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Ethics & Legal
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Q139 of 149
intermediate
bioethics
beneficence
justice
medication-access
ANCC
A PMHNP must choose between a more effective but expensive medication and a less effective but affordable medication for an uninsured patient. Which ethical principles are in tension?
A
Only the principle of autonomy is relevant
B
Beneficence (providing the most effective treatment) is in tension with justice (equitable access given financial reality). The PMHNP should present both options honestly, explore patient assistance programs, and support a decision balancing clinical benefit with feasibility.
C
Only beneficence is relevant — always prescribe the most effective medication
D
This is a financial decision, not an ethical one
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