How to Answer Ethical Principles Autonomy Questions (Complete Guide)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to ethical principles autonomy and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves ethical principles autonomy. A strong answer should include explanation, application, and examples.

Original Question

The ethical principles of autonomy (she approached the clinician for help), beneficence (the clinician would be helping her), nonmaleficence (the clinician certainly is not hurting her), and justice (she wants to remain in the workforce) all seem to be met, so are there any concerns with providing the prescription that TL has requested? How would the ethical issues change if the clinician were to bring TL into an examination room to perform a professional physical examination? 3. As a leader at the medical practice, what can the clinician do to protect herself and the staff against ethical dilemmas related to prescribing? Using the article below, answer the questions above. PRESCRIBING FOR SELF, FAMILY, AND NONPATIENTS Regulations for prescribing for oneself, family mem- bers, or nonpatients vary by state for many clinicians. While prescribing noncontrolled medications infor- mally may not be illegal, it is considered unethical by most professional medical standards except in lim- ited noncomplex or emergent situations where alter- natives are limited. 27 PAs prescribe through physician delegation and APRNs prescribe through collabora- tive agreements that require the patient to be within the clinicians’ clinical practice. Prescribing controlled substances for oneself or a family member violates medical codes of ethics or state law in nearly all states. Doing so for self or a family member violates fed- eral DEA licensure statutes, as does prescribing for a nonpatient. Treating family and friends may involve conflicts of interest as well as loss of objectivity in the dual role of clinician and relative, friend, or colleague. 28,29 Lim- ited or inappropriate evaluation, history taking, and physical examination are more likely. Coupled with in- adequate documentation, the ethical standards for be- neficence in patient care are not met. Informed consent may be limited or biased. Lack of autonomy creates the potential for withholding of highly sensitive infor- mation or inability by a family member to question or decline care prescribed. While highly discouraged, it is recognized by most clinicians that, barring absolute legal contraindica- tions, prescribing for oneself or a family member for nonnarcotic prescriptions remains a gray zone requir- ing critical consideration. In smaller and rural commu- nities, the presence of family and social friends and coworkers within one’s practice may be unavoidable. 29 Ethical prescribing calls for a clear assessment for al- ternatives and special consideration for providing care equal to office-based standards of care. Weighing cir- cumstances and developing a clear vision of clinical boundaries around prescribing for oneself, family, and friends provides for the safest level of care and clinical practice. 2

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