A nurse is providing care for a client who has terminal cancer and is refusing chemotherapy.
Which of the following actions should the nurse take?
Request the client sign an informed consent.
Encourage the client to reconsider their decision
Communicate the client's decision to the provider.
Provide care for the client using a sympathetic approach.
The Correct Answer is C
the nurse should respect the client’s autonomy and wishes and inform of the provider
A. informed consent is used to accept treatment and not vice versa.
B. the nurse should not apply any form of pressure to make the client accept treatment.
D. The nurse should be empathetic. Being sympathetic is unprofessional
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Related Questions
Correct Answer is C
Explanation
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.
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.
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