An incapacitated patient has no advance decision, and the family and healthcare team disagree about continuing a burdensome treatment. Which action is most appropriate?
Correct answer: C. Request a multidisciplinary review and ethics consultation
- A. Let the most senior relative make the decision alone
- B. Continue treatment indefinitely without further discussion
- C. Request a multidisciplinary review and ethics consultation
- D. Allow the bedside nurse to make the final decision
Explanation
A complex disagreement should be reviewed using the patient's known wishes, best interests and relevant professional guidance. A multidisciplinary review with ethics consultation supports a fair decision and avoids placing the burden on one nurse or relative.
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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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