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The Ethics of Ambiguity: Life and Death in the NICU

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1.  In the given scenario involving an extremely preterm infant with deteriorating health and grade IV IVH, how does the healthcare team approach the family's decision-making process?
  1. Providing only comfort care as per the Baby Doe Rule
  2. Mandating aggressive treatment without considering family preferences
  3. Counseling the family on "the totality of the picture" and offering options
  4. Ignoring the family's input and making decisions independently
2.  In the Shared Decision-making model, what is emphasized in the relationship between healthcare professionals and parents?
  1. Hierarchical structure with healthcare professionals having the final say
  2. Mutual respect between healthcare professionals and parents
  3. Exclusive reliance on medical expertise without considering parental input
  4. Limited consideration of parental beliefs and values
3.  How does Informed Non-Dissent impact the parents when faced with the difficult decision of allowing their baby to pass?
  1. The parents have no role in the decision-making process
  2. The parents are burdened with the entire decision-making responsibility
  3. The decision to let the baby pass is solely made by the parents
  4. The hard part of the decision is lifted from the parents' shoulders
4.  How can respiratory therapists contribute to their profession's ethical and emotional aspects?
  1. Handling legal matters
  2. Reviewing billing statements
  3. Dealing with moral distress
  4. Conducting research studies
5.  When dealing with moral distress, what is the purpose of the "Release" step in the 4 Rs strategy?
  1. To ignore the distressing situation
  2. To change everything that causes distress
  3. To consider what aspects can be changed and what cannot
  4. To deny the existence of moral distress

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