A nurse manager is leading a discussion about ethical dilemmas. Which of the following situations should the nurse manager include as an example of an ethical dilemma?

A visitor experiences a minor burn after spilling coffee

A parent wants her 14-year-old adolescent to receive radiation treatment against his will

A nurse witnesses another nurse administer an incorrect medication

A client receives an operation on the wrong side of her body

Answer and Explanation

The Correct Answer is B

a.   While unfortunate, a minor burn from spilling coffee does not present an ethical dilemma.
b.   This situation involves a conflict between parental authority and the adolescent's autonomy, representing an ethical dilemma.
c.   This situation may involve ethical considerations, such as whether to report the error, but it does not inherently involve conflicting moral principles.
d.   Operating on the wrong side of the body represents a medical error rather than an ethical dilemma.

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Correct Answer is B

Explanation

a. Administering a sedative should not be the first response, as it may not address the underlying cause of the behavior and may increase the risk of adverse effects.
b. Contacting a family member to provide support and comfort to the client can help alleviate agitation and may help redirect the client's behavior.
c. Placing the client in a wheelchair with a lap tray does not address the underlying cause of the behavior and may not be effective in managing agitation.
d. Keeping the client in her room with the door closed may isolate the client but does not address the underlying cause of the behavior or provide appropriate support.

A. Review the chart for nonrestraint alternatives for agitation B. Inform the unit manager C. Speak with the AP about the incident D. Remove the restraints from the client’s wrist

Correct Answer is D

Explanation

a. Review the chart for nonrestraint alternatives for agitation: While reviewing alternatives is important, the immediate concern is ensuring the safety and well-being of the client by removing the restraints.
b. Inform the unit manager: While it's important to inform the unit manager, the first action should be to address the immediate safety issue by removing the restraints.
c. Speak with the AP about the incident: While it's important to discuss the incident with the assistive personnel, the first priority is to remove the restraints to prevent harm to the client.
d. Remove the restraints from the client’s wrist: This is the correct action to take first to ensure the client's safety and prevent further harm. Afterward, the nurse can address the situation with the assistive personnel and review alternatives for managing the client's agitation.

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A nurse manager is leading a discussion about ethical dilemmas. Which of the following situations should the nurse manager include as an example of an ethical dilemma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who wanders through the halls yelling obscenities at staff and visitors. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A charge nurse making rounds observes that assistive personnel has applied wrist restraints to a client who is agitated and does not have a prescription for restraints. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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