A patient who has a terminal illness wants to be able to take a prescription medication to end life when suffering becomes unbearable. The patient asks the nurse for advice
Operating from a deontological point of reference, what action does the nurse take? a. Advises the patient about local providers willing to participate
b. Assesses the patient for more information about the situation
c. Determines what kind of insurance the patient has before acting
d. Tells the patient that they cannot partici-pate in this action
D
Deontology is rule-bound and inflexible, obtaining moral authority from absolutes revealed by God. To preserve the sanctity of life, the nurse cannot participate in this situation. Advising the patient of providers to see is working from a teleological viewpoint because the end (patient death) might be seen as outweighing the means (helping the patient find a provider to provide a lethal prescription of drugs). Assessing the situation to see how the patient is affected (versus how some other patient would be affected) is situational. Determining financial status is not re-lated to a specific philosophical outlook but might violate the principle of justice.
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A parent asks the nurse how she would know whether her child has fifth disease. The nurse would advise the parent to be alert for which manifestation?
a. Bull's-eye rash at the site of a tick bite b. Lesions in various stages of development on the trunk c. Maculopapular rash on the trunk that lasts for 2 days d. Bright red rash on the cheeks that looks like slapped cheeks