The nurse is addressing an ethical issue. In which order should ...

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The nurse is addressing an ethical issue. In which order should the nurse implement the steps of this decision-making process?
 
  1. Interviewing the client regarding details of the problem
  2. Discussing the various results of the identified possible actions to resolve the problem
  3. Determining what, if any, ethical issues exist
  4. Determining whether affected parties are in ethical conflict
  5. Assessing all involved parties concerning their ethical beliefs regarding the problem

Question 2

A client with lung disease is strongly urged to stop smoking but likes to smoke and does not know what to do. In what order should the nurse take the following actions to help this client clarify values?
 
  1. Choose freely.
  2. List alternatives.
  3. Affirm the choice.
  4. Act with a pattern.
  5. Examine consequences of choices.
  6. Examine feelings about the choice.

[lauravaras]

Answer to Question 1

Correct Answer: 1, 3, 5, 4, 2
Rationale 1: Gathering additional information to clarify the situation is the first step in this model.
Rationale 2: Identifying the range of actions with anticipated outcomes is the final step in this process among the available options.
Rationale 3: Identifying the ethical issues in the situation occurs immediately after the information concerning the problem is obtained.
Rationale 4: Identifying value conflicts occurs after information has been gathered, after it is determined that an ethical problem exists, and after affected individuals are assessed for their ethical beliefs.
Rationale 5: Identifying moral positions of key individuals involved occurs after information has been gathered and it is determined that an ethical problem exists.

Answer to Question 2

Correct Answer: 2, 5, 1, 6, 3, 4

Rationale 1: The nurse should ask if the client has a say in the decision in the third step of the process.

Rationale 2: In the first step of the process, the nurse should help the client list alternatives so that the client is aware of all alternative actions.

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Rationale 3: The nurse needs to ask how the client affirmed the choice by asking if the choice was discussed with others in the fifth step of the process.

Rationale 4: The final step is to find out if the client has acted with a pattern or consistently performs an action in a certain way.

Rationale 5: In the second step of the process, consequences of all choices need to be examined so that the client has thought about possible results of each action.

Rationale 6: In the fourth step of the process, the nurse needs to examine the client's feelings about the choice. Some clients may not feel satisfied with their decision.