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?
Autonomy
Distributive justice
Veracity
Fidelity
The Correct Answer is A
A. Autonomy: By honoring the client’s decision to stop curative treatment and transition to hospice care, the case manager is respecting the client’s right to make informed choices about their own healthcare. Autonomy emphasizes individual control over personal decisions.
B. Distributive justice: This principle involves the fair allocation of healthcare resources across populations. While important, it is not directly related to supporting an individual’s choice to end treatment and receive hospice care.
C. Veracity: Veracity refers to truthfulness in communication between healthcare professionals and clients. Although important, it is not the primary principle demonstrated when respecting a client’s decision regarding treatment options.
D. Fidelity: Fidelity is the duty to remain loyal and keep promises, including maintaining confidentiality and being faithful to one’s role. While this principle underlies all patient interactions, it is not the central concept in honoring a client’s treatment decision.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
- Inspect the child’s oropharynx:After vomiting bright red blood, inspection can help confirm if bleeding is active in the throat. This assessment is key in identifying post-tonsillectomy hemorrhage.
- Obtaining a set of vital signs:Vital signs help evaluate the child’s hemodynamic stability, monitor for hypovolemic shock, and guide urgency for provider notification or surgical intervention.
Rationale for Incorrect Choices:
- Offer the child a red popsicle:Red-colored foods can mask signs of active bleeding. Also, offering oral intake during suspected hemorrhage is unsafe and may increase risk of aspiration.
- Place the child in a supine position:Supine positioning can increase aspiration risk if bleeding continues or worsens. The child should remain upright to protect the airway.
- Requesting a prescription for codeine:Codeine is not indicated in this situation and is contraindicated in children post-tonsillectomy due to risk of respiratory depression, especially during bleeding.
- Encouraging the child to cough and deep breathe:Coughing may dislodge clots and worsen bleeding. This action is inappropriate when bleeding is suspected in the oropharynx.
Correct Answer is C
Explanation
A. Chicken pox: Chicken pox (varicella) typically presents with a vesicular rash starting on the trunk and spreading to the face and extremities. It does not cause bluish-white spots on the buccal mucosa and rarely appears without skin lesions.
B. Roseola: Roseola (sixth disease) is characterized by a high fever followed by a sudden rose-colored rash as the fever subsides. It does not cause lesions in the mouth such as Koplik spots, which are associated with measles.
C. Measles: Bluish-white spots on the buccal mucosa, known as Koplik spots, are a hallmark sign of measles and often appear before the characteristic maculopapular rash. This early sign helps identify the disease even when no other symptoms are present.
D. Erythema infectiosum: Also known as fifth disease, this condition usually presents with a "slapped cheek" facial rash followed by a lacy rash on the body. It does not produce oral lesions like the buccal mucosa spots seen in measles.
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