A pregnant 15-year-old girl presents to the emergency department (ED) of the local private hospital. She has been transported by her mother and appears to be in active labor.
The girl is crying uncontrollably and says she is scared and experiencing painful contractions. Her mother states, We don't have any money or insurance, but this hospital is closer than the public hospital, and she needs help now. What is the first step that the ED staff should take?
a. Arrange for an ambulance to transport her to the nearest public hospital.
b. Explain to the girl and her mother that the hospital only accepts patients who can pay the hospital bill.
c. Examine her to determine whether her condition is stable or whether she requires immediate medical attention.
d. Inform her mother that she will need to transport her daughter to the nearest public hospital.
Question 2
The nurse arrives at work to find the unit will be short staffed for the shift because a nurse called in sick at the last minute, leaving no time to find a replacement.
What factors contribute to the dilemma faced by the nurse working this shift? Select all that apply.
a. The nurse's multiple obligations and relationships
b. Value conflicts and lack of clarity within the profession
c. Autonomy versus escaping hard choices
d. Higher pay versus cost effectiveness
e. Caring versus the decreased time to spend with patients
This girl has a long leg cast, which was applied after surgery to correct her clubfoot.
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