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Case Study:
Acting on Questionable Practice
Registered Nurse Christine works in a large long-term care facility and is the nurse manager of Unit 2 North. A registered nurse colleague and Unit 2 West manager, Sylvia, calls Christine and asks her to come to Unit 2 West to help with a computer problem at the nurses' station. As Christine walks down the hall of Sylvia's unit, she hears a resident crying out very loudly. The cry sounds like an expression of pain. Christine enters the resident's room and notices the resident is tightly restrained to the bed and is lying in excrement. From a quick assessment, Christine believes the resident is alert and oriented. Though she has tried to convince herself otherwise, lately, Christine has been thinking that Sylvia acts strongly paternalistic with her residents and her manner is abrupt rather than compassionate. Christine has seen at least two residents begin to cry when Sylvia fusses at them.
Questions
Review the chapter content.
1. What should Christine do about her findings?
2. What are the bases for your answers to question 1?
3. Does the Code of Ethics for Nurses with Interpretive Statements provide guidance in this situation? Explain.
4. Is paternalism always unethical when caring for long-term care residents? Explain.
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