Ethical and Legal Considerations in End-of-Life Care

Total Questions : 4

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Question 1:

A nurse is caring for a client who has terminal cancer and is receiving hospice care at home. The client's spouse asks the nurse to administer a higher dose of morphine to the client to hasten death. What is the nurse's best response?

Answer and Explanation

A
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Question 2:

A client who has amyotrophic lateral sclerosis (ALS) has an advance directive that states they do not want any life-sustaining measures, including artificial nutrition and hydration, if they become unable to make decisions for themselves. The client's family disagrees with this decision and asks the nurse to insert a feeding tube in the client. What should the nurse do?

A) Insert the feeding tube in the client, as the family has the right to make decisions for the client.

B) Refuse to insert the feeding tube in the client, as the advance directive is legally binding and must be honored.

C) Consult with the ethics committee and seek a resolution that respects both the client's and the family's wishes.

D) Ask the physician to override the advance directive and order artificial nutrition and hydration for the client.

Answer and Explanation

A
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Question 3:

A nurse is providing palliative care to a client who has end-stage heart failure. The client tells the nurse that they want to donate their organs after death. What should the nurse do?

Answer and Explanation

A
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Question 4:

A client who has a do-not-resuscitate (DNR) order is admitted to the hospital with pneumonia. The client develops respiratory distress and requires intubation and mechanical ventilation. The nurse notices that the DNR order is not documented in the electronic health record (EHR). What should the nurse do?

Answer and Explanation

A
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