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. 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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Correct Answer is A

Explanation

a. The nurse should create a safe environment to speak with the client alone, which may encourage disclosure of abuse.
b. While filing an incident report is important, it should be done after gathering more information.

c. Simply treating and discharging the client may put them back into an unsafe environment without addressing the potential abuse.
d. Asking about injuries with the son present may not yield truthful answers if the son is the abuser.

A. Transport the client to the operating room without verifying informed consent B. Delay the surgery until the nurse can obtain informed consent C. Obtain telephone consent from the facility administrator before the surgery D. Ask the anesthesiologist to sign the consent

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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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

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