Read Chapter 4
1-which of the following behaviors may be (1) ethical but illegal, (2) legal but unethical, (3) illegal and unethical, and (4) legal and ethical.
A. Working in a clinic that performs abortions
b. Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on “breathing machines”
c. Respecting the health surrogate’s wishes regarding termination of life support of her friend
d. Observing a coworker take out two tablets of oxycodone as ordered for pain management for his patient but keeping one for himself, administering only one tablet to the patient.
2-differentiate among the following: deontological theories, utilitarianism, and principlism.
3-what do you think about health-care professionals disclosing information to clients about a poor prognosis, even though the information may cause severe distress.
4-What do they think about health-care professionals disclosing information to clients against family wishes?
5. You see a colleague use another nurse’s password to access the medication administration system and take out a narcotic. What would you do?
6.Your colleague’s child fell and was brought to the emergency department. She comes back up to the unit and tells you that they cleaned and debrided the wound, and she needs to change the dressings twice a day using a wet to dry method. You see her go into the supply system and remove the dressings and saline using a patient’s identification number. What would you do?
7. You are caring for a patient who has a terminal disease. He asks you if he is dying. Would you tell him? If yes, how? If no, what might you say? .
8-You are administering hydromorphone to a patient. The patient asks you what you are administering. Would you tell the patient about the medication?
Expert Solution Preview
Introduction:
As a medical professor, it is important to conduct lectures, design assignments, and evaluate student performance. Additionally, it is also crucial to teach ethical behavior and the importance of upholding ethical standards in the medical field. This assignment addresses various scenarios related to ethics in healthcare and medical professionals’ role in upholding ethical standards.
1. Which of the following behaviors may be ethical but illegal, legal but unethical, illegal and unethical, and legal and ethical?
a. Working in a clinic that performs abortions: Legal but unethical
b. Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on “breathing machines”: Legal and ethical
c. Respecting the health surrogate’s wishes regarding termination of life support of her friend: Legal and ethical
d. Observing a coworker take out two tablets of oxycodone as ordered for pain management for his patient but keeping one for himself, administering only one tablet to the patient: Illegal and unethical
2. Differentiate among the following: deontological theories, utilitarianism, and principlism.
Deontological theories focus on the inherent rightness or wrongness of actions, regardless of the consequences. Utilitarianism, on the other hand, is concerned with producing the greatest good for the greatest number of people, even if it means sacrificing individual rights. Finally, principlism aims to balance the principles of autonomy, beneficence, non-maleficence, and justice to make ethical decisions.
3. What do you think about healthcare professionals disclosing information to clients about a poor prognosis, even though the information may cause severe distress?
Healthcare professionals have an ethical obligation to disclose accurate information to their patients, even if it may cause distress. Honesty and transparency are key components of building trust and maintaining a strong patient-provider relationship.
4. What do they think about healthcare professionals disclosing information to clients against family wishes?
When disclosing information to clients, healthcare professionals need to consider the principles of autonomy, beneficence, non-maleficence, and justice. While respecting family wishes is important, healthcare professionals must prioritize their patients’ right to informed decision-making.
5. You see a colleague use another nurse’s password to access the medication administration system and take out a narcotic. What would you do?
As a healthcare professional, it is crucial to report any behavior that violates ethical and legal standards. I would report this behavior to the appropriate authorities and follow the chain of command to ensure that the situation is addressed appropriately.
6. Your colleague’s child fell and was brought to the emergency department. She comes back up to the unit and tells you that they cleaned and debrided the wound, and she needs to change the dressings twice a day using a wet to dry method. You see her go into the supply system and remove the dressings and saline using a patient’s identification number. What would you do?
Similar to the previous scenario, this situation also requires reporting the violation to the appropriate authorities. I would ensure that the situation is addressed appropriately to avoid any compromise to patient safety and trust.
7. You are caring for a patient who has a terminal disease. He asks you if he is dying. Would you tell him? If yes, how? If no, what might you say?
As a healthcare professional, it is important to be honest and transparent with patients. Therefore, I would tell the patient that he is dying and discuss his end-of-life wishes and plans. The delivery of this information should be handled with sensitivity, empathy, and understanding.
8. You are administering hydromorphone to a patient. The patient asks you what you are administering. Would you tell the patient about the medication?
Patients have a right to know what medications they are receiving and the potential side effects. I would explain the medication, its purpose, and potential side effects to the patient to ensure that they are informed and understand their treatment plan.
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