Do you feel the responses the patient gave to the practitioners response were reasonable or typical?

Week 1 Discussion
Discussion Prompt #1
Reflect upon the survey you took. In your initial response,
address some of the following questions. Explain your answers.
Did you find it easy to make confident and decisive
decisions with several strongly agree or strongly disagree answers, or did you
select mostly moderate responses?
Did any subject areas trigger personal emotions or
issues? If so, do you feel you were able
to remain objective?
Were any of the decisions especially difficult to make?
Did you employ any critical thinking or resolution
strategies to determine a response?
Did you rely on policy or legal parameters to make your
Would you be comfortable making your answers to the survey
public, or do you prefer anonymity?
Have you dealt with similar situations and could you
perceive similar situations occurring in your clinical practice?
How might a moral inventory such as this survey impact your
clinical practice?
Please share additional thoughts as well.
Discussion Prompt #2
Identify examples of active and latent errors. Provide
examples from your clinical experience, if possible. How can such errors be
avoided to support better patient care?

Week 2 discussion
Discussion Prompt #1
Explain the statement, What may be an ethical dilemma for
one registered nurse may not be an ethical dilemma for another registered
nurse.” Be sure to define an ethical dilemma in the course of your
discussion. Describe a challenging situation in your nursing career that
required you to consider the ethical dimensions of the patient case and the
role you played in providing care. (Be sure to respect and maintain patient and
colleague confidentiality.)
Discussion Prompt #2
Apply the framework of The Five Rs approach to ethical
nursing practice from this week’s reading to answer the questions about values
and choices.
What are values?
Q. What are your personal values?
Q. Why do you value them?
Q. What are the values in your society?
Q. How do you make choices?
Q. Are your choices based on your values?
Q. What values are useful in society?
What are the limits to personal choice?
Q. Who limits your choices?
Q. Are limits to choices good?
Q. Do you limit other people’s choices?
Q. Should the health care organization or the government
limit people’s choices? If so, how, and under what circumstances?
In your responses to peers, feel free to agree, disagree,
question, compare, and discuss each other’s responses in a way that fosters
thoughtful and respectful dialog. You may also address the following: Did any
responses surprise you? If so, how? Did reading your peers’ responses to the
questions expand your own view of ways to answer questions?
Finally, consider this: A common idea in health care is that
if you are drawn to health care as a profession, you are inherently guided by
an inner compass that is composed of a strong moral framework. Why is this a
dangerous assumption?

Week 3 discussion
Discussion Prompt #1
Discuss the potential controversy when considering a
patients right to know whether a caregiver has AIDS, and the caregivers right
to privacy and confidentiality. Consider
the following: A physician cut his hand with a scalpel while he was assisting
another physician. Because of the uncertainty that blood had been transferred
from the physician’s hand wound to the patient through an open surgical
incision, he agreed to have a blood test for HIV. His blood tested positive for
HIV and he withdrew himself from participation in further surgical
procedures. Discuss the ethical and
legal issues.
Discussion Prompt #2
The following questions refer to your experience in this
week’s exercise, Conducting Moral and Ethical Dialog in Clinical Practice. Describe your overall experience with the
moral and ethical dialog exercise, and address at least three (3) of the
Did you find any of the scenarios more difficult to deal
with than others?
Did you feel any internal conflict with any of the
How did your personal and professional background impact how
you decided to interact with the patient?
Do you feel the responses the patient gave to the
practitioners response were reasonable or typical?
Were you taken aback by any of the patient reactions?
How might this activity contribute to your role as a nurse
advocate in a moral and ethical practice?
Did you utilize an ethical decision making model to explore
a systematic way to evaluate any of these ethical dilemmas? If so, describe the

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