A patient receiving comfort-focused care becomes unable to communicate, and a relative demands an invasive treatment that is not part of the agreed goals of care. What should the nurse do?
Correct answer: C. Explain the agreed goals and request review by the responsible team
- A. Arrange the treatment immediately because the relative is distressed
- B. Refuse to speak with the relative about the concern
- C. Explain the agreed goals and request review by the responsible team
- D. Stop all care until the relative accepts the plan
Explanation
The nurse should maintain the patient's agreed goals of care and communicate the concern to the responsible team. A review allows the patient's wishes, best interests and the family's distress to be addressed without providing treatment that conflicts with the plan.
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About Nursing Ethics
Nursing ethics examines autonomy, beneficence, non-maleficence, justice, fidelity, veracity, confidentiality and respect for dignity. It covers informed consent, patient advocacy, privacy, refusal of treatment, end-of-life decisions and ethical dilemmas, while distinguishing ethical duties from legal requirements and personal beliefs.
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