After the oncoming nurse received bedside report,

After the oncoming nurse received bedside report, the client introduces the nurse to his partner. Both the client and his partner speak fluent Spanish; the client is also fluent in English, but his partner is not. The client is being treated for newly diagnosed diabetes, and his partner is the primary cook for the couple. During bedside report, the client indicates his partner wants to learn more about the client’s new dietary needs. After leaving the client’s room, the departing nurse states, “Since the partner does not speak English, I didn’t worry about teaching the diabetes dietary needs. The client can teach his partner.” During the time the oncoming nurse is scheduled to provide care, the diabetic educator has requested to spend time with the client to continue education, including self-administration of insulin prior to the next meal. The client’s partner indicates he wishes to be present when the diabetes educator comes to work with the client. Identify the factors in the scenario that demonstrate a violation or potential violation of the Code of Ethics provisions. Choosing one of the violations or potential violations of the Code of Ethics identified in question 1, what actions could the nurse take to avoid the violation? Choose one ethical principle (autonomy, beneficence, nonmaleficence, veracity, fidelity or justice) and identify how the oncoming nurse can act to demonstrate the ethical principle while providing client care. How did the departing nurse’s statement that the client can teach his partner about dietary needs make you feel? How will you respond if faced with a similar ethical situation? How might the diabetes educator maintain ethical nursing practice while providing education to the client and his partner? A nurse who has underlying health issues that increase their risk of death from COVID-19 is assigned to work on a care unit for clients who have COVID-19. Using the steps of the ethical decision-making process, determine whether the nurse should continue to work on the assigned care unit. What are some alternatives to the nurse working on the care unit with COVID-positive clients? Could the nurse fulfill their ethical obligations to provision 2 of the ANA Code of Ethics if they did not work on the assigned COVID unit? The nurse receives a message via social media from a recent client. The client is asking for advice on health care decisions. Explain the ethical concerns that this situation may present. What can the nurse do to prevent future instances of clients reaching out via social media?

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