What are the most important ethical issues for clients infected with HIV and those who have AIDS?
The right to privacy and unrestricted care.
Self-determination and distributive justice.
Veracity and informed consent.
Fidelity and option rights.
The Correct Answer is B
A. The right to privacy and unrestricted care:
The right to privacy is important, especially for individuals with HIV/AIDS due to the stigma associated with the disease. Unrestricted care ensures that patients receive the necessary medical attention and support without discrimination.
B. Self-determination and distributive justice:
Self-determination emphasizes a patient's right to make decisions about their own healthcare, including treatment options and end-of-life decisions. Distributive justice involves fair allocation of resources, especially relevant in healthcare to ensure all patients receive appropriate care.
C. Veracity and informed consent:
Veracity refers to truthfulness, particularly in communication between healthcare providers and patients. Informed consent ensures that patients have a complete understanding of their medical condition, treatments, and potential risks, enabling them to make informed decisions about their care.
D. Fidelity and option rights:
Fidelity refers to the principle of loyalty, honesty, and faithfulness in maintaining trust in the nurse-patient relationship. Option rights involve a patient's right to choose between different treatment options.
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Correct Answer is C
Explanation
Libel: Libel is a form of defamation that occurs in written or printed words, pictures, or any form other than spoken words or gestures. Since the nurse's actions involved spoken words, it doesn't constitute libel.
Fraud: Fraud involves intentional deception to secure unfair or unlawful gain, or to deprive someone of a legal right. While the nurse's actions were inappropriate and unprofessional, they don't necessarily involve financial or material deception, which is a characteristic of fraud.
Slander: Slander is a form of defamation that involves making false spoken statements that harm the reputation of another person. In this case, the nurse verbally spread false and damaging information about the client, harming their professional reputation.
Malpractice: Malpractice refers to professional negligence or a professional misconduct that results in harm to a patient. While the nurse's actions were inappropriate, they might not directly fall under the category of malpractice unless the client suffered harm due to the nurse's statements impacting their medical care.
Correct Answer is D
Explanation
A) Children under 12, under special circumstances, may give consent:
In medical settings, especially involving serious procedures or treatments, children typically cannot provide informed consent without parental or guardian approval. There might be specific cases where mature minors, regardless of age, can provide consent, but this is generally determined by the individual's capacity to understand the implications of the decision.
B) Children under 12 are not allowed to be organ donors:
The ability for children under 12 to be organ donors is determined by various factors, including the specific organ, medical suitability, and the consent of parents or legal guardians. In some situations, organs from pediatric donors can be used for transplantation.
C) Children under 12 cannot be placed on an adult transplant list:
The decision to place a child on an adult transplant list depends on several factors, such as the severity of the medical condition, organ availability, and compatibility. Children can be placed on adult transplant lists in some cases, especially when there are medical considerations that make it necessary.
D) Children under 12 are not allowed to make decisions for themselves:
Children under 12 usually lack legal capacity to make major medical decisions without parental or guardian consent. In specific situations, mature minors might be involved in medical decision-making, but this is determined on a case-by-case basis and varies by jurisdiction.
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