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Tina works in the claims department of a major hospital. She handles the paperwork on patients. One morning a recent admission shows that a traumatic

Tina works in the claims department of a major hospital. She handles the paperwork on patients. One morning a recent admission shows that a traumatic mugging caused a patient to get an adjustment in medication she is prescribed to control anxiety and mood swings. Tina recognizes the patient is her daughter's grade school teacher. Tina's daughter is happy at her school and has never had any complaints about her teacher. Tina cannot violate patient confidentiality by informing the school of a teacher's mental illness but she is not comfortable with a potentially unstable person in a position of influence and supervision over her eight-year-old daughter. Can Tina reconcile these issues in an ethical manner? What should Tina do? Use the four domains of ethical assessment (action, consequences, character, motive) to analyze the situation.

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