Ethical Decision Making in Healthcare
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What is the most appropriate nursing intervention for patient C.G. who meets brain-death criteria?

  • Sedate the patient.
  • Approach the patient’s family for possible organ donation. (correct)
  • Talk to the staff about their feelings.
  • Make the decision to withdraw life support.

    • What should Nurse Warren do in response to a colleague who fails to use standard precautions?

  • Ignore the problem; Nurse Warren has done his job.
  • Discuss the issue with other staff members.
  • Instruct the patients to remind this colleague to wear gloves.
  • Document the problem in writing for the manager. (correct)

    • After accidentally administering an extra dose of phenytoin, what should Nurse Jenny do?

  • Call the hospital’s lawyer.
  • Document that she has given a capsule of phenytoin.
  • Do nothing because the patient’s condition is stable.
  • Accomplish a complete incident report. (correct)

    • If Nurse Paulo suspects Nurse Gilbert is under the influence of alcohol, what is the best immediate action to take?

    <p>Immediately notify the nursing supervisor.</p> Signup and view all the answers

    During a coffee break, Nurse Abby overhears sensitive information about a celebrity patient. What should she do?

    <p>Ignore the information and maintain confidentiality.</p> Signup and view all the answers

    When addressing ethical issues in nursing, why is it important to follow established protocols?

    <p>To promote patient trust and safety.</p> Signup and view all the answers

    What ethical principle was violated by Nurse Abby when she discussed information about a patient with Nurse Kate?

    <p>Confidentiality</p> Signup and view all the answers

    Which of the following actions demonstrates a breach of patient confidentiality?

    <p>Sharing patient information with a family member.</p> Signup and view all the answers

    Nurse Camille explains the necessity of informed consent to Patient R.S. What is the correct explanation?

    <p>The physician must give the patient and his significant others enough information to make health-care judgments consistent with their values and goals.</p> Signup and view all the answers

    What is a primary ethical concern when delivering patient care?

    <p>Preserving patient autonomy and informed consent.</p> Signup and view all the answers

    What is Nurse Flor's most appropriate action upon discovering derogatory material related to the hospital director?

    <p>Call the nursing supervisor and report the incident.</p> Signup and view all the answers

    If a pregnant patient confides in Nurse Suzette about past abuse from her partner, what action should Nurse Suzette take?

    <p>Report the situation to child protective services immediately to ensure safety.</p> Signup and view all the answers

    What principle of nursing ethics is most relevant when Nurse Suzette decides to intervene regarding her patient's safety?

    <p>Beneficence</p> Signup and view all the answers

    In the context of informed consent, which statement accurately reflects patient rights?

    <p>The patient can withdraw consent at any time once signed.</p> Signup and view all the answers

    What ethical dilemma might Nurse Suzette face when dealing with her patient's request not to report the abuse?

    <p>Balancing autonomy and beneficence.</p> Signup and view all the answers

    What action should Nurse Flor take regarding the derogatory caricature she found?

    <p>Contact hospital administration to address the matter appropriately.</p> Signup and view all the answers

    What should Nurse Giselle do when the terminally ill pregnant woman asks about her condition?

    <p>Discuss the situation with the physician.</p> Signup and view all the answers

    How should Nurse Kim respond to Leslie's refusal of the blood transfusion?

    <p>I understand your concern, and I will inform your physician about this.</p> Signup and view all the answers

    What concept applies when a physician consents for treatment of an unconscious patient?

    <p>Paternalism</p> Signup and view all the answers

    What is the best course of action for Nurse Jeff when Cynthia reveals her suicide plan?

    <p>Confidential information may be disclosed if serious harm is deemed imminent.</p> Signup and view all the answers

    What should be prioritized when assessing an 83 year-old patient?

    <p>Gently assess the patient to avoid causing harm.</p> Signup and view all the answers

    What is an inappropriate response when a patient refuses treatment?

    <p>Insist that the physician's orders are paramount.</p> Signup and view all the answers

    What should Nurse Giselle avoid doing with the terminally ill patient regarding her condition?

    <p>Offering unnecessary details about her diagnosis.</p> Signup and view all the answers

    When dealing with a patient who refuses a life-saving procedure, which option is the priority?

    <p>Respect the patient’s choice and document the refusal.</p> Signup and view all the answers

    Which professional is responsible for making decisions on behalf of a comatose patient without an advance directive?

    <p>Attending Physician</p> Signup and view all the answers

    What condition must be met for a written consent to be considered valid?

    <p>The patient should be under no influence of substances</p> Signup and view all the answers

    What should Nurse Portia do when the hypophysectomy date changes?

    <p>Secure a new written consent from the patient</p> Signup and view all the answers

    What ethical principle is Nurse Glen upholding by documenting care accurately?

    <p>Veracity</p> Signup and view all the answers

    Which principle applies when Nurse Farah considers pain relief measures that may hasten the patient's death?

    <p>Double Effect</p> Signup and view all the answers

    What does Nurse Rebecca's reporting of Dr. Ho's actions represent?

    <p>Duty to report unethical behavior</p> Signup and view all the answers

    Which statement correctly describes the situation surrounding a patient's legal age for consent?

