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
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 C
Explanation
a. Pharmacist: While a pharmacist may assist with medication-related concerns, they may not be able to address broader financial issues or access to resources.
b. Child protective services: Child protective services are not relevant in this scenario as there is no indication of child neglect or abuse.
c. Social worker: Social workers are trained to assist individuals and families with various social and financial issues, including accessing resources for medical needs.
d. Respiratory therapist: While a respiratory therapist may provide education and support related to asthma management, they may not be able to address the parent's financial concerns directly.
Correct Answer is C
Explanation
a. While reviewing current literature is an important step in the quality improvement process, it should not be the first action taken after problem identification.
b. Implementing a fall prevention plan is an important step but should be based on a thorough assessment of clients at risk for falls, which should be done first.
c. Identifying clients who are at risk for falls is the first step in addressing the issue of increased falls, as it allows for targeted interventions and prevention strategies.
d. Notifying staff of the increased fall rate may be necessary but should not be the first action taken. Identifying clients at risk for falls should be prioritized to implement preventive measures.
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