Author Question: The nurse is caring for a client of Chinese heritage who asks the nurse to assist in coining, or gua ... (Read 83 times)

madam-professor · **on:** Jul 8, 2018

The nurse is caring for a client of Chinese heritage who asks the nurse to assist in coining, or gua sha.

The nurse knows this practice can lead to angry, red marks wherever the technique is used on the body, but knows the client believes the practice to be helpful. Which ethical principles are in conflict in this situation?

1. Justice and nonmaleficence
2. Autonomy and paternalism
3. Autonomy and nonmaleficence
4. Justice and paternalism

Question 2

The nurse is on a mission trip in an underdeveloped country, and sees children stealing food from the group's supplies. Which interpretive statement is most applicable in this situation?

1. The profession of nursing, as represented by associations and their
members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy.
2. The nurse participates in the advancement of the profession through
contributions to practice, education, administration, and knowledge
development.
3. The nurse is responsible and accountable for individual nursing practice, and
determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care.
4. The nurse owes the same duties to self as to others, including the
responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth.

aadams68 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Answer: 3

Rationale: The client has the right to make personal decisions about types of care received. However, the nurse also has a responsibility to avoid harming the client. Therefore, the ethical conflict is between allowing the client to make care decisions for herself and not causing harm to the client. Justice is not applicable, as there is no question of fairness in this situation. Paternalism is not applicable, as there is no mention of the nurse doing gua sha without the client's permission.

Answer to Question 2

Answer: 4

Rationale: The nurse is advancing both personal and professional growth by participating in a mission trip, making this interpretive statement the most applicable The nurse is not necessarily articulating nursing professional values or shaping social policy participating in the trip, so that interpretive statement is not most applicable. The statement participates in the advancement of the profession is not as applicable, since the nurse is not necessarily contributing to the practice, education, administration, or knowledge development of the nursing profession. In the scenario given, the nurse is not delegating, making that interpretive statement inapplicable.