In some circumstances, nurses care for patients whose outcome is predictable but, due to family dynamics, for whom advance directives are not available and therefore the patient's lives are ex-tended without realistic outcomes
This presents an ethical dilemma for many nurses. Which of the following actions by the nurse is most appropriate when the patient's outcome is unpredicta-ble and no advance directive is available? a. Advise the family of their irrational perception of the patient's ultimate outcome.
b. Advise the family of the need for prayer to help make the decision that is right for the patient.
c. Advise the family that you have seen patients awaken from this type of insult and function normally.
d. Advise the family that the patient is not going to recover and for the ultimate benefit to the patient, they should reconsider the use end of life measures.
D
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A Does not advocate on the patient's behalf.
B Does not advocate on the patient's behalf.
C Does not advocate on the patient's behalf.
D Patient advocacy requires nurses to do the right thing for the patient regardless of family resistance. Assisting the family to realize the ultimate benefit to the patient may help them to make the right decision for the patient.
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