A client has chosen to discontinue hemodialysis. His family is not supportive of his decision. The nurse who uses the theory of principles-based reasoning would make which of the following statements?
1. "This client is of sound mind and is capable of making his own decisions regarding health care. It really is his decision to make."
2. "I need to try and help the family understand the client's decision so they can work through this situation together."
3. "This client's health is so deteriorated that the treatment is not saving his life. It is prolonging the ultimate outcome, which is his death."
4. "The client understands his decision and the advanced stage of his disease. If he quits treatment, he will die."
Correct Answer: 1
Rationale 1: Principles-based theories stress individual rights, like autonomy. The client has the ability to make the decision and it is his right to autonomy to do that.
Rationale 2: Caring theories, or relationship theories, stress courage, generosity, commitment, and the need to nurture and maintain relationships. Caring theories promote the common good or the welfare of the group. Trying to help the family understand the client's decision is an example of a caring-based theory in practice.
Rationale 3: Consequence-based theories look at the outcomes of an action in judging whether that action is right or wrong..
Rationale 4: Consequence theories are exemplified by the nurse looking at the outcomes of the client's decision.
You might also like to view...
A woman is currently pregnant; she has a 5-year-old son and a 3-year-old daughter. She had one other pregnancy that terminated at 8 weeks. Her gravida and para are
a. Gravida 3 para 2 b. Gravida 4 para 3 c. Gravida 4 para 2 d. Gravida 3 para 3
The nurse is administering intravenous immune globulin (IVIG). The nurse assesses vital signs and for adverse reactions every 15 minutes for the first hour of administration
After the first hour, the nurse most likely would continue to assess the child at which frequency? A) Every 30 minutes B) Every 45 minutes C) Every 60 minutes D) Every 2 hours
A nurse is providing contraceptive counseling to a perimenopausal client in a monogamous relationship. What comment by the client indicates that further teaching is necessary?
1. "The calendar method is the most reliable method for me to use." 2. "If I use the IUC, I will be at minimal risk for pelvic inflammatory disease." 3. "I should still use birth control, even though I had only three periods last year." 4. "The contraceptive skin patch contains both estrogen and progesterone."
In the event of new severe acute respiratory syndrome (SARS) outbreak, what is the nurse's primary role?
a. Immediately report new cases of SARS to the Centers for Disease Control and Prevention (CDC) b. Administer oxygen, standard antibiotics, and supportive therapies to patients c. Prevent the spread of infection to other employees and patients d. Initiate and strictly enforce contact isolation procedures