A 76-year-old client with a diagnosis of Alzheimer's disease lives with an adult child. The child expresses struggling with the burden of providing for the client's increasing level of care. The nurse, who has been working with the client and family, has suggested adult day care as an option to be considered. When describing this setting, which information would the nurse include?

A. Fidelity:

Fidelity refers to the ethical principle of faithfulness, loyalty, and honoring commitments in the nurse-patient relationship. It involves keeping promises, maintaining confidentiality, and advocating for the patient's best interests. While fidelity is important in building trust and rapport with patients, it is not directly relevant to the colleague's caution about the potential harm of administering morphine in this scenario.

B. Nonmaleficence:

Nonmaleficence is the ethical principle that emphasizes the duty to do no harm to the patient. It involves avoiding actions that could cause harm or exacerbate the patient's condition. In this scenario, the colleague's caution about the potential risk of respiratory depression and harm from administering morphine aligns with the principle of nonmaleficence, as it prioritizes the safety and well-being of the client by warning against the potential harms of the intervention.

C. Justice:

Justice refers to the ethical principle of fairness and equitable distribution of resources and treatment. It involves ensuring that all individuals receive fair and equal treatment and that healthcare resources are allocated fairly. While justice is an important ethical principle in healthcare, it is not directly relevant to the colleague's caution about the potential respiratory depression from administering morphine in this scenario.

D. Beneficence:

Beneficence is the ethical principle that emphasizes the duty to do good and promote the well-being of the patient. It involves taking actions to benefit the patient and enhance their welfare. While administering morphine to relieve the client's pain would align with the principle of beneficence by aiming to alleviate suffering and improve comfort, the colleague's caution highlights the potential harm that could result from the intervention, thus focusing more on the principle of nonmaleficence.

A. Hope for the future

Engaging in spiritual beliefs and practices can provide individuals, including older adults, with a sense of hope and purpose. Spiritual beliefs often offer a framework for understanding life's challenges and uncertainties, and they may provide comfort and assurance about the future.

B. Coping strengths

Spirituality can serve as a source of coping strength for individuals facing difficulties or challenges. By drawing upon their spiritual beliefs and practices, older adults may find resilience, inner strength, and a sense of peace amidst adversity.

C. Empowerment

Actively participating in spiritual beliefs and practices can empower older adult clients by giving them a sense of control, meaning, and connection to something greater than themselves. This sense of empowerment can contribute to their overall well-being and quality of life.

D. Cope with past challenges

Spirituality often provides a framework for understanding and making meaning of past experiences, including challenges or traumas. Engaging in spiritual practices may offer older adults opportunities for reflection, forgiveness, and healing as they come to terms with their past and integrate those experiences into their life narratives.

E. Reminiscence of the past

Spiritual beliefs and practices can evoke memories and facilitate reminiscence of the past for older adults. Engaging in rituals, traditions, or spiritual activities that they are familiar with may trigger memories of significant life events, relationships, or moments of spiritual significance, fostering a sense of continuity and connection across the lifespan.