Journal/Reflection

Two nursing students cheated on several assignments.  Although the evidence is irrefutable, both students deny cheating.  

1. Discuss these students in terms of virtue ethics. 

2. Do these students have integrity? 

3. Do these students have the character to become  good nurses? 

4. Should the instructor allow them another chance?

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Assignment:

• Mrs. R., an 87- year- old patient, has a past history that includes coronary artery disease, a previous stroke, and advanced Alzheimer’s disease. Ten days ago, Mrs. R. was hospitalized for aspiration pneumonia and has been ventilator dependent since being admitted to the intensive care unit in a small rural hospital. Family members visit daily and have repeatedly voiced their concern to the nursing staff about the continued ventilator support that Mrs. R. is receiving, most notably the fact that Mrs. R. would never have wanted such care. They also note that Mrs. R. has not recognized them in past months and that they plan to visit less in future days, but can be contacted should any change in Mrs. R.’ s condition occur. Her primary physician has practiced in this community for multiple years; he is well known for his reluctance to discontinue any type of life support for any patient. When questioned, Dr. G.’ s consistent response is, if this were his frail 92- year- old mother, he would prescribe the very same treatment for her. Dr. G. has now requested that the nurses talk to the family about moving Mrs. R. to a major medical center, where she can receive more advanced care, including vigorous rehabilitation and physical therapy, so that she may eventually return to a long- term nursing care facility. How might the nurses in this scenario respond to the physician’s request? How would this scenario begin to cause moral distress among the nursing staff, and what are the positive actions that the nurses might begin to take to prevent moral distress?
• Read Exercise 4.1 (Guido, p. 44) and apply the MORAL model to resolve the dilemma.
• Read the case study presented at the end of Chapter 3. Examine the above scenario from the perspective of health care policy. How would you begin to evaluate the need for the policy and the possible support or lack of support for the policy from your peers, nursing management, and others who might be affected by the policy? Do the 10 questions outlined by Malone (as listed in Guido, p. 50) assist in this process? Draft a proposed policy to address the issue you have identified.
   
  • What compelling right does this case address?
  • Whose rights should take precedence?
  • Does a child (here, a competent 14-year old) have the right to determine what will happen to him? Should he ethically have this right?
  • How would you have decided the outcome if his disease state had not intervened?

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Please combine all of these responses into a single Microsoft Word document for submission

Please submit only complete assignments (not partial or “draft” assignments).
Submit only the assignments corresponding to the module in this section.

You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question.

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A nurse manager is attending a national convention and is attending a concurrent session on staffing ratios. Minimum staffing ratios are being discussed in the nurse manager’s own state. The nurse manager has a number of questions about staffing ratios that the session is covering. The nurse manager knows that evidence exists that increasing the number of RNs in the staffing mix leads to safer workplaces for nurses and higher quality of care for patients.

1. What are the three general approaches recommended by the American Nurses Association (2017) to maintain sufficient staffing?

2. Summarize the findings that are often cited as the seminal work in support of establishing minimum staffing ratio legislation at the federal or state level

.3. Analyze what proponents and critics say about whether mandatory minimum staffing ratios are needed.

Two registered professional nurses are attending a meeting where the focus is examining teaching methods that enable them to share information with newly diagnosed diabetic patients. One nurse initiates a discussion on the use of social media in teaching patients and the use of social media for all health care providers.

1. Discuss actions the nurse should take before using social media as a teaching tool.

2. What types of social media could benefit health care providers and patients?3. What are the pitfalls to utilizing social media for both patients and health care providers? 

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1)Describe technology advances that are used in health care today. 

 2.) The nursing faculty concludes the presentation by stating that decisions should be made about what technology can best be used in each individual setting and how it should be used.

 3)Describe some points to consider in implementing technology in health care.

4  The nurses debate whether the country feels that health care reform is really necessary.  Discuss reasons why reform is needed and what that reform should address

.5 What were the 10 essential benefits guaranteed by insurance plans in the ACA Health Care Marketplace? 

 6 What are the successes of the ACA?4.  What are the failures of the ACA?

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