A charge nurse observes a client fall while ambulating with an assistive personnel and notes that the client's gait belt was not in place. When reviewing the incident report, the charge nurse finds that the report does not mention the gait belt. Which of the following ethical principles should the charge nurse follow?

Beneficence

Fidelity

Nonmaleficence

Veracity

Answer and Explanation

The Correct Answer is D

A. Beneficence refers to the ethical principle of doing good and promoting the well-being of clients, but it is not directly related to the integrity of incident reporting.

B. Fidelity involves being faithful to commitments and promises, but in this context, it does not address the importance of accurate reporting.

C. Nonmaleficence means "do no harm," which is essential in nursing practice, but it is not the principle that emphasizes honesty in documentation.

D. Veracity is the ethical principle that emphasizes truthfulness and accuracy, making it crucial for the charge nurse to ensure that the incident report accurately reflects the circumstances of the fall, including the absence of the gait belt.

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Correct Answer is B

Explanation

A. Raising all four side rails on a confused client’s bed is considered a restraint and violates the principle of autonomy. Restraints should only be used as a last resort and require a provider’s order. Ethical practice involves finding less restrictive alternatives, such as using a sitter or bed alarms.

B. Administering opioids to a terminally ill client, even with a low respiratory rate, aligns with ethical nursing principles such as beneficence (relieving suffering) and nonmaleficence (preventing harm) when used for palliative care. In end-of-life care, the priority is comfort, and pain management is considered ethical even if it may impact respiration. This aligns with the principle of double effect, which justifies an action intended for good (pain relief) even if it has potential negative side effects (respiratory depression).

C. Electing not to care for a client due to personal beliefs is an example of bias and does not adhere to the ethical principle of fidelity, which requires nurses to provide care regardless of personal beliefs.

D. Withholding nutrition from a client with a DNR order is not ethical unless there is a clear directive regarding the client's wishes, and it may cause harm.

A. Use root cause analysis to identify gaps in meeting standards. B. Determine how current practice will affect future performance within the facility. C. Compare practices within the facility against other high-performing facilities. D. Establish work initiatives to promote a positive environment.

Correct Answer is C

Explanation

A. While root cause analysis is useful for identifying specific issues, it is not the primary action in the benchmarking process.

B. Determining how current practices will affect future performance is important but comes after comparing current practices to established benchmarks.

C. Comparing practices within the facility against other high-performing facilities is essential in benchmarking, as it helps identify areas for improvement and set performance goals.

D. Establishing work initiatives is beneficial for improving workplace culture but does not directly relate to the benchmarking process for policies and procedures.

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Naxlex Comprehensive Predictor Exams

A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice?

Correct Answer is B

Explanation

A nurse administrator is using benchmarking as control criteria while reviewing current policies and procedures. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

. A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?

A nurse is assessing a client who has heart failure two months after the implementation of a quality improvement initiative to reduce the hospital readmission rate. Which of the following findings should the nurse identify as an indication the quality improvement initiative is successful?

A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?

A nurse working in an emergency department is caring for a group of clients. Which of the following clients should the nurse report for suspected maltreatment?

A nurse is caring for a client who requests a copy of their medical records immediately. Which of the following responses should the nurse make?

A nurse is caring for a group of clients on the surgical floor. Which of the following actions should the nurse take to organize their workload and manage time efficiently?

A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)