According to the American Nurses Association and the American Association of Critical-Care Nurses, a nurse's primary duty to the patient is to:
1. Allow a comfortable death.
2. Do no harm.
3. Base all care on cost-benefit ratio analysis.
4. Minimize emotional distress in the family of a dying patient.
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Rationale 1: This focuses only on the dying patient and not to all patients that nurses provide care on a daily basis.
Rationale 2: According to both the Nursing Practice Act and professional organizations such as the ANA and AACN, the goal for all patients is to do no harm.
Rationale 3: Cost-benefit ratios are for considering budgeting and continuing education presentations, but it is not the primary duty of the nurse. Preventing and doing no harm are the priority obligations of a nurse.
Rationale 4: Assisting the family during the end-of-life care is one of the goals of health care management, but it is not the priority obligation.
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