A nurse is caring for a pediatric patient who comes from a diverse cultural background.
The child's family holds strong religious beliefs that affect their views on medical interventions, including pain management.
The nurse recognizes the need to respect these beliefs while providing appropriate care.
Select all the interventions that the nurse should consider when managing the child's pain within the context of the family's cultural and religious beliefs.
Administering pain relief medications discreetly to avoid drawing attention.
Consulting with the hospital's ethics committee to override the family's beliefs.
Exploring non-pharmacological pain management techniques, such as relaxation and distraction.
Collaborating with an interpreter to facilitate communication with the family.
Engaging in open and respectful communication with the family to understand their beliefs and concerns.
Correct Answer : C,D,E
Choice A rationale:
Administering pain relief medications discreetly to avoid drawing attention may not be an appropriate approach.
While it may seem respectful, it could potentially be viewed as deceptive and may not align with the family's cultural and religious beliefs.
It's essential to maintain open and honest communication with the family to understand their preferences fully.
Choice B rationale:
Consulting with the hospital's ethics committee to override the family's beliefs should be a last resort.
It is not in line with patient-centered care and respecting cultural and religious beliefs.
Ethical dilemmas should be resolved through open dialogue and collaboration whenever possible.
Choice C rationale:
Exploring non-pharmacological pain management techniques, such as relaxation and distraction, is a suitable approach.
This option respects the family's beliefs while still addressing the child's pain.
Non-pharmacological methods are often complementary and can be effective in pediatric pain management.
Choice D rationale:
Collaborating with an interpreter to facilitate communication with the family is crucial, especially if there is a language barrier.
Effective communication is essential for understanding the family's cultural and religious beliefs and ensuring that the child receives appropriate care.
Choice E rationale:
Engaging in open and respectful communication with the family to understand their beliefs and concerns is the most important step in this scenario.
It allows the nurse to gather information about the family's specific beliefs and preferences, which will guide the development of an appropriate pain management plan that respects their cultural and religious values.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale:
Age is an important factor to consider when assessing a minor's capacity to make decisions about pain management.
Younger minors may not have the cognitive development to fully comprehend the implications of their decisions.
Therefore, their age is a relevant factor to consider.
Choice B rationale:
The minor's understanding of the treatment options is crucial when assessing their capacity to make decisions about pain management.
Informed consent requires that the minor has a reasonable understanding of the procedure, risks, benefits, and alternatives.
If the minor lacks this understanding, their capacity to consent may be compromised.
Choice C rationale:
While the legal guardian's opinion is important in the overall decision-making process, it is not the sole factor in assessing a minor's capacity to make decisions about pain management.
The minor's own understanding and capacity to comprehend the situation are also critical.
Therefore, the legal guardian's opinion alone is not sufficient to determine the minor's capacity.
Choice D rationale:
The minor's pain tolerance level is not directly relevant to their capacity to make decisions about pain management.
Pain tolerance is a personal characteristic and may vary among individuals but does not impact their ability to understand and make informed decisions about medical treatments.
Choice E rationale:
The minor's maturity level and ability to comprehend the situation are crucial factors when assessing their capacity to make decisions about pain management.
Informed consent requires that the minor can comprehend the information provided and make an informed decision.
Therefore, assessing their maturity and comprehension level is important.
Correct Answer is A
Explanation
You have the right to be informed and actively participate in decisions regarding your child's pain management, based on age-appropriate communication and involvement.”..
This statement aligns with the principle of autonomy.
Autonomy in healthcare ethics emphasizes an individual's right to make decisions about their own medical care, or in this case, their child's care.
It recognizes that parents have the right to be informed and actively involved in decisions about their child's pain management, provided that these decisions are based on age-appropriate communication and involvement.
Choice B rationale:
Choice B, "Parents don't have a role in deciding their child's pain management; it's entirely up to the healthcare providers," does not align with the principle of autonomy.
Autonomy acknowledges the importance of involving parents in decisions regarding their child's care, as long as it is in the child's best interests and respects their preferences.
Choice C rationale:
Choice C, "Parents should make decisions for their child without considering the child's preferences, as they may not understand the situation fully," does not align with the principle of autonomy.
Autonomy allows for considering the child's preferences when appropriate and respecting their growing capacity to understand and participate in medical decisions.
Choice D rationale:
Choice D, "Parents should blindly trust the healthcare providers and not ask any questions regarding their child's pain management," does not align with the principle of autonomy.
Autonomy encourages informed decision-making and active participation in the healthcare decision-making process, which includes asking questions and seeking information.
Blind trust without questioning is not consistent with the principles of autonomy.
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