The case study demonstrates a role related and ethical conundrum when the nurse is taking care of an end stage aggressive lung cancer patient, Mr. Wilson, who expressed suicidal intentions to the nurse and asked to keep the secret from his family and the hospital staff. If the nurse knows of Mr. Wilsons’ plan for rational suicide, would the nurse be obligated to intervene? If so, what actions could the nurse take at this point? Does a nurse have the right to try to stop a person from committing rational suicide (to act in the best interest of the patient)? Is a nurse supposed to support the person’s autonomous decision to commit rational suicide? even when that decision is morally and religiously incompatible with the nurse’s perspective? What is the nurse role? Instructions: The case study must be typed in APA format with a minimum of 750 words (excluding first and references page) with a minimum of 4 evidence-based references using the required Arial 12 font. Follow the APA example paper under the folder APA tools. Make sure reference

The ethical dilemma presented in this case study involves a nurse who is caring for a terminally ill patient with aggressive lung cancer. Mr. Wilson, the patient, has expressed suicidal intentions to the nurse and has asked that this information be kept secret from both his family and other hospital staff. This poses several complex questions regarding the nurse’s obligations and the rights of the patient.

In such a situation, it is essential to consider the legal and ethical principles that guide nursing practice. The first principle to be considered is autonomy, which refers to an individual’s right to make decisions about their own life and health. Autonomy is a fundamental ethical principle in healthcare, and nurses are expected to respect and uphold a patient’s autonomy.

However, autonomy is not an absolute principle and must be balanced with other ethical considerations. One important consideration is beneficence, which involves acting in the best interest of the patient and promoting their well-being. In this case, the nurse may be concerned that Mr. Wilson’s suicidal intentions are not in his best interest and may require intervention.

It is important to note that the duty to intervene in cases of suicidal intentions may vary based on jurisdiction and institutional policies. In some jurisdictions, healthcare professionals may have a legal duty to attempt to prevent suicide. Therefore, it is important for the nurse to be familiar with their legal obligations and institutional policies regarding suicide prevention.

If the nurse determines that intervention is necessary, there are several actions that can be taken. The nurse can assess the risk of suicide by conducting a thorough mental health assessment and engaging in open and honest communication with Mr. Wilson. It may be beneficial to involve a mental health professional or psychiatrist to further evaluate his mental state and provide appropriate interventions if required.

Additionally, the nurse can explore the reasons behind Mr. Wilson’s suicidal intentions and assess if there are any underlying issues such as uncontrolled pain, depression, anxiety, or fear that can be treated. Collaboration with a multidisciplinary team, including social workers, psychologists, and spiritual counselors, can provide a holistic approach to Mr. Wilson’s care and support.

In cases where the nurse suspects immediate harm to the patient, it may be necessary to breach confidentiality and inform the appropriate parties for the patient’s safety. This decision must be made carefully, considering the potential impact on the therapeutic relationship and the patient’s trust.

The question of whether a nurse has the right to try to stop a person from committing rational suicide is complex and requires careful consideration. The nurse has a duty to act in the best interest of the patient, and if the nurse believes that the patient’s decision is not rational or is a result of impaired decision-making capacity, intervention may be necessary.

However, if the patient’s decision is determined to be autonomous and based on informed consent, the nurse may have an ethical obligation to respect the patient’s decision, even if it goes against the nurse’s moral or religious beliefs. In such cases, it may be beneficial for the nurse to seek consultation or guidance from an ethics committee or supervisor to navigate the ethical complexities involved.

The nurse’s role in this situation is multifaceted and requires a delicate balance between respecting the patient’s autonomy and promoting their well-being. The nurse must conduct a comprehensive assessment, collaborate with a multidisciplinary team, and maintain open and honest communication with the patient to ensure their safety and provide appropriate support.

In conclusion, the case study presents an ethical conundrum for the nurse caring for a terminally ill patient with suicidal intentions. While respecting the patient’s autonomy is of utmost importance, the nurse must also consider the principles of beneficence and the duty to intervene in cases of potential harm. The nurse’s actions may include assessment, collaboration with a multidisciplinary team, and, if necessary, breach of confidentiality to ensure the patient’s safety.