Question

Administering placebos is generally considered unethical. (There are circumstances, such as clinical drug research where placebos are used, but clients are aware of that possibility.) The charge nurse is a resource person who can help clarify the situation and locate and review the hospital policy. If the HCP is insistent, suggest that he or she could give the placebo. (Note: Use "could," not "should," when talking to the HCP. This provides a small opportunity to rethink the decision. "Should" elicits a more defensive response.) Although following a personal ethical code is correct, the nurse must ensure that the client is not abandoned and that care continues.

A. Administering placebos is acceptable in certain circumstances.

B. The charge nurse is not a valuable resource in this situation.

C. The nurse should insist that the HCP gives the placebo.

D. Following a personal ethical code is sufficient in this situation.

Answer 1

Administering placebos without patient knowledge is generally unethical, except with informed consent during clinical trials. Nurses should consult with charge nurses and refer to hospital policies when facing such ethical dilemmas, ensuring that patient care continues and adheres to the principle of nonmaleficence.

Step-by-step explanation:

In the context of ethical practice in healthcare, the scenario provided raises the question of whether administering placebos is ethical. It is generally considered unethical to administer placebos without patient knowledge, with the exception of certain clinical trials where informed consent is provided. In clinical practice, if a healthcare provider (HCP) insists on administering a placebo, the nurse's ethical approach would include consulting the charge nurse for clarification and reviewing hospital policy. Offering the HCP the chance to administer the placebo themselves gives them the opportunity to reconsider the ethical implications (using 'could' instead of 'should').

Following a personal ethical code is important, but it must be balanced with professional responsibilities and ensuring that patient care continues. The principle of nonmaleficence, which states that actions taken should not cause harm, is pertinent in this case, and the nurse must navigate this while respecting the patient's rights and wellbeing.