A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions include as an example of ethical practice?
A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order.
A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min.
A nurse elects not to care for a client who had an abortion.
A nurse raises all four side rails on the bed of a client who is confused.
The Correct Answer is B
A. A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order:
Withholding nutrition from a client based solely on a DNR order may not be ethical practice, as nutrition should be provided unless there are specific contraindications or the client has expressed wishes to withhold nutrition.
B. A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min: This is the correct answer. Ethical practice involves providing comfort measures, including appropriate pain management, to clients who are terminally ill and experiencing pain or distress, even if it may inadvertently decrease the respiratory rate.
C. A nurse elects not to care for a client who had an abortion: Refusing to care for a client based on personal beliefs or judgments about their medical history or decisions may not align with ethical practice, as nurses have a professional obligation to provide nonjudgmental care to all clients.
D. A nurse raises all four side rails on the bed of a client who is confused: While ensuring client safety is important, raising all four side rails without considering the client's individual needs and preferences may not be ethical practice, as it may infringe on the client's autonomy and dignity.
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Related Questions
Correct Answer is A
Explanation
A. Implied consent: Implied consent applies in emergency situations where the patient is unable to provide consent due to their condition. In such cases, healthcare providers are permitted to proceed with necessary treatment, including emergency surgery, to prevent further harm or save the patient's life.
B. Good Samaritan Act: The Good Samaritan Act provides legal protection to individuals who provide assistance in an emergency situation. It does not directly address the issue of consent for medical treatment.
C. Nonmaleficence: Nonmaleficence is an ethical principle that emphasizes the duty to do no harm. While it guides healthcare providers in decision-making, it does not address the issue of consent for treatment.
D. Living will: A living will is a legal document that outlines a person's preferences for medical treatment in the event they become incapacitated. However, it is not applicable in emergency situations where immediate treatment decisions are necessary.
Correct Answer is D
Explanation
A. While it is advisable for individuals to review legal documents with their attorney, it does not directly indicate understanding of advance directives.
B. Selecting a family member as a healthcare proxy is a component of advance directives but does not directly indicate understanding of the concept.
C. Having a nurse witness the signing of a living will is not a typical requirement for advance directives and does not necessarily indicate understanding of the process.
D. This statement demonstrates an understanding that advance directives are not necessarily permanent and can be modified or revoked by the individual at any time while they have decision-making capacity. This reflects comprehension of the flexibility and autonomy inherent in advance directives.
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