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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Do-not-resuscitate (DNR) status may be relevant but is not typically included in discharge documentation unless the client specifically requests it or it affects their care at home.
B. Reconciled medications are crucial for ensuring the client understands what medications to take at home, including dosages and schedules, making this the most important information to include in discharge documentation.
C. The acuity level of client care is not necessary for discharge documentation, as it pertains more to the care provided during the hospital stay rather than what the client needs at home.
D. Laboratory test results may be important but are not as critical as providing reconciled medication information for the client's safe transition home.
Correct Answer is C
Explanation
A. Refusing to speak to parents could indicate normal adolescent behavior, stress, or other reasons unrelated to maltreatment. It does not immediately raise suspicion of abuse.
B. Regression in toilet training is a common reaction to hospitalization or stress, particularly in young children, and does not necessarily suggest maltreatment.
C. A toddler crying whenever a parent enters the examination room is concerning for maltreatment, as it could indicate fear or discomfort around the parent, which is a red flag for potential abuse.
D. Abrasions on a school-age child’s legs could be consistent with normal childhood activities, such as playing or falling, and alone do not suggest maltreatment without other indicators.
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