A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?
A nurse informs a confused client who wants to go home that he is going to stay at the facility until he is better.
A nurse gives prescribed opioids to a client who has a terminal illness and respirations of 8/min.
A nurse explains to a client's family that a DNR order includes withholding comfort measures.
A nurse refuses to actively participate during an elective abortion procedure scheduled for her client.
The Correct Answer is C
A DNR (Do Not Resuscitate) order means that CPR should not be initiated in the event of a cardiac arrest. This however, does not include other aspects of care that may be required by the client. Comfort measures should still be used unless stated otherwise.
A. A confused client lacks the mental capacity to refuse care and the nurse is right.
B. Respiratory depression is not a contraindication to opioid therapy in cases of pain during end of life care.
D. The nurse has the right to decline participation in elective abortion cases.
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Related Questions
Correct Answer is C
Explanation
In this scenario, the nurse has a role to respect the parents’ autonomy but also be an advocate for the health of the client who is a minor. The nurse needs the input of the ethics committee to assist in navigating the ethical dilemma.
The other clients’, A, B and D, do not pose any ethical dilemmas for the nurse as they are adult and can make legally binding decisions.
Correct Answer is D
Explanation
A cardiac arrhythmia is a medical emergency that require emergency intervention. The Emergency Medical Treatment and Active Labor Act (EMTALA) gives the nurse a legal obligation to offer the care required regardless of the availability of consent or funds.
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