Advances in genetic screening provide information with high ...

[melina_rosy]

Advances in genetic screening provide information with high levels of certainty about genetic disorders a fetus might have. Which is an ethical implication of these advances?
 
  1. The nurse must participate in actions that are completely contradictory to his personal ethics.
  2. The nurse must be aware of his own personal feelings about the actions taken after the screening tests are completed.
  3. The nurse must be aware of parent feelings regarding the information available to them.
  4. The parents must be aware of the nurse's feelings regarding the information available about the fetus.

Question 2

A child has been hospitalized for an extended time period and is being discharged home. This child requires complex, long-term care and will have a home health nurse visit daily.
 
  In addition to a central line, the child is on oxygen by nasal cannula. What should the nurse teach the family members? 1. How to insert an IV line
  2. Nothing, the family is familiar with the care.
  3. Instruction on oxygen administration
  4. How to remove a central line

[Edwyer]

Answer to Question 1

2
Rationale 1: The nurse does not have to participate in any action contradictory to personal ethics.
Rationale 2: The nurse must be aware of his own personal feelings about possible actions following genetic screening information.
Rationale 3: There are no ethical implications for the nurse to be aware of parent feelings about genetic screening information. In fact, the nurse does not have to know the parent feelings.
Rationale 4: There are no ethical implications of the parents being aware of the nurse's feelings unless the nurse forces those feelings and the subsequent actions on the parents.
Global Rationale:

Answer to Question 2

3
Rationale 1: Starting an IV line is not within the family's responsibilities for home care.
Rationale 2: The nurse can never assume the family members are familiar with the care required, even if they have been participating during the hospital stay.
Rationale 3: Prior to discharge, the parents will need to learn about oxygen administration.
Rationale 4: Removing a central line is not within the realm of what family members need to do at home.
Global Rationale: