- Forcing Western medicine as superior.
- Dismissing traditional practices as ineffective.
- Respecting cultural beliefs, exploring how traditional practices can complement Western care, and ensuring informed decision-making.
- Telling the patient to choose one or the other.
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- Prescribe the medication as a favor.
- Refuse and advise the patient to see a physician.
- Explain that prescribing is outside the nursing scope of practice and advise the patient to consult a qualified medical doctor.
- Suggest an over-the-counter medication.
- Administer medication and observe for reactions.
- Hold all medications until the allergy information is confirmed, and actively seek to verify it through reliable sources or the physician.
- Ask the patient if they have allergies.
- Document the missing information and proceed.
- Autonomy
- Beneficence
- Non-maleficence
- Justice
- Support the family's decisions to avoid conflict.
- Report the family's actions to adult protective services if coercion or exploitation is suspected.
- Encourage the patient to comply with the family's wishes.
- Ignore the situation as it is a family matter.
- Autonomy
- Flexibility
- Accountability
- Creativity
- Continue using the device carefully.
- Hide the knowledge of the design flaw.
- Report the design flaw and its potential risks to hospital administration, risk management, and the appropriate regulatory bodies.
- Inform patients about the flaw.
- Administer it quickly before attending to the emergency.
- Delegated it to a junior nurse.
- Temporarily defer administration of the high-alert medication to ensure full focus, or ask a colleague to double-check, then attend to the emergency.
- Administer it without checking.
- Decline the role without explanation.
- Accept the role but provide minimal guidance.
- Communicate concerns about preparedness to management, seek additional support/training, or decline if truly unable to fulfill the role ethically.
- Learn along with the student.
- Administer less frequent doses to avoid over-medication.
- Administer the pain medication more frequently as per order and advocate for better pain management.
- Wait for the physician to proactively change the order.
- Tell the patient to endure the pain.
- Autonomy
- Beneficence
- Non-maleficence
- Veracity
- Use the monitor and manually verify readings.
- Disregard the monitor and use only manual methods.
- Document the malfunction and report the faulty equipment to the biomedical department for repair or replacement, as it impacts patient safety.
- Tell patients the monitor is unreliable.
- Refuse to participate.
- Participate half-heartedly.
- Understand the importance of preparedness, participate professionally, and provide constructive feedback on improving efficiency without compromising patient care.
- Only watch the drill.
- Join the colleague in social media use.
- Ignore the behavior, as it's not directly harming patients.
- Report the colleague's unprofessional conduct to the charge nurse or supervisor, as it impacts productivity and patient safety.
- Text the colleague to stop.
- Persuade the patient until they agree to the surgery.
- Respect the patient's autonomous decision.
- Seek a court order to compel the surgery.
- Administer a sedative to reduce the patient's fear.
- Decline the request and explain personal beliefs.
- Pray with the patient despite discomfort to build rapport.
- Graciously decline while offering to find spiritual support services if available.
- Tell the patient that praying is not part of nursing duties.
- Support the family's indefinite wishes without question.
- Encourage the family to immediately withdraw support.
- Provide compassionate support, educate the family about brain death, and facilitate discussions between the family and the medical team regarding end-of-life options and resource implications.
- Leave the family alone to grieve.
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