1: Ms. A covers the night shift for an ill member of the regular staff. One of her patients is Dr. E. age 75, a well-known neurosurgeon and a retired member of the medical school faculty. He has recently been admitted for severe, intractable back pain with increasing difficulty in walking. His wife is dead, and his three children are successful medical practioners. Dr. E. lives alone with domestic help in the same large home in the suburbs and attends medical meetings. Since his radical prostatectomy for a malignancy, his medical practice ceased. There is every reason to believe that examinations performed on this admission will reveal extensive metastatic cancer to the spine. Dr. E may well suspect his true prognosis despite the professionally cheerful and respectful manner staff members accord to him. Ms. A gives hi the prescribed injection of narcotics in response to his request. As she turns to leave the room the patient asks the nurse to open the window wide for ventilation. The room is on the 18th floor, and the window is without a screen. The possibility of suicide crosses the nurse’s mind. She wonders if it is not in Dr. E’s right to determine what shall be done with his disease-ridden pain-wracked body. She also thinks about the sanctity of every life and the irreversibility of this act. What reasons are there for the nurse to either open or not to open the window? Give two (2) Biblical examples which could be useful as rationale for the above decisions. If you disagree with the two (2) biblical rationales explain why.
2:Robert, age 27 is a handsome successful account executive on wall street. He seriously considers marriage to a beautiful 21 year old recent graduate of an “ivy league” university nursing program. His application to an exclusive health club required a comprehensive health examination. Tests and retests of his blood show him to be unmistakably positive for the human immune deficiency virus (HIV). Nevertheless, Robert sees advantages in marrying and not telling his nurse friend the truth. He believes that she will care for him devotedly as her husband when the disease becomes symptomatic. She has useful scientific, medical and nursing knowledge of the treatment of the disease that may prolong his life. Once infected, she will have less reason to abandon him. The examining physician and the nurse practitioner reflect on the morality of notifying the girl friend and other possible contacts of the facts of Robert’s health status. Should they tell? Not to tell, while not a falsehood is a deception.Give two (2) Biblical examples which could be useful as rationale for the above decisions. If you disagree with the two (2) biblical rationales explain why.
3:Discuss the ethical implications of withholding medical treatment in a terminally ill patient. How would the patient’s competence affect a decision to withhold? Give an example. Discuss various types of euthanasia. How did the video you viewed earlier in the course, help you understand the dilemmas? Give a biblical reference to support the view you hold.
4:Choose 2 out of the three questions below to answer.
1. Discuss the ethical implications of human gene therapy and the moral conflicts which may have come up in having predictive tests for genetic defects.
2. A research subject may be at risk of harm if treatment he is being treated with turns out to have serious side effects. How should the subject weigh that harm against possible benefits? How should policy makers weigh them?
3. Invitro fertilization is a technique used to help infertile couples to conceive a child. What aspects of the process raise some ethical questions? What are they? What is the nurse’s role in counseling these couples?
5:Choose 2 out of the three questions below to answer
1.Define and explain four (4) of the following ethical terms:
Utilitarianism Advance DirectiveNon-Malfeasance Natural LawInformed Consent Rights
2. What is the ethical framework called Ethics with the good. Explain and give examples of how it can be used to solve an ethical dilemma? What Biblical verses support it?
3. Compare and contrast the Oregon Proposal for health care coverage (Medicaid) with the new health care laws of either Vermont or Massachusetts. What ethical frameworks did these laws represent? What are some criticisms and what are some benefits?
6: If an infant is denied all surgery necessary to save its life, is it being discriminated against and why are its rights being violated? Explain.
Why is it appropriate or inappropriate to attribute rights to an infant with multiple mental and physical anomalies?
7:Explain the value based ethical framework and give an example of its use in a case scenario
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