The nurse is conflicted about the harmful effects of an intervention that also will have a beneficial effect for the patient. Which ethical concept gives direction to this nurse?
1. Moral indifference
2. Double effect
3. Justice
4. Fidelity
2
Rationale: Double effect is a way to support interventions that may have harmful effects through investigation of four conditions: The action itself must be "good," the practitioner must intend only to produce the good effect, the undesired effect must not be the means of attaining the good effect, and there is a proportional or favorable balance between the desirable and the undesirable effects of the action. Justice states that people should be treated fairly and equally. Fidelity is keeping one's promises or commitments. Moral indifference is not an ethical principle.
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