The nurse on the transplant organ team encounters new ethical ...

[Marty]

The nurse on the transplant organ team encounters new ethical dilemmas with the advent of social and technological changes. Which dilemmas might the transplant team encounter today? Select all that apply.
 
  A) Cloning
  B) Genetic alteration of disease
  C) Determining who deserves treatment
  D) Healthcare provider loyalty to insurance companies
  E) Staffing issues

Question 2

A hospice nurse is working with a client who has ovarian cancer. The client is concerned that her two daughters are at an increased risk for cancer and asks for the nurse's help. Which actions by the nurse are appropriate? Select all that apply.
 
  A) Provide the family with information on hereditary cancer risks.
  B) Assure the client that ovarian cancer is not hereditary.
  C) Offer to refer the daughters to a genetic counselor.
  D) Arrange for the client to have genetic testing.
  E) Tell the client that her additional worrying is too stressful.

[Dinolord]

Answer to Question 1

Answer: A, B, C

Advances in the ability to decode and control the growth of tissues through gene manipulation present new potential ethical dilemmas related to cloning organisms and altering the course of hereditary diseases and biological characteristics. Today, with treatments that can prolong and enhance biologic life, these questions arise: Should we do what we know we can? Who should be treated-everyone, only those who can pay, only those who have a chance to improve? Who decides who receives treatment?

Answer to Question 2

Answer: A, C, D

A nurse's role as educator is crucial to ethical practice. Inaccurate reassurance or avoidance does not respect client rights. Providing appropriate alternatives and options for the client and the family are correct responses to the client's concerns.