Examkin

Soru

Zorluk: OrtaEthical Practice

An alert and oriented adult client is diagnosed with metastatic pancreatic cancer. The client's adult child privately approaches the nurse and states, "Please do not tell my parent about the cancer. It will destroy their hope, and they will just give up." Which of the following actions should the nurse take? Select all that apply.

  1. Acknowledge the family member's distress while explaining the client's right to know their medical information.Cevap
  2. Ask the client privately how much detail they wish to receive regarding their diagnosis and prognosis.Cevap
  3. Propose an interdisciplinary care conference with the client, family, and healthcare provider to discuss the treatment plan.Cevap
  4. D
    Reassure the adult child that the healthcare team will withhold the test results to prevent psychological harm to the client.
  5. E
    Report the adult child to adult protective services for attempting to manipulate the client's medical care.
  6. F
    Delegate the task of assessing the client's emotional readiness for the diagnosis to the unlicensed assistive personnel (UAP).

Cevap

The nurse should acknowledge the family's distress while explaining the client's rights, privately ask the client their preferences for receiving information, and propose an interdisciplinary care conference.
The correct actions prioritize the alert and oriented client's right to autonomy and veracity. By acknowledging the family's concerns, the nurse maintains a therapeutic relationship but firmly establishes the ethical boundary that the client has a right to their information. Privately asking the client how much they want to know empowers the client to control their own disclosure process. Finally, proposing an interdisciplinary conference facilitates clear communication among all stakeholders, ensuring the client is supported during the disclosure process.

Adım Adım Çözüm

1
Identify the primary ethical conflict in the scenario.
The conflict is between the family's desire to protect the client from emotional distress (beneficence) and the client's right to know the truth about their condition (autonomy and veracity).
Understanding the competing ethical principles is essential for determining the appropriate nursing response.
2
Determine the legal and ethical rights of an alert and oriented adult client.
Competent adults have the absolute right to be informed about their diagnosis, prognosis, and treatment options.
Nurses must act as client advocates, ensuring that the client's right to self-determination is not bypassed by well-meaning family members.
3
Select interventions that uphold client rights while maintaining a therapeutic relationship with the family.
Validating the family's feelings, assessing the client's personal preferences for disclosure, and arranging a collaborative meeting address all facets of the dilemma safely and ethically.
These actions prevent the inappropriate delegation of nursing assessments, avoid unwarranted abuse reports, and prevent the nurse from participating in unethical deception.

Anahtar Kavram

Ethical Principles of Autonomy and Veracity
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Konular

Ethical Practice

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