A 3-Year-Old Boy Is Brought to the Emergency Department Due

question 65

Multiple Choice

A 3-year-old boy is brought to the emergency department due to a fever and stiff neck.  The child is hospitalized with a diagnosis of bacterial meningitis and begins treatment with intravenous antibiotics.  On day 2 of hospitalization, the mother requests to take the child home and explains that she intends to treat him with homeopathic remedies.  She has 4 other children at home who have "never needed vaccinations or medications" and are "strong and healthy."  The physician explains the risks of meningitis, including brain damage and death.  After a long discussion, the mother says that she understands the risks but believes that homeopathic remedies will be adequate for treatment and remains unconvinced of the need for hospitalization.  Which of the following is the most appropriate course of action?

• A)Arrange for a psychiatric evaluation to assess the mother's decision-making capacity
• B)Arrange for a visiting nurse to administer intravenous antibiotics at home
• C)Contact child protective services while continuing intravenous antibiotics
• D)Discharge against medical advice with instructions to return if the child's condition deteriorates
• E)Discharge the patient on oral antibiotics with daily in-home check ups

---

Definitions:

NALA

An association representing legal assistants and paralegals, providing education, certification, and professional development.

Independent Paralegal

A paralegal who works directly for the public rather than under the supervision of an attorney, offering legal document preparation and procedural guidance.

Freelance Paralegal

A paralegal who works independently, offering services on a contract basis to lawyers or law firms.

Legal Technician

A professional trained to assist with certain legal matters and documentation but not licensed to practice law.