The nurse attempting to use Thompson's model of ethical decision ...

[Marty]

The nurse attempting to use Thompson's model of ethical decision making will address an ethical problem by implementing the following steps in what order?
 
  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 comes to the clinic and is found to have an STD (sexually transmitted disease). The client states to the nurse, Promise you won't tell anyone about my condition.
 
  The nurse, according to the Health Insurance Portability and Accountability Act (HIPAA) of 1996, must do which of the following?
  1. Honor the client's wishes
  2. Not disclose any information to anyone
  3. Respect the client's privacy and confidentiality
  4. Communicate only necessary information

[okolip]

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: 4
Rationale 1: Nurses should not make promises to keep necessary information private.
Rationale 2: Nurses are entrusted with sensitive information which, at times, must be revealed to other health care personnel in order to provide appropriate health care.
Rationale 3: Nurses are entrusted with sensitive information which, at times, must be revealed to other health care personnel in order to provide appropriate health care. Clients must be able to trust that their information is secure and will only be shared with appropriate entities.
Rationale 4: HIPAA includes standards that protect the confidentiality, integrity, and availability of data as well as standards that define appropriate disclosures of identifiable health information and patient rights protection. Nurses are entrusted with sensitive information which, at times, must be revealed to other health care personnel in order to provide appropriate health care. In this case, the nurse may be required to report information to the state health department.

[Marty]

TYSM

[parker125]

Excellent