Nursing 420 - Principles of Leadership and Management » Spring 2024 » Week 2 Video Case Ch. 4 Ethics and End-of-Life Care

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Question #1
Samantha recognizes the need to adhere to the ethical principle of beneficence when addressing this challenge in Mary's care. Samantha can best promote beneficence in Mary's care by:
A.   speaking with Dr. Gonzalez to confirm his rationale for the proposed transfer.
B.   identifying each of the alternatives when choosing how to address Mary's care.
C.   ensuring that Mary's best interests inform any decisions that are made.
D.   eliciting input from Betty and other staff who are familiar with Mary's circumstances.
Question #2
Samantha is applying the American Nurses Association Code of Ethics for Nurses when planning the next steps of Mary's care. When applying the principles of the Code, Samantha should prioritize what factor?
A.   Ensuring Mary's right to be free from pain, distress, or uncertainty
B.   Protecting and promoting Mary's rights, dignity, and well-being
C.   The need to collaborate professionally with Dr. Gonzalez and other members of the care team
D.   Her scope of practice as defined in her state's nurse practice act (NPA)
Question #3
Samantha's assessment of Mary reveals that Physician Orders for Life-Sustaining Treatment (POLST) would be beneficial. How should Samantha best address Mary's need for POLST?
A.   Assess Mary's ability to have an informed dialogue about POLST.
B.   Ask Betty to provide input based on her previous interactions with Mary.
C.   Contact Dr. Gonzalez and request that he discuss POLST with Mary promptly.
D.   Ask Mary to explain her preferences for end-of-life care and medical interventions.
Question #4
The nurse manager on the unit where Mary is receiving care is applying Crisham's (1985) MORAL decision-making model to Mary's care planning. What is the nurse manager's best initial action?
A.   Assess Mary's orientation, judgment, and insight.
B.   Educate members of the care team about the major principles of ethical reasoning.
C.   Gather as much specific information about Mary's status and circumstances as possible.
D.   Speak with Dr. Gonzalez to clarify Mary's health history and most likely prognosis.
Question #5
Samantha has approached Dr. Gonzalez in an effort to discuss Mary's care, and it is clear that they disagree about the necessary approach. What should Samantha do in order to promote a collaborative approach to conflict management?
A.   Defer decision making to a third party who is familiar with Mary's needs, such as Betty.
B.   Discuss Mary's situation with Dr. Gonzalez and try to agree on a common goal for her care.
C.   Identify a trusted mediator who can speak separately with Samantha and Dr. Gonzalez.
D.   Negotiate with Dr. Gonzalez on the basis of their individual scopes of practice and expertise.

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