A 77-year-old woman with an inoperable brain tumor has been hospitalized for the past 5 days. Her daughter comes to visit her. The patient has asked that her daughter not be told her diagnosis. After visiting with her mother, the daughter asks to speak to the nurse. She says, My mother claims she h...
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,A 77-year-old woman with an inoperable brain tumor has
been hospitalized for the past 5 days. Her daughter comes
to visit her. The patient has asked that her daughter not be
told her diagnosis. After visiting with her mother, the
daughter asks to speak to the nurse. She says, My mother
claims she has pneumonia, but I know she is not telling
me the truth. The daughter asks the nurse to tell her what
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is truly wrong with her mother. The nurse should tell her
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that:
1) Her mother has an inoperable brain tumor, but does not
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wish anyone to know.
2) She needs to speak to the physician in charge of her
mothers care.
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3) Her mother has requested that her case not be
discussed with anyone, not even family.
4) Her mother is very sick with a serious case of
pneumonia that could lead to death. - ANS 3) Her mother
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has requested that her case not be discussed with
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anyone, not even family.
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The nurses first allegiance is to the patient and her desire
for confidentiality. Telling the daughter to speak to the
physician would place the physician in the same position
as the nurse. Telling her that her mother has pneumonia
would be a lie. The nurse, of course, should inform the
physician of the patients wishes so that he will be
, prepared if the daughter questions him about her mothers
health condition.
Which of the following terms refers to the ethical questions
that arise out of nursing practice?
1) Nursing ethics
2) Bioethics
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3) Ethical dilemma
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4) Moral distress - ANS 1) Nursing ethics
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Nursing ethics refers to ethical questions that arise out of
nursing practice. Bioethics is a broader field that refers to
the application of ethics to healthcare. An ethical dilemma
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occurs when a choice must be made between two equally
undesirable actions, and there is no clearly right or wrong
option. Moral distress occurs when someone is unable to
carry out his or her moral decision.
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A belief about the worth of something that serves as a
principle or a standard that influences decision making is
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called which of the following?
1) Morals
2) Attitudes
3) Beliefs
4) Values - ANS 4) Values
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