A nurse is caring for a client who is unconscious, and whose partner is their health care surrogate. The partner wishes to discontinue the client's feeding tube, but another family member tells the nurse that they want the client to continue receiving treatment. Which of the following responses should the nurse make?
"You should contact the provider about your wishes for your family member."
"You should speak with the facility's ethics committee about your concerns."
"As the health care surrogate, the client's partner can make this decision."
"We'll need to have the nursing supervisor review the client's advance directives."
The Correct Answer is C
A. Contacting the provider may be part of the process, but it does not directly address the conflict between the family members' wishes and the health care surrogate's legal authority.
B. While the ethics committee can be a valuable resource in resolving disputes, it is not the first step in this situation, as the health care surrogate has the legal right to make decisions on behalf of the unconscious client.
C. The health care surrogate is legally designated to make health care decisions for the client when they are unable to do so themselves. This includes decisions about life-sustaining treatments such as a feeding tube.
D. Reviewing the client's advance directives is important, but it does not supersede the authority of the health care surrogate unless the directives explicitly limit the surrogate's decision-making power.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Telehealth often facilitates communication between healthcare providers, enabling consultations, collaboration, and information exchange regardless of physical location.
B. While telehealth can involve assessment components, its primary objective isn't specifically focused on assessing client needs.
C. Medication reconciliation is an important aspect of healthcare but might not be the primary objective of telehealth.
D. Developing client treatment protocols is more related to clinical decision-making and might not be the primary objective of telehealth, which often centers around communication and
remote care delivery.
Correct Answer is B
Explanation
A. A client receiving an operation on the wrong side of the body is a serious medical error but might not inherently involve an ethical dilemma unless the decision-making process and accountability are in question.
B. A parent wanting a 14-year-old adolescent to receive radiation treatment against his will involves conflicting values of autonomy, beneficence, and parental rights,
constituting an ethical dilemma.
C. A visitor experiencing a minor burn is an incident but doesn't inherently pose an ethical dilemma.
D. A nurse witnessing another nurse administering an incorrect medication is a patient safety issue but might not inherently involve an ethical dilemma unless there are questions about reporting or intervening in the situation.
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