying medical needs.
b. While hyperglycemia in a newly admitted client with diabetes mellitus is concerning, it does not typically require immediate assessment unless accompanied by signs of diabetic ketoacidosis or other acute complications.
c. Although the client postoperative from hip fracture reduction reporting a pain level of 7 requires attention, it is not as urgent as assessing the client with newly onset restlessness, which may indicate a more acute issue.
d. The client who is 3 days postoperative and ready for discharge does not require immediate assessment compared to the client with newly onset restlessness, whose condition may be deteriorating.
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