Community/Public Health Nursing 6th Edition by Mary Nies ,Melanie McEwen

تمرين 2

Allocation decisions: Given limited time and resources, what level of care should a nurse offer a child and his or her family
Maternal-fetal conflict: Sometimes there are opposing ethical concerns for the pregnant woman and her fetus-for example, whether the benefits of prolonging a pregnancy justify the risk of complications for a pregnant woman or whether courtordered treatment for a substance-abusing pregnant woman overrides the right to autonomy for a pregnant woman.
Client autonomy: In each specific case, who should make health care decisions for a young client, especially when opposing opinions arise The client The parents or guardian The nurse or other health care professional At what age does a child become mature enough to participate in such decision making What laws does any given state have that affect adolescent client autonomy What should the community health nurse do if he or she believes the client's or parent's decisions are not in the best interest of the client
Privacy and confidentiality: Is an intervention appropriate if the community health nurse identifies gross noncompliance, neglect, or abuse Is an intervention appropriate if in making it the nurse must break confidentiality When and how should the nurse take action
"Gaming the system": When the health care system's rules appear to impede the nurse's ability to serve the client's best interest, is it acceptable to circumvent the system If so, what are the moral and legal costs
Cultural competence: The United States will continue to experience huge demographic changes and greater diversity; nurses will face different cultural definitions of what is and what is not acceptable or ethical. How should the community health nurse respond to a client or population group that does not share the same cultural outlook on health What is the nurse's legal justification, if any, for responding in a certain way
Health disparities and access to care: What are the nurses' responsibilities in ensuring that women and children have access to health care How can nurses influence policy decisions that impact community health care
Prenatal diagnosis and newborn screening: What are potential long-term consequences of identifying genetic conditions Are parents fully informed of negative consequences of genetic diagnoses, including stigmatization, discrimination, and psychological effects