Author Question: The research team proposes a study in which the client is told that a lab result indicates ... (Read 32 times)

@Brianna17 · **on:** Jul 8, 2018

The research team proposes a study in which the client is told that a lab result indicates development of diabetes mellitus when, in fact, that is not true.

The purpose of the study is to identify perceptions of diabetes mellitus in the general public. What client right is violated in this proposal?
1. Right of self-determination
2. Right to full disclosure
3. Right not to be harmed
4. Right of privacy and confidentiality

Question 2

The nurse has been asked to support and participate in a clinical trial by administering trial medications to clients on the nursing unit.

What is the most important question the nurse should ask before answering this request?
1. Will I get extra pay for participating?
2. Who else is participating in the trial?
3. Has the study been approved by the IRB?
4. Am I responsible if the client doesn't want to participate?

lorealeza77 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Correct Answer: 3

This proposal violates the client's right not to be harmed. The exposure to stress or anxiety that comes from being told a diagnosis that does not exist is potentially harmful to the client. Right of self-determination means that subjects should feel free from constraints, coercion, or any undue influence to participate in a study. Right to full disclosure means that deception, either by withholding information about a client's participation in a study or by giving the client false or misleading information about what participating in the study will involve, violates ethical principles. Right of privacy and confidentiality is a basic right that allows the client to participate in a study without worrying about later embarrassment or disclosure of personal information.

Answer to Question 2

Correct Answer: 3

The most important question for the nurse to ask is whether the study has been approved by the institutional review board, or IRB. Typically there is no extra pay for the nurse who participates in a clinical trial. The nurse is not responsible if the client does not want to participate in the study. The other persons participating in the trial may influence the nurse's decision, but are not as essential as the question about the IRB.