Nurses oftentimes encounter various ethical dilemmas in the care of their patients in special areas of the hospital like ICU and the Operating Room:
26. One time a nurse in the ICU was told by the hospital administrator to omit the blood transfusion ordered by the doctor because the patient is going to die eventually anyway. What must the nurse do?
A. Follow the doctor's order and be silent about it
B. Resign from the job as pressured by the administration
C. Report the incident to the doctor and risk her job depending upon the doctor's decision
D. Obey the order of the hospital administrator
27. A patient with terminal cancer has reached the stage of acceptances. She told the nurse to discontinue all efforts to polong her life. Which of the following should the nurse do?
A. Seek further advice from other nurses before taking any further drastic decision
B. Disregard the patient's request and continue all efforts to maintain patient's life
C. Interact with the patient and continue the care and support for the patient
D. Tell the patient that it would be a sin because life is holy and dignified
28. The dying patient was visited by his spritual adviser. The private nurse was with the patient all the time during the chaplain's visit. When an elder brother came to visit, he asked the nurse what the sick brother and the chaplain was talking about. What would be the right for the nurse to do?
A. Ask the relative to look for another nurse who may tell him even if it is privileged communication
B. She should not reveal anything to the visitor because it is privileged communication
C. Tell the elder brother that relatives should keep out of the spiritual affairs of the patient
D. She should reveal some information that concerns the elder brother of the patient
29. A new OR nurse is to assist in bilateral salphingectomy operation. She has heard that this might involve a question of morality. The head nurse tells her that she has nothing to worry about. How could you respond to the situation?
A. Examine herself for the meantime and wait until she became a midwife.
B. Assist when the indication for the operation is medically certain
C. Seek further advice from the spiritual adviser
D. Report the whole matter to the head nurse
30. Which of the following should be considered by the nurse before getting the client/patient to sign th operative consent?
A. Evaluate the client's level of consciousness and intellectual capability
B. Sedate the client to make sure she is relaxed enouh to sign the consent form without mild anxiety
C. Ascertain that the surgeon has prepared the client explaining the proposed operative procedure
D. Withhold all medication eight hours prior to obtaining the consent
