Author Question: The care providers and administrators of a hospital have struggled to find an appropriate response ... (Read 61 times)

mynx · **on:** Jul 8, 2018

The care providers and administrators of a hospital have struggled to find an appropriate response to a patient who has a long history of being admitted to hospital and then leaving against medical advice.

Under the direction of the hospital ethics committee, a plan was created
and implemented. What action should the care providers and the ethics committee take after the
plan has been implemented?

A) Continue to implement the plan when necessary
B) Assess the outcomes of applying the plan
C) Seek input from the hospital's risk manager
D) Report to the state board of nursing about the manner in which the situation was handled

Question 2

An obstetrical-gynecological nurse has moved to a new region and is seeking employment. The nurse opposes the ethics of elective abortion and refuses to participate in the procedures.

However, the only hospital in the immediate area is the site of numerous elective abortions.
How should the nurse account for this fact when seeking employment?

A) Ask the hospital administrators to exempt her from participating in any aspect of abortion.
B) Consider applying for a nursing position that will not involve abortion.
C) Begin working at the hospital and attempt to change the hospital politically.
D) Accept a position at the hospital and then make her position known to supervisors.

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

Answer to Question 1

Ans: B
Implementation of an ethical decision should always be followed by evaluation and
appraisal of the course of action that was chosen. Involvement of the hospital's risk manager
should take place during the planning phase. It would not normally be necessary to involve the
state board of nursing in this decision-making process.

Answer to Question 2

Ans: B
Nurses have a responsibility to avoid situations that they know would be personally
problematic for ethical reasons. It would be unreasonable to accept a position and expect special
treatment. As well, it would be disingenuous for the nurse to accept a position without
disclosing her stance or to accept a position with the intent of enacting a change.