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. A visitor experiencing a minor burn is a safety incident but not necessarily an ethical dilemma.
b. This scenario involves a conflict between parental autonomy and the adolescent's right to refuse treatment, representing an ethical dilemma.
c. This scenario involves a medication error, which is a patient safety issue but not necessarily an ethical dilemma unless there are complex issues surrounding the circumstances of the error.
d. Operating on the wrong side of a client's body is a serious medical error and a patient safety issue but may not inherently involve an ethical dilemma unless there are factors such as informed consent or negligence involved.
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Related Questions
Correct Answer is D
Explanation
a. Instructing the client's family to contact the insurance provider may be appropriate but does not directly address the issue of the delayed oxygen tank delivery.
b. Sending an oxygen tank from the facility home with the client may not be feasible or within the nurse's authority without proper arrangements and documentation.
c. Contacting social services may not be necessary for the delivery of oxygen equipment, as this is typically arranged through the equipment company or the healthcare provider.
d. Notifying the provider about the delayed oxygen tank delivery allows them to follow up with the equipment company or make alternative arrangements to ensure the client receives the necessary equipment in a timely manner.
Correct Answer is A
Explanation
a. In emergency situations where the client is unconscious and no legal representative is available, life-saving treatment or surgery can proceed without consent under the doctrine of implied consent.
b. Delaying the surgery until informed consent can be obtained may jeopardize the client's health if immediate surgery is necessary.
c. Consent from a facility administrator is not required; the healthcare team can act under implied consent in emergencies.
d. Asking the anesthesiologist to sign the consent is not appropriate; consent should ideally be obtained from the client or a legally authorized representative.
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