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Choose one of the three cases below and respond to at least 2 peers who also chose the same case.
1. An emergency room nurse is taking care of a 5-year-old boy who suffered trauma from a bike accident. His family identifies as Jehovah’s Witnesses. The nurse explains that the boy may need a blood transfusion. The parents express concern because taking blood, including via blood transfusion, is discouraged by their religion, a stance with which they agree.
How should the nurse discuss this situation with the parents and the interdisciplinary health care team?
What do you think the best course of action should be?
What are the primary ethical issues related to the refusal of blood transfusions in a child?
2. Sanya, a 20-year-old woman from India who is attending a university in the United States, is seen by a nurse in a clinic for the first time when she is 16 weeks’ pregnant. This is an unplanned pregnancy, and Sanya tells the nurse that she wants an abortion. Sanya feels that, although abortion is discouraged by Indian culture unless it is necessary to save the mother’s life, she should terminate the pregnancy. Her boyfriend, the baby’s father, is a Caucasian American, but her parents have already arranged for her to marry an Indian man in India. Sanya would prefer to marry her American boyfriend.
Using Leininger’s Sunrise Model, discuss the complexities of the cultural traditions and the woman’s situation.
How can the nurse offer support to the woman?
3. Jerome is a 45-year-old African American male who engages in sexual relations with both males and females but identifies publicly as heterosexual. He presents to the health clinic with genital warts with severe rectal tears. His fiancé is not aware of his pattern of anonymous anal sex with men.
What is the nurse’s responsibility regarding the disclosure of a sexually transmitted disease?
Discuss the rationale for Jerome keeping his sexuality a secret. In cultures other than African American culture, is it equally important to maintain secrecy around nonheterosexual relationships? How are the considerations similar or different?
Your initial response should be at least 400-500 words in length, reflecting on the prompt above. Your responses should be referenced or cited using professional literature following the APA (7th ed) format.
Reply to at least two classmates’ posts. Your response to your classmate’s discussion should be around 50 words (each) and add to the discussion (i.e. reflecting on their response, asking questions, etc.).