Read Chapter 4

1-which of the following behaviors may be (1) ethical but illegal, (2) legal but unethical, (3) illegal and unethical, and (4) legal and ethical.

A. Working in a clinic that performs abortions

b. Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on “breathing machines”

c. Respecting the health surrogate’s wishes regarding termination of life support of her friend

d. Observing a coworker take out two tablets of oxycodone as ordered for pain management for his patient but keeping one for himself, administering only one tablet to the patient.

2-differentiate among the following: deontological theories, utilitarianism, and principlism.

3-what do you think about health-care professionals disclosing information to clients about a poor prognosis, even though the information may cause severe distress.

4-What do they think about health-care professionals disclosing information to clients against family wishes?

5. You see a colleague use another nurse’s password to access the medication administration system and take out a narcotic. What would you do?

6.Your colleague’s child fell and was brought to the emergency department. She comes back up to the unit and tells you that they cleaned and debrided the wound, and she needs to change the dressings twice a day using a wet to dry method. You see her go into the supply system and remove the dressings and saline using a patient’s identification number. What would you do?

7. You are caring for a patient who has a terminal disease. He asks you if he is dying. Would you tell him? If yes, how? If no, what might you say? .

8-You are administering hydromorphone to a patient. The patient asks you what you are administering. Would you tell the patient about the medication?

This week, you will write your evidence-based change project status report, which gives you an opportunity to share your progress. The report should provide evidence of your critical thinking and ability to apply research and project management principles in the clinical setting.

The requirements of this assignment include:

1. Identify obstacles and steps taken to manage and stabilize successful implementation of your change project thus far. *****Please talk about how nurses are not compliant with documentation and not too receptive with he change projects and the steps you would take to achieve this issue***
2. Discuss the project implementation to date, the resources used, and continued support needed.
3. Identify expected project outcomes and any timeline adjustments needed.***Make sure you add adjustment, do not make it look as it was easy to implement, because it was not****
4. Discuss a summary of the project, the main points, and the findings, the significance of the project to the nursing profession, and any recommendations for future research.
5.  Actual Outcomes/Evaluation: Discuss your measurable evaluation methods (indicators/metrics). Include any of the following that are applicable to your project: cost savings, improved efficiencies, access to care (visits/procedures/admissions), patient/family satisfaction, associate satisfaction, associate engagement, retention, clinical outcomes, injury prevention, and risk reduction. (***Please be detailed in the response, if any question let me know***)

You will submit a written paper using the format of the APA (6th ed.), including cover page, proper headings and references.