Clinical Nurse Leader Practice Exam

What should a Clinical Nurse Leader consider when there is a disagreement between ethics and clinical opinion regarding patient care?

1. Personal beliefs of the staff involved

2. Patient's known preferences and legal documents

3. Recommendations from non-medical staff

4. Financial implications of the treatment options

The correct answer is: Patient's known preferences and legal documents

Considering the patient's known preferences and legal documents is paramount when a disagreement arises between ethics and clinical opinion in patient care. This reflects the principle of patient autonomy, which is a cornerstone of ethical healthcare practice. When faced with differing opinions, it’s essential to prioritize what the patient has previously expressed regarding their treatment options, including any advance directives or living wills they may have put in place. These documents provide critical guidance on the patient's wishes regarding their care, ensuring that treatment aligns with their values and desired outcomes. In contrast, while personal beliefs of the staff or recommendations from non-medical staff may influence decision-making, they do not hold the same weight as the patient's preferences. Additionally, considering financial implications may lead to conflicts of interest and does not directly honor the ethical obligation to prioritize patient welfare and respect for the individual's choices in their healthcare journey. Thus, acknowledging and integrating the patient's known preferences and legal documents is the most ethical and appropriate approach in such situations.