A nurse is a member of an ethics committee. The committee has been asked to help make a decision regarding end-of-life care for an unresponsive patient who has no advanced directives or next of kin
The nurse asks the committee to meet with the patient's friends to learn more about his life. This action corresponds with which guideline from the DILEMMA mnemonic?
1. Moral hierarchy
2. Make decisions
3. Describe the conflict
4. Learn background information
Answer: 4
Explanation: By learning more about the individual's background from his friends, it may be possible to learn how the patient might view issues surrounding end-of-life care. Additional background information may also include evidence-based information regarding the particular diagnosis of the patient. Moral hierarchy, making a decision, and describing the conflict are not the elements described by this scenario.
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When observing an older client's response upon learning of the death of a close family friend, the nurse realizes that the significance of the loss to the client is dependent upon:
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