Assignment: Bipolar Disease
One week Ms. White told the nurse she was not taking her medications for bipolar disease anymore because they caused her to gain weight. The next week she confided that Mr. Smith had had a “dirty” urine specimen check and would have to return to prison in the near future. The following week Mr. Lewis found the family living in a run-down motel because they were evictee after a disagreement with the landlord. Ms. White was agitated, and she told the nurse that they had only $100, Mr. Smith was going to have to return to prison that week, and the motel bill was already $250. Ms. White knew she would be homeless soon without Mr. Smith’s support but refused to talk with her social worker about her needs. She asked the nurse not to tell anyone about her situation because she was afraid CPS would take Tommy from her. It was clear to Mr. Lewis that he might not know where Tommy was after they left this motel.
Using the ethical decision processes and the of code of ethics discussed in chapter 4 discuss and debate these questions.
a. How should Mr. Lewis respond to Ms. White’s request to not tell anyone about their situation?
b. What communication, if any should the nurse initiate with the social worker?
c. What communication, if any should the nurse initiate with others?
a. What actions would you take to resolve any moral dilemma you have about the safety of Tommy in this family situation?
b. If you do not tell anyone about the possible dangers to the child, what moral principles come into play?
c. If you do tell the social worker about the situation and the child is removed from the mother, what moral principles come into play for you?
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