A 20-year-old client with Down syndrome is diagnosed with an illness
Even though the client is able to live in an assisted environment and work part-time for a local bookstore, the parents of the client are adamant about not initiating a course of treatment whose side effects are unknown with Down syndrome clients. According to the nursing code of ethics, to whom is the nurse's first loyalty?
1. The client
2. The parent
3. The physician
4. The nurse
Correct Answer: 1
Rationale: The nurse's first loyalty is to the client. Conflicts among obligations to families, physicians, employing institutions, and clients may arise because of the nurse's unique position. It is not always easy to determine which action best serves the client's needs.
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