The nurse is caring for a client of Chinese heritage who asks the nurse to assist in coining, or gua sha
The nurse knows this practice can lead to angry, red marks wherever the technique is used on the body, but knows the client believes the practice to be helpful. Which ethical principles are in conflict in this situation?
1. Justice and nonmaleficence
2. Autonomy and paternalism
3. Autonomy and nonmaleficence
4. Justice and paternalism
Answer: 3
Rationale: The client has the right to make personal decisions about types of care received. However, the nurse also has a responsibility to avoid harming the client. Therefore, the ethical conflict is between allowing the client to make care decisions for herself and not causing harm to the client. Justice is not applicable, as there is no question of fairness in this situation. Paternalism is not applicable, as there is no mention of the nurse doing gua sha without the client's permission.
You might also like to view...
A treatment team member works with a client who is living in a residential treatment facility who has a diagnosis of severe paranoid schizophrenia
The team member who collaborates with the physician to coordinate the client's therapy and medications and necessary referrals is the: a. Nurse case manager b. Psychiatric technician c. Certified nursing assistant d. Home health care provider
The nurse is caring for a patient with multiple sclerosis. The patient tells the nurse the hardest thing to deal with is the fatigue. When teaching the patient how to reduce fatigue, what should the nurse tell the patient to do?
A) Take a hot bath. B) Rest in an air-conditioned room. C) Increase the dose of muscle relaxants. D) Avoid naps during the day.
The nurse is receiving a phone order from a health care provider. How will the nurse make sure that the provider's order is received without error?
a. Advise the health care provider that the order must be written on the chart within the next 24 hours. b. Ask the nurse in charge to come to the phone to take the order. c. Write the order without using any unclear or unapproved abbreviations. d. Repeat the order, write the order verbatim, and read it back to the provider.
A client comes to the emergency department complaining of a severe pounding headache in the temples and a stiff neck. The client is flushed and diaphoretic, and his pulse is racing. The client states that he is being treated for depression with selegiline
Which question by the nurse would be most important to ask at this time? A) "When did you last have blood drawn to check your drug level?" B) "What have you had to eat or drink today?" C) "Are you having any chest pain?" D) "Do you use any herbal remedies?"