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Scenario:
A 56-year-old client was diagnosed with aggressive bone cancer that required a below the knee amputation of the left leg 14 months ago. The client received recommended chemotherapy and radiation, but it was found recently that the cancer has metastasized to the chest and skull. There is lymph node involvement with a primary tumor partially obstructing the right kidney. The client was readmitted 4 days ago for removal of the remaining portion of the left leg and was told that there is no appropriate surgical or medical intervention that would be beneficial at this point in the disease process. The interdisciplinary health care team has recommended palliative care upon discharge since the client’s life expectancy is between 3 and 5 months. The client has developed a mutually respectful relationship with a nurse on the unit who has provided care throughout all previous hospitalizations. The client shares with the licensed practical nurse (LPN) that, “I have pills saved up and I’m going to commit suicide as soon as I get discharged. It’s my decision to make and I’ m trusting you not to tell anyone.”
What ethical principles are in conflict creating an ethical dilemma for this nurse? (Select all that apply.) Include your rationales for choosing the answers.
1. Autonomy
2. Veracity
3. Paternalism
4. Confidentiality
5. Fidelity
6. non-maleficence
7. Beneficence
8. Justice
Informed Consent
Scenario:
An 82-year-old resident of a skilled nursing facility has been transferred to the local hospital for an invasive cardiac procedure scheduled for the am. The client is alert but has demonstrated minor memory issues generally related to the day and time. The client has expressed a desire, “to get whatever this is over with.” The client was accompanied to the hospital by family members and several plans to be here during the procedure. The client has shared that, “My kids really are pushing for me to have this done.” Besides the diagnosis of aortic stenosis, the client is hypertensive and is being treated for gastroesophageal reflux disease (GERD) and depression.
Concerning the legitimacy of the client’s informed consent, the licensed practical nurse (LPN) would recognize which issue as a priority “red flag” to be reported to the registered nurse (RN)? (Select all that apply.) Include your rationales for choosing the answers.
1. The client’s advanced age
2. Lack of understanding of the purpose of the procedure
3.Currently being treated for depression
4. Memory deficits
5. Diagnosis of hypertension
6. Cardiac diagnosis
7. Perception of family’s feeling regarding the procedure
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cenario:
An 82-year-old resident of a skilled nursing facility has been transferred to the local hospital for an invasive cardiac procedure scheduled for the am. The client is alert but has demonstrated minor memory issues generally related to the day and time. The client has expressed a desire, “to get whatever this is over with.” The client was accompanied to the hospital by family members and several plans to be here during the procedure. The client has shared that, “My kids really are pushing for me to have this done.” Besides the diagnosis of aortic stenosis, the client is hypertensive and is being treated for gastroesophageal reflux disease (GERD) and depression.
Concerning the legitimacy of the client’s informed consent, the licensed practical nurse (LPN) would recognize which issue as a priority “red flag” to be reported to the registered nurse (RN)? (Select all that apply.) Include your rationales for choosing the answers.
1. The client’s advanced age
2. Lack of understanding of the purpose of the procedure
3.Currently being treated for depression
4. Memory deficits
5. Diagnosis of hypertension
6. Cardiac diagnosis
7. Perception of family’s feeling regarding the procedure.
cenario:
An 82-year-old resident of a skilled nursing facility has been transferred to the local hospital for an invasive cardiac procedure scheduled for the am. The client is alert but has demonstrated minor memory issues generally related to the day and time. The client has expressed a desire, “to get whatever this is over with.” The client was accompanied to the hospital by family members and several plans to be here during the procedure. The client has shared that, “My kids really are pushing for me to have this done.” Besides the diagnosis of aortic stenosis, the client is hypertensive and is being treated for gastroesophageal reflux disease (GERD) and depression.
Concerning the legitimacy of the client’s informed consent, the licensed practical nurse (LPN) would recognize which issue as a priority “red flag” to be reported to the registered nurse (RN)? (Select all that apply.) Include your rationales for choosing the answers.
1. The client’s advanced age
2. Lack of understanding of the purpose of the procedure
3.Currently being treated for depression
4. Memory deficits
5. Diagnosis of hypertension
6. Cardiac diagnosis
7. Perception of family’s feeling regarding the procedure.
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