A case manager is making a referral to hospice for a client who has cancer and has decided to stop curative treatments. The case manager is upholding which of the following ethical principles?

A. "I will take this medication on an empty stomach." Taking prednisone on an empty stomach increases the risk of gastrointestinal irritation or ulcers. It should be taken with food or milk to help protect the stomach lining.

B. "I will take a walk every day." Daily weight-bearing exercise helps reduce prednisone’s adverse effects, such as bone loss and muscle weakness. Regular physical activity also supports mood, metabolism, and cardiovascular health.

C. "I will reduce my dosage during times of stress." The dosage of prednisone should never be reduced during stress; in fact, stress often increases the body’s need for corticosteroids. Dosage adjustments should only be made by the healthcare provider.

D. "I will use aspirin as needed for pain." Using aspirin with prednisone increases the risk of gastrointestinal bleeding and ulcer formation. Alternative pain relief methods, such as acetaminophen, are safer unless contraindicated.

A. "Explain what you were doing to get hit." This statement implies blame or justification for the abuse and can cause the child to feel guilt or shame, which is inappropriate and non-therapeutic.

B. "Why do you think that you are being abused?" This question may sound accusatory or suggest that the child is responsible for the abuse. It can discourage open communication and retraumatize the child.

C. "I am sure everything will work out just fine." This is a false reassurance. It dismisses the child’s emotions and does not validate their experience, which can hinder trust-building.

D. "Can you tell me how you are feeling?" This open-ended, nonjudgmental question encourages the child to express emotions and builds therapeutic rapport. It provides emotional support in a safe, respectful manner.