Question

Following the Nurses code of ethics please answer the following questions given two situations.

SAM is a 14 year old hospitalized for relapse of leukemia after bone marrow transplant. The family has been told his condition is terminal, there is nothing to do except keep him comfortable. His mother is distant, uncommunicative, rarely visits. When visiting she doesn’t touch SAM or speak to him. She sits in a chair and reads books. The staff call a family meeting, the mother is absent. SAM’s father is frantic and demands further treatment. During the family meeting, he directs the team NOT to tell SAM he might die. He states: “In our culture, we keep this news from patient’s to avoid upsetting them”. You are the nurse. When you are alone caring for SAM, he asks you “Am I dying?”

A) What are three options (right or wrong) of ways to respond? List advantages and disadvantages of each. What response do you choose and why?

B ) How does the Code guide you in this?

C ) Who is the authorized decision maker in this case?

You are a nurse working in the hospital. You have been assigned to care for a covid positive patient. Your hospital does not have the appropriate personal protective equipment available, but your manager tells you that you have a responsibility to care for the patient regardless.

A) Can you refuse to care for the patient to avoid risking your own health?

B) How does the Code of Ethics guide you?

C) How do you respond to the nurse manager?

You are caring for a patient in the skilled nursing facility post left arm amputation due to severe infection from drug use. The patient is scheduled to attend drug rehab following discharge from skilled nursing facility. They tell you a few days prior to discharge that they don’t intend to go to rehab, and “can’t wait to get out of here to get high again”.

A ) What are your initial emotions upon hearing the patient say this?

B ) How does the Code guide you in this situation?

C ) What is your response to the patient? Why?

Answer 1

Qn. No 1

A)The 3 options are :

1.Not tell to sam

Advantages :it avoid getting upset  

Positively affects mental health

It keep cultural values

Disadvantages:it hurt the right to know about his condition

It negatively affect to fulfil his last wish

2.Tell to sam

Advantages :to communicate his last wish.

To keep Sam's right to know about his disease.

Disadvantages :it creates anxiety and fear to the patient

The condition will versus very fastly

3.Avoiding /skipping /partially answer

Advantages :It help to reduce the shock than hearing the actual states .

Keep him mentally healthy as much as possible

Disadvantages:creates anxiety

Reduce trust of care

As a nurse I am not tell to sam because he is only a 14 year old child, and I want to keep his father's wish and cultural beliefs.

B) code guide is nurses and people.

C)Sam's father

Qn no 2

A) I will provide care to the patient with out risking my own health as much as possible with available equipments and supplies, if immediate care is required.

B) code of ethics is nurses and profession

C) firstly I demand about the equipments requires for safe working environment

I complaints about avoiding a safe and positive practice environment

Qn no 3

A)i patiently hear the patient and try to understand the need for accepting it . Campassion is the basic emotion

B) code of ethics is nurses and people

C) firstly I listen the patient, not manipulated by patients anger and tries to educate the patient about the importance of attending a rehabilitation section .If the patient gets anger change the topic and after some times reaproach the patient.