A nurse is caring for a client who has an ethical conflict about the care they are receiving. Which of the following resources should the nurse consult about resolving the dilemma?

Hospital ethics committee

Quality improvement committee

Chaplain

Director of nursing

Answer and Explanation

The Correct Answer is A

A. Hospital ethics committee: The nurse should consult the hospital ethics committee for guidance in resolving ethical conflicts related to client care. This committee is specifically designed to address ethical dilemmas and provide support for decision-making, ensuring that care aligns with ethical principles and the client's values.

B. Quality improvement committee: While the quality improvement committee focuses on enhancing care quality and patient safety, it is not primarily concerned with resolving ethical dilemmas. This committee may address systemic issues, but it does not specialize in ethical conflicts regarding individual client care.

C. Chaplain: While a chaplain can provide spiritual support and guidance, they may not be equipped to address the ethical aspects of the client's care. Consulting a chaplain could be helpful for emotional or spiritual concerns, but the ethics committee is more appropriate for resolving ethical dilemmas.

D. Director of nursing: The director of nursing may provide support and resources, but they may not have specialized training in ethics. Referring to the hospital ethics committee is more appropriate for addressing specific ethical conflicts in client care.

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Free Nursing Study Resources

Correct Answer is ["A","D","E","F"]

Explanation

A. "If I request a do-not-resuscitate (DNR) prescription, CPR will be withheld from my care.": Understanding that a DNR order means no resuscitation efforts, such as CPR, will be performed in the event of cardiac or respiratory arrest is crucial. This reflects the client’s autonomy in making end-of-life decisions and ensures their preferences are respected in critical situations.

B. "Once I choose a health care proxy, they will start making my health care decisions.": While selecting a health care proxy is an important step, they can only make decisions when the client is unable to do so. This means that the proxy’s authority to act is contingent upon the client’s capacity to communicate their wishes.

C. "I am required to complete these documents during my hospital stay.": Clients are encouraged to create advance directives, but there is no legal requirement to complete these documents while in the hospital. Clients have the right to determine the timing and circumstances under which they complete advance directives.

D. "The hospital is legally required to provide me information on these documents.": Hospitals have an obligation to inform clients about advance directives, ensuring they are aware of their rights and the options available for planning their medical care. This legal requirement promotes informed decision-making among clients.

E. "When completed, a copy of these documents will be kept in my medical record.": Storing advance directives in the medical record is essential for ensuring that healthcare providers have access to the client’s preferences regarding treatment. This practice helps to facilitate communication and adherence to the client’s wishes during their care.

F. "These documents provide instructions about my care preferences.": Advance directives outline a client’s preferences for medical treatment and interventions, ensuring that their values and wishes guide their care if they become unable to communicate those preferences. This helps healthcare providers understand and respect the client’s desires regarding their treatment.

A. A client awaiting a screening colonoscopy later that day B. A client whose discharge was cancelled the prior day because they developed respiratory distress C. A client who is 6 hr postoperative following an open cholecystectomy D. A client who is prescribed gastric lavage treatments to treat acute aspirin toxicity

Correct Answer is A

Explanation

A. A client awaiting a screening colonoscopy later that day: This client is appropriate for early discharge. As the procedure is non-invasive and not urgent, the client can be discharged and return for the scheduled screening without compromising their health. This decision allows for the efficient use of hospital resources following a mass casualty event.

B. A client whose discharge was cancelled the prior day because they developed respiratory distress: Recommending discharge for this client is not advisable, as their recent respiratory distress indicates ongoing health issues that require monitoring and care. Early discharge could jeopardize their safety and recovery.

C. A client who is 6 hr postoperative following an open cholecystectomy: This client is not a suitable candidate for early discharge. Postoperative patients typically require observation and care to monitor for complications, such as infection or bleeding, in the hours following surgery. Early discharge could put this client's recovery at risk.

D. A client who is prescribed gastric lavage treatments to treat acute aspirin toxicity: This client should not be recommended for early discharge, as they require ongoing treatment and monitoring for aspirin toxicity. Discharging this client prematurely could lead to serious health complications and does not ensure their safety and well-being.

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A nurse is caring for a client who has an ethical conflict about the care they are receiving. Which of the following resources should the nurse consult about resolving the dilemma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","D","E","F"]

Explanation

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Correct Answer is A

Explanation

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