    <p>Only patients who are 18 and older can provide valid consent</p> Signup and view all the answers

    What ethical principle is contradicted by securing consent through coercion?

    <p>Autonomy</p> Signup and view all the answers

    What is the most appropriate action for the nurse after discovering the patient took the same pill twice?

    <p>Submit an incident report describing the circumstances of the medication error.</p> Signup and view all the answers

    Which statement accurately reflects a characteristic of hospice care?

    <p>Most of the patients have 6 months or less to live.</p> Signup and view all the answers

    Which patient should the nurse manager, Jason, assist first?

    <p>Mayumi Yamsuan, 29 years old, homeless and newly diagnosed with diabetes mellitus.</p> Signup and view all the answers

    What is the most appropriate action for Nurse Celine upon noticing the unusually high medication dose?

    <p>Discuss the question about the drug with the physician who ordered it and record the results of the discussion.</p> Signup and view all the answers

    Which of the following patients should be prioritized by Nurse Gabriel in an acute care situation?

    <p>Delia who is newly admitted with chest pain.</p> Signup and view all the answers

    Which aspect is critical in determining priority for patients in a hospice setting?

    <p>The immediacy of the patient's needs.</p> Signup and view all the answers

    Which situation should prompt a nurse to submit an incident report?

    <p>A nurse finds a medication error documented in the record.</p> Signup and view all the answers

    What should a nurse do if they suspect a prescription is incorrect?

    <p>Double verify the prescription with the physician before administering.</p> Signup and view all the answers

    Study Notes

    Ethical Decision Making In Healthcare

    • Brain Death and Organ Donation
      • When a patient meets brain death criteria, it is ethical to approach the family for organ donation.
      • It is not the nurse's role to withdraw life support, sedate the patient, or discuss feelings with the staff.
    • Standard Precautions and Patient Safety
      • It is crucial for nurses to use standard precautions, including wearing gloves, when providing care to all patients, regardless of their HIV status.
      • Failure to do so is a breach of ethical and professional protocols.
    • Medication Error
      • Nurses must always document any medication errors, even if the patient shows no adverse reactions.
      • An incident report must be completed to record the error and identify potential areas for improvement.
    • Substance Abuse In Healthcare Professionals
      • If a nurse suspects a colleague is under the influence of alcohol while on duty, the nurse must immediately report the situation to the nursing supervisor.
      • It is essential to prioritize patient safety over loyalty to a colleague.
    • Confidentiality and Patient Privacy
      • Patients' medical information is confidential and should only be shared with authorized individuals.
      • Revealing sensitive information, even in casual conversation, violates the principle of confidentiality.
    • Respecting Patient Autonomy
      • Patients have the right to make their own healthcare decisions, including refusing treatment, even if it goes against medical advice.
      • Nurses must respect patient autonomy and advocate for their wishes.
    • Patient Rights to Information
      • Patients have the right to access their medical records and receive accurate information from healthcare providers.
      • Nurses must ensure that patients understand their conditions and treatment options before making decisions.
    • Reporting Domestic Violence
      • Nurses have a legal and ethical obligation to report suspected cases of domestic violence, even if the patient pleads otherwise.
      • Prioritizing patient safety is paramount.
    • Medication Administration and Error Prevention
      • Nurses must carefully review physician orders and verify medications before administration.
      • If discrepancies or errors are identified, the nurse must immediately report them to the physician and document the incident.
    • Prioritization of Patient Care
      • Nurses must prioritize patients based on their acuity and the urgency of their needs.
      • New admissions with critical symptoms require immediate attention.
    • End-of-Life Care and Advance Directives
      • In the absence of advance directives, the attending physician makes medical decisions for a comatose patient, even if no relatives are present.
      • Nurses should be knowledgeable about advance directives and advocate for patients' wishes.
    • Informed Consent
      • Informed consent requires the patient to be fully informed about the proposed procedure, including its potential risks, benefits, and alternatives.
      • It is essential to ensure the patient is of legal age and has the capacity to understand and consent.
    • Documentation and Legal Compliance
      • Accurate and complete documentation of patient care is crucial for legal compliance and continuity of care. It protects the nurse and the patient.
    • Ethical Principles in Nursing
      • Beneficence: Doing good for the patient.
      • Non-maleficence: Avoiding harm to the patient.
      • Autonomy: Respecting the patient's right to make their own choices.
      • Justice: Providing fair and equitable care to all patients.
      • Veracity: Being truthful and honest with the patient.
      • Confidentiality: Protecting patient privacy.
      • Double Effect: The principle that allows for morally acceptable actions that may have both good and bad consequences, as long as the good consequences outweigh the bad and the bad consequences are not intended.
      • Totality: The principle that emphasizes the whole person over their individual parts.
    • Ethical Obligations in Nursing
      • Protect the patient's health and well-being.
      • Maintain patient confidentiality.
      • Be honest and truthful in all interactions with patients and colleagues.
      • Act as a patient advocate.
      • Maintain a high standard of professional conduct.

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    Description

    This quiz covers critical ethical scenarios in healthcare, including brain death, organ donation, standard precautions, and medication errors. It emphasizes the responsibilities of healthcare professionals in preventing conflicts of interest and ensuring patient safety. Test your knowledge on these important ethical issues faced in the medical field.

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