A 20-year-old client with Down syndrome is diagnosed with an ...

[cabate]

A 20-year-old client with Down syndrome is diagnosed with an illness.
 
  Even though the client is able to live in an assisted environment and work part-time for a local bookstore, the parents of the client are adamant about not initiating a course of treatment whose side effects are unknown with Down syndrome clients. According to the nursing code of ethics, to whom is the nurse's first loyalty?
  1. The client
  2. The parent
  3. The physician
  4. The nurse

Question 2

The nurse needs to insert an intravenous access device into a toddler who is crying and scared. The parent asks if the procedure is painful. When practicing veracity, what should the nurse respond to the parent?
 
  1. I won't lie to you. It may be easier for you if you step out until we get the line in.
  2. We'll take every care not to hurt your child.
  3. It shouldn't be too bad and I'll be quick.
  4. We do this all the time, so don't worry.

[yasmin]

Answer to Question 1

Correct Answer: 1
Rationale: The nurse's first loyalty is to the client. Conflicts among obligations to families, physicians, employing institutions, and clients may arise because of the nurse's unique position. It is not always easy to determine which action best serves the client's needs.

Answer to Question 2

Correct Answer: 1
Rationale 1: Veracity refers to telling the truth. Even though telling the truth may frighten the parent, starting an IV on a frightened, scared, ill child is a difficult task. Because of the child's developmental stage, any explanation given by the nurse won't be understood. Being honest with the parent will help the nurse gain trust and will outweigh any benefits that may be gained by downplaying the situation.
Rationale 2: Saying that the nurse will everything possible not to hurt the child will not negate the fact that it will hurt. A needle going into a vein is not a comfortable procedure.
Rationale 3: Saying that the nurse will perform the task quickly is not a sufficient answer to the parent. A needle going into a vein is not a comfortable procedure. The nurse really doesn't know how bad it will hurt the child.
Rationale 4: Telling the parent not to worry is pointless.

[cabate]

TY

[yasmin]

You're welcome