A client and her husband used in vitro fertilization to become pregnant
The unused sperm was frozen so the couple could have more children later. The husband is killed while in combat, and the client journals her choices and the possible ramifications. She comes to the fertility clinic after looking at the situation from many perspectives and after considering many alternatives. She asks that the sperm be destroyed because her husband's faith prohibited remarrying, and allowing another person to use the sperm would conflict with her late husband's beliefs. The nurse realizes that:
a. the client is in the second step of ethical decision making and that the client's value system is influencing her choices of alternative actions.
b. a logical line of reasoning has led to validation of the decision to destroy the husband's sperm.
c. the client has not been able to navigate the complicated issues inherent in this situation.
d. a rational decision was reached that was based on reflection and on the value systems of the wife and the husband.
ANS: D
Correct: After completing all steps in the situation assessment procedure, the client is now ready to justify her selection. In this phase, the person will specify reasons for the action, will clearly present the ethical basis for these reasons, will understand the shortcomings of the justification, and will anticipate objections to the justification.
Incorrect:
a. The second step of ethical decision making is identification of hidden issues.
b. Validation of the decision considers many factors and requires analysis of all possible alternatives.
c. No situational decision can be made unless an individual begins with the first step of actually identifying and stating the actual issue.
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