The nurse learns that a family has declined an elective medical intervention for a health care problem because paying for the care would drastically reduce the family's resources and ability to meet the needs of other family members. Ethically, which of the following actions should be taken by the nurse?
Appreciate that the family has made the decision that it feels is best and take no further action if it is clear the family has made an informed choice.
Try to convince the agency to give the care for free, even if it means economic stress for the agency, because the medical need is obvious.
Stress that each individual in society has a right to health care and the family will have to create some way to raise funds for the needed treatment.
Talk to the media to see whether a campaign to raise funds for the family can be created.
The Correct Answer is A
A. Appreciate that the family has made the decision that it feels is best and take no further action if it is clear the family has made an informed choice: Respecting autonomy is a key ethical principle in nursing. If the family has made an informed decision without coercion, the nurse should respect their choice. Beneficence and nonmaleficence do not override autonomy in this case.
B. Try to convince the agency to give the care for free, even if it means economic stress for the agency, because the medical need is obvious: While advocacy is important, it is unethical to place financial strain on an agency without proper policy in place. This option disregards justice (fair distribution of resources).
C. Stress that each individual in society has a right to healthcare and the family will have to create some way to raise funds for the needed treatment: While healthcare access is a concern, pressuring the family to raise funds imposes unrealistic expectations and does not respect their right to decline care.
D. Talk to the media to see whether a campaign to raise funds for the family can be created: Disclosing a family's personal health information without consent violates confidentiality and privacy rights under ethical and legal guidelines.
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Related Questions
Correct Answer is D
Explanation
A. To provide oversight to potential exposure: Inspections are proactive, not just a response to potential exposure to hazards.
B. To enforce local laws and regulations: While enforcement is part of the inspection process, the primary goal is preventing foodborne illnesses through compliance monitoring.
C. To monitor employee safety: Employee safety is overseen by OSHA (Occupational Safety and Health Administration), not local health departments.
D. To ensure compliance with food safety regulations: Public health departments conduct restaurant inspections to ensure hygienic food preparation, storage, and service in compliance with local food safety laws.
Correct Answer is A
Explanation
parasite) that causes disease. In this case, the bacteria responsible for a vaginal infection is the infectious agent.
B. Agent and Host: While the host is the individual affected by the infection, the question specifically asks about the bacteria, which falls solely under the agent category.
C. Environment: The environment in the epidemiologic triangle refers to external conditions that contribute to disease transmission, such as hygiene, climate, and healthcare practices. The bacteria itself is not an environmental factor.
D. Host: The host refers to the person or animal that harbors the infection, not the bacteria itself.
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