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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Study the beliefs and traditions of persons living in other cultures: While learning about other cultures is important, it should follow self-reflection to prevent ethnocentric judgments.
B. Complete a survey of all the various ethnicities represented in the nurse's community: This provides demographic knowledge but does not help the nurse develop personal cultural competence.
C. Consider how the nurse's own personal beliefs and decisions are reflective of his or her culture. Cultural competence begins with self-awareness. Nurses must first recognize how their own cultural background, beliefs, and biases influence their interactions with patients before effectively understanding and respecting others' cultures.
D. Invite a family from another culture to join the nurse for an event: While engaging with diverse groups is beneficial, it is not the first step in cultural competence.
Correct Answer is A
Explanation
A. Elevated growths with a "cauliflower" appearance: HPV lesions, commonly known as genital warts, have a characteristic raised, rough, and cauliflower-like appearance. These lesions are caused by HPV types 6 and 11.
B. Solitary growth with elevated borders and a central depression: This describes a basal cell carcinoma, which is a type of skin cancer, not HPV-related warts.
C. Thin-walled pustules that rupture to form honey-colored crusts: This describes impetigo, a bacterial skin infection typically caused by Staphylococcus aureus or Streptococcus pyogenes.
D. Vesicles that ulcerate and crust within 1 to 4 days: This describes herpes simplex virus (HSV) lesions, not HPV. HSV lesions appear as painful fluid-filled blisters that rupture and form ulcers.
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