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C304 Task 2 Scenario and Rubric

C304 Task 2 Scenario and Rubric

In this scenario, there are several complex ethical considerations to navigate, involving honesty, respect for patient autonomy, beneficence, and maintaining the trust and integrity of the nurse-patient relationship. Let’s address each aspect and how they might guide my response as a nurse:

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  1. Respect for Autonomy: Mr. Newcomb has expressed a desire to see his mistress before he passes away. Despite the emotional complexity of the situation, respecting his autonomy means acknowledging his wishes and considering how best to honor them within ethical bounds.
  2. Beneficence: As a nurse, my primary goal is to promote the well-being of my patient. This includes addressing not only physical needs but also emotional and psychological ones. Fulfilling Mr. Newcomb’s request may bring him closure or peace in his final days.
  3. Honesty and Integrity: Maintaining trust and honesty is fundamental in the nurse-patient relationship. However, in this case, there is a delicate balance between being truthful and respecting Mr. Newcomb’s wishes. It’s essential to handle the situation with sensitivity and integrity.

Considering these ethical principles, here’s how I might approach the scenario:

Firstly, I would take a moment to gather my thoughts and emotions, recognizing the gravity of Mr. Newcomb’s request and the potential impact it may have on both him and his wife. Then, I would engage in a compassionate conversation with Mr. Newcomb, expressing empathy for his situation and validating his feelings.

I might say something like, “Mr. Newcomb, I understand that you have a request that is important to you. I want to assure you that I am here to support you in any way I can. However, I also want to ensure that we navigate this situation with care and respect for everyone involved. Can we talk more about your feelings and how we might address your request?”

By opening up the conversation in this way, I aim to establish trust and create a safe space for Mr. Newcomb to express himself fully. Depending on his response, I would then explore his motivations for wanting to see his mistress and assess the potential impact on his relationship with his wife.

If Mr. Newcomb still expresses a strong desire to see his mistress, I would gently explain the ethical considerations involved. I would emphasize that while I am committed to honoring his autonomy and facilitating his wishes to the extent possible, I also have a duty to ensure that all parties involved are treated with dignity and respect.

I might say something like, “Mr. Newcomb, I understand that you have a request that is deeply meaningful to you. However, I also want to consider the feelings of your wife and ensure that we handle this situation with honesty and integrity. Is there a way we can approach this that takes into account everyone’s needs and feelings?”

If Mr. Newcomb insists on seeing his mistress, I would discuss potential ways to facilitate this while minimizing harm to his wife. This might involve arranging for a trusted family member or friend to be with Mrs. Newcomb during his absence, ensuring that she is supported emotionally and practically.

As a nurse, navigating such complex and emotionally charged situations can be challenging and emotionally taxing. It’s essential to prioritize self-care and seek support from colleagues or supervisors when needed. Additionally, reflecting on these experiences and processing them through supervision or debriefing sessions can help nurses maintain their emotional well-being and continue to provide compassionate care to their patients.

C304 Task 2 Scenario and Rubric

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