Parents or guardians have authority to make choices about their child's health care in almost all circumstances. In which situation would the parents or guardians not have such authority? When the child:
1. Begins to develop competence in health care decisions.
2. And parents do not agree on major treatment options.
3. Is able to understand concrete explanations.
4. Is considered to be a mature minor.
2
Rationale:
1. The child would need to have more than just a beginning competence to nullify the parents' authority.
2. Parents and guardians have absolute authority to make choices about their child's health care except in these cases:
• When the child and parents do not agree on major treatment options
• When the parents' choice of treatment does not permit life-saving treatment for the child
• When there is a potential conflict of interest between the child and parents, such as with suspected child abuse or neglect
3. Understanding concrete operations is a start, but is not enough to nullify the parents' authority.
4. Being a mature minor does not eliminate the need to obtain the parents' informed consent, as they still maintain authority over their child.
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