An elderly man presents himself to the ER. He has contractures and paralysis of his left hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital, He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2. What ethical principles are involved? 3. Should the nurse locate the patient and ensure that he is not endangering himiself or others by driving? Would this be a breach of confidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?

Intro To Health Care
4th Edition
ISBN:9781337338295
Author:Mitchell
Publisher:Mitchell
Chapter20: Physical Assessment
Section: Chapter Questions
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An elderly man presents himself to the ER. He has contractures and paralysis of his let hand
and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse
is unable to gather additional information from him because of his difficulty in communicating
She asks if someone is accompanying him, He shakes his head. The nurse asks him how he
came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room
and returns a few minutes later to find that the patient has left the hospital having received no
care.
1. What are the ethical implications in this situation?
2 What ethical principles are involved?
3. Should the nurse locate the patient and ensure that he is not endangering himself or
others by driving? Would this be a breach of contidentiality? Autonomy?
4. How does the nurse express fidelity in this situation?
Transcribed Image Text:An elderly man presents himself to the ER. He has contractures and paralysis of his let hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2 What ethical principles are involved? 3. Should the nurse locate the patient and ensure that he is not endangering himself or others by driving? Would this be a breach of contidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?
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