Decide with your family on a family problem/concept based on
Make 4 NCLEX-style stand-alone questions written at an NCLEX-level (Bloom’s Taxonomy ‘Application’ or higher) in either multiple choice or multiple responses (Select all that apply) format. Indicate the correct answer(s) and give a detailed rationale for each option, indicating why it is right or wrong. The topics of the questions should be on glucose regulation. Please provide references for the data sources provided that are not more than 5 years old. A practice question and rationale will look like this: A 56-year-old client was diagnosed with aggressive bone cancer that required a below-the-knee amputation of the left leg 14 months ago. The client received recommended chemotherapy and radiation, but it was found recently that the cancer has metastasized to the chest and skull. The client was re-admitted 4 days ago for removal of the remaining portion of the left leg and was told that there is no appropriate surgical or medical intervention that would be beneficial at this point in the disease process. The interdisciplinary healthcare team has recommended palliative care upon discharge since the client’s life expectancy is between 3-5 months. The client shares with the nurse that, “I have pills saved up and I’m going to commit suicide as soon as I get discharged. It’s my decision to make and I’m trusting you not to tell anyone.” What ethical principles are in conflict creating an ethical dilemma for this nurse? Select all that apply. Autonomy Veracity Paternalism Confidentiality Fidelity Non-maleficence Beneficence Justice Answer(s): 1, 4, 6, 7 Rationales: An ethical dilemma involves a problem for which in order to do something right you have to do something wrong; it is not possible to meet all of the ethical requirements associated with the situation. In this situation the mutually exclusive ethical principles are autonomy ( having the authority to make decisions and the freedom to act in accordance with one’s personal wishes and beliefs) and confidentiality (requires that information shared by a client with a therapist in the course of treatment is not shared with others) as opposing to beneficence (addresses the idea that a nurse’s actions should promote good) and non-maleficence (that one should not do harm to patients). Justice infers that each person or group is given what he/she or they are due; veracity is being honest and telling the truth; fidelity is keeping one’s promises; paternalism refers to conferring a treatment or service upon a person or persons without their consent. Reference: Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). Elsevier.
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