|to the decision you did regarding ts medication error? -If a nurse has an obligation to do good and no harm and your actions produced no harm, have you behaved unetcally? -Have you ever rationalized doing sometng that you knew was not the right tng?|
has just been told there is notng further anyone can do to treat her illness and that she will be referred to hospice. Jane knows that means she has a prognosis of death witn 6 months period of time. Jane is batng Jessie and asks her if she has contacted her church to talk with her pastor or priest. Jessie tells her that she does not belong to a church, and Jane asks her if she wants to have the hospital chaplain come to visit her. Jessie tells her, “No, I do not want to talk to the chaplain.” Jane persists saying that everyone who is approacng death wants to make tngs right with God. Jessie tells her that she does not believe in God and does not follow any religious faith. Jane ends the discussion by saying, “Oh, that’s too bad. I feel sorry for you.” -How has Jane failed to be therapeutic with Jessie? -How do you imagine Jessie felt about ts conversation? Question 2. You are caring for a new group of patients in the nursing home, and one of your team members, a CNA, tells you that Julia in room 40B is having acng in her knees and would like sometng for pain. You check the medication record and see she has Tylenol 650 mg PO ordered every 4-6 hours for pain. She has not received any pain medication for several days. You obtain the medication and enter room 40. You go to bed B and say, “Hello, Julia, here’s your pain medication.” You give her a cup of water and she swallows the Tylenol. Later on the CNA returns and reminds you that Julia is still asking for her pain medication. You check the MAR, look at the photo of Julia, and realize you have given Tylenol to her roommate instead. You have made a medication error, and it requires a written medication error report, to make a call to her doctor, and notification to your supervisor. You look at her roommate’s medical record and find that she, too, has an order for Tylenol. You decide to give Tylenol to Julia and then document that you gave Tylenol to both Julia and her roommate. After all, no harm will occur to either patient. -What rationalizations might you have used to come to the decision you did regarding ts medication error? -If a nurse has an obligation to do good and no harm and your actions produced no harm, have you behaved unetcally? -Have you ever rationalized doing sometng that you knew was not the right tng?