For many nurses, the American Nurses Association (ANA, 2015) Code of Ethics for Nurses is the single most useful document to consult when dealing with ethical problems in nursing practice. The Code offers standards for ethical behavior but does not provide the theoretical underpinnings of those standards. Discussion questions (links to objectives #1, #2).
1. In preparation for this discussion, please identify one of the nine tenets in the Code that is not clear or that you find difficult to support in your practice setting. After review the accompanying interpretive statements in the text, analyze the ways in which the tenet reflects the ethical theories (deontology and teleology) you reviewed in week one.
Please include the following:
• Identify the tenet you have selected and why you find it unclear or difficult to support in your practice.
• Give an example of how the tenet might be applied in your practice setting.
• Explain the ways in which the tenet is supported by any or all of the theories you reviewed in week one.
• Explain how the tenet is compatible with any of the ethical theories.
• Explain why, in light of these theories, the meaning or usefulness of the tenet may be more apparent to you now. Alternatively, does it still seem congruent with your practice?
The Code of Ethics for Nurses with Interpretive Statements (The Code) was developed as a guide for carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession. In an effort to provide easy access to The Code, we are providing “view only” access, not only for ANA members, but for all nurses and the public.Also, in recognition of the impact ethical practice has on patient safety and the quality of care, ANA has designated 2015 as the “Year of Ethics,” highlighted by the release of a revised code of ethics for the profession.
Marx argues that the “disintegration of the major characters” (14), especially Huck Finn, contributes to the ending’s failure. Unlike the boy who blends “his instinctive suspicion of human motives with his capacity for pity” (11) earlier in the novel, the Huck Finn at the Phelps’ ranch is a mere “comic character” (11), one who “regresses to the subordinate role in which he had first appeared in The Adventures of Tom Sawyer,” (12) according to Marx. But contrary to Marx’s essay, the novel’s ending illustrates that Huck is no mere side character, but this former country-bumpkin, is morally superior to the “respectable and well brung up” (Twain 247) Tom Sawyer. Unlike Tom, who wants to free Jim for fun, Huck participates in Tom’s “extravagant fantasies” (15), because he vows to do anything to free Jim, even endanger his soul -“I’ll go to hell,” (Twain 228) he tells himself earlier. Huck’s lack of judgment is not failing to see through Tom’s schemes, but by telling Tom his plan in the first place. But such a lapse is understandable – Huck thinks Tom will be a willing ally and does not realize Tom is keeping the secret of Jim’s freedom. Readers see that Huck has doubts immediately about the plan and is certainly not in “awe-struck submission” (Marx 15) to Tom’s machinations. “There ain’t no necessity for it,” (253) “Confound it, it’s foolish, Tom,” and “Jim don’t know nobody in China” (257) are among Huck’s objections to the escape plans which Marx calls “too fanciful, too extravagant and . . . tedious” (10). Such objections reveal that Huck does not fall “under [Tom’s] sway once more” (12). Unlike Tom, Huck realizes that the whole plan has been a mistake when the farmers show up:
I did wish Aunt Sally would come, and get done with me . . . and let me get away and tell Tom how we’d overdone this thing, and what a thundering hornet’s nest we’d got ourselves into, so we could stop fooling around, straight off, and clear out with Jim before these rips got out of patience and come for us (286).
These are not the feelings of a comic character. Huck fears for himself and the others, concerned that someone might get hurt. He knows that “human beings can be awfully cruel to one another” (245) and does not want to witness a repeat of the Shepherdsons and Grangerfords. Here is Huck’s “instinctive humanity” (9) and the “mature emotions” (11) that Marx swears do not exist in the ending. Tom Sawyer does not share these emotions. He writes threatening letters to the Phelps – his adopted relatives – while reducing “Jim’s capture for the occasion of a game” (12). When Huck sees the plan was a mistake, readers can see that his “knowledge of human nature and of himself” (11) is still intact, even in the face of Tom Sawyer’s antics. By the time the novel ends, Huck is tired of the games. When he leaves for his next adventure, he does not invite Tom to come with him.
Like Huck, Marx believes that Jim’s character is reduced at the end of the novel to a mere shadow of himse