The family of an unconscious, terminally ill client cannot come to a decision about requesting a "do-not-resuscitate" order. Two of the children want the order, but one child and the client's sister do not agree
Several heated arguments have occurred in the hall outside the client's room. Efforts to educate the family and mediate in arguments have not helped. What action should the nurse take?
1. Ban the family from the room until they can be polite to each other in front of the client.
2. Have the chaplain attempt mediation.
3. Notify the institutional ethics committee.
4. Talk with each of the children and the client's sister separately in an attempt to understand the conflict.
Correct Answer: 3
Rationale: The best option is to notify the institutional ethics committee. Banning the family from the room, talking individually, and having the chaplain attempt mediation are unlikely to help and may actually inflame the situation more.
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