When healthy, a patient had requested that all life-sustaining measures be implemented
Now the patient has Alzheimer's and had a deterioration in health that severely limits quality of life. The patient's only child is petitioning that the parent not be placed on life support again and be given only palliative care. The nurse assessing this ethical situation following the procedure would place the steps in what order? (Place in order of the Situation Assessment Procedure). Put a comma and space between each answer choice (for example: a, b, c, d).
a. Discuss with the ethics committee possible alternatives that would be acceptable to the family while considering the patient's wishes.
b. After the family presents two alternatives, work with the committee and family to agree on one alternative.
c. Provide rationale for the selection made.
d. Carefully assess the situation to identify the ethical issue and concerns.
ANS:
d, a, b, c
The steps to the Situation Assessment Procedure are as follows:
1. Identify the ethical issues and problems.
2. Identify and analyze available alternatives for action.
3. Select one alternative.
4. Justify the selection.
You might also like to view...
Older people have many altered reactions to disease that are based on age-related physiological changes. When the nurse observes physical indicators of illness in the older population, that nurse must remember which of the following principles?
A) Potential life-threatening problems in the older adult population are not as serious as they are in a middle-aged population. B) Indicators that are useful and reliable in younger populations cannot be relied on as indications of potential life-threatening problems in older adults. C) The same physiological processes that indicate serious health care problems in a younger population indicate mild disease states in the elderly. D) Middle-aged people do not react to disease states the same as a younger population does.
The nurse informatics (NI) specialist incorporates nursing science, computer science, and information science to support nursing in utilization of the data collection. Priorities for an NI specialist include:
a. Developing computer information systems for the hospital. b. Incorporating common nursing nomenclature into the system. c. Researching evidence-based practice. d. Developing restrictions of certain patient information to insurance companies.
An overweight or obese pre-pregnancy weight increases the risk for which poor maternal outcomes? (Select all that apply.)
a. Preeclampsia b. Hemorrhage c. Difficult delivery d. Vaginal infections
A woman who is 39 weeks pregnant expresses fear about her impending labor and how she will manage. The nurse's best response is:
a. "Don't worry about it. You'll do fine." b. "It's normal to be anxious about labor. Let's discuss what makes you afraid." c. "Labor is scary to think about, but the actual experience isn't." d. "You can have an epidural. You won't feel anything."