A nurse is asked to give the same limited number of available dialysis appointments to a patient's influential relative. Which action best reflects justice?

Correct answer: B. Use transparent clinical criteria applied to every patient

  • A. Give priority to the relative to preserve family trust
  • B. Use transparent clinical criteria applied to every patient
  • C. Choose the patient who complains most loudly
  • D. Ask staff members to select the most sympathetic patient

Explanation

Justice requires fair and consistent allocation of limited healthcare resources using relevant clinical criteria. Social influence, emotional pressure and personal sympathy are not ethically fair reasons to select one patient over another.

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Nursing ethics examines autonomy, beneficence, non-maleficence, justice, fidelity, veracity, confidentiality and respect for dignity. It covers informed consent, patient advocacy, privacy, refusal of treatment, end-of-life decisions and ethical dilemmas, while distinguishing ethical duties from legal requirements and personal beliefs.

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