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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Answering parents' questions about the safety and importance of vaccines today: While educating parents is essential, it relies on voluntary compliance and does not have the same large-scale impact as mandatory immunization laws.
B. Offering all immunizations to all children for a small fee: Improving vaccine access is important but does not guarantee that parents will vaccinate their children.
C. Educational campaigns to all health care providers about the importance of immunizations whenever a child is seen: While provider education is valuable, it does not enforce vaccinations on a broad population level like school-entry laws do.
D. "No shots, no school" legislation, which legally requires children be immunized before school: School immunization mandates have played a significant role in increasing vaccination rates and reducing outbreaks of preventable diseases such as measles, mumps, and pertussis. These laws ensure high vaccine compliance before children enter school, making them one of the most effective public health measures.
Correct Answer is A
Explanation
A. Agent, Host, Environment: The epidemiologic triangle consists of:
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Agent – The cause of disease (e.g., bacteria, viruses, toxins).
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Host – The person or animal affected by the disease.
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Environment – External factors that influence disease transmission (e.g., climate, sanitation, population density).
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B. Agent, Condition, Variable: "Condition" and "Variable" are not standard components of the epidemiologic triangle. The correct term is host (the affected person or animal).
C. Agent, Host, Condition: "Condition" is not part of the triangle. The environment is a crucial factor that influences the spread of disease.
D. Agent, Host, Disease: "Disease" is an outcome rather than a component of the epidemiologic triangle. The triangle focuses on the factors that contribute to disease spread, including the environment.
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