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 A
Explanation
A. Being bitten by an infected mosquito: A vector is an organism (e.g., a mosquito, tick, or flea) that transmits pathogens from one host to another. Mosquitoes transmit diseases like malaria, dengue fever, and Zika virus.
B. A group of partygoers hugging and shaking hands: This describes direct contact transmission, not vector-borne transmission.
C. Disease spreading from infected mother to infant via the placenta: This describes vertical transmission (from mother to child during pregnancy), not vector-borne transmission.
D. Two persons, one of whom is infected, sharing a glass of soda: This describes indirect contact transmission through fomites (contaminated objects), not vector-borne transmission.
Correct Answer is A
Explanation
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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