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

Answer and Explanation

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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Correct Answer is D

Explanation

a. “You should contact the provider about your wishes for your family member”: While involving the provider is essential, it doesn’t directly address the conflicting wishes between the partner and the family member.
b. “You should speak with the facility’s ethics committee about your concerns”: While acknowledging the need for ethical guidance, this option may not be the most immediate step.
c. “We’ll need to have the nursing supervisor review the client’s advance directives”: Although reviewing advance directives is crucial, it doesn’t directly address the current disagreement.
d. “As the health care surrogate, the client’s partner can make this decision”: This response recognizes the legal authority of the health care surrogate (partner) to make decisions on behalf of the unconscious client. It aligns with established principles.

A. A client who has active bleeding from a puncture wound to the groin area B. A client who has a raised red skin rash on his arms, neck, and face C. A client who reports shortness of breath and left shoulder and neck pain D. A client who reports right-sided flank pain

Correct Answer is C

Explanation

A. A client with active bleeding from a puncture wound to the groin area requires immediate attention; however, the priority is determined by assessing the severity and potential complications associated with each condition.

B. A raised red skin rash could indicate an allergic reaction or infection, but it is not life-threatening compared to respiratory distress.

C. A client who reports shortness of breath and left shoulder and neck pain is the highest priority because these symptoms can indicate a serious condition, such as a myocardial infarction or pulmonary embolism. Both conditions require urgent assessment and intervention to prevent deterioration.

D. Right-sided flank pain can indicate kidney stones or other issues but is less critical than the risk of respiratory compromise present in option C.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

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