A nurse decides to use the ethical principle of teleology to make clinical decisions. This principle is based on the premise that actions are determined by their consequences. Which situation would most likely cause an ethical dilemma for this nurse?
a. Assisting with a laparoscopy for a tubal pregnancy
b. Refusal of a patient to take his medica-tions
c. Patient reconsiders surgery for cancer
d. Woman refuses to terminate her pregnancy even knowing the fetus has non–life-sustaining defects
ANS: D
To a teleologist, the consequences of delivering this baby would present ethical conflict in them-selves because of the consequences to the child, family, and health care system. The other situa-tions would not present a conflict for this nurse.
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