The only way to get this question correct is to break the rules of the hospice center because you assumed there was a romantic relationship between the women. Couldn't be more straightforward.
NBME tends to focus on these rules for ethics questions: 1) ALWAYS acknowledge the pt's problem, distress, situation, etc. 2) NEVER ask the pt to lie 3) NEVER be a dick. The answer may sound robotic, but should never be mean. 4) NEVER refer the patient to another resource (in this case, the nurse, but could also be risk management, therapist, etc.) 5) COMMUNICATE with other clinicians/experts, etc. to resolve issues. Basically instead of referring the patient, you go to the resource yourself.
Is this how it works in real life? Am I ever going to need to need the TCA cycle after Step 1? Probs not.
This more or less relies on what you determine the definition of "family" to be. Whether the pt and her friend are in a romantic relationship or not they arguably rely on each other as family members would.
Well they are not legally a family yet (and yes it is very upsetting and unfair) and the doctor arbitrarily overruling the hospice facility rules according to his/her own judgment sounded wrong to me... I don't know... In case anything happens and the facility finds out about this, wouldn't the doctor's ass be on the first line on lawsuits? Does Don't-Be-A-Dick rule also apply where you may potentially clash with rules and laws as well? :(
Of all the things they can test us on, they're testing our fucking Gadar??
submitted by โimaginarybanana(30)
don't be a dick? not really sure what more there is to it. The patient doesn't have any other family so this woman should be considered family