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?

Nonmaleficence

Fidelity

Veracity

Beneficence

Answer and Explanation

The Correct Answer is C

A.   Nonmaleficence: This principle emphasizes the obligation to avoid causing harm. While the absence of a gait belt could have contributed to the client's fall, the primary ethical concern in this scenario is related to truthfulness and honesty in documentation rather than solely avoiding harm.
B.   Fidelity: Fidelity refers to the obligation to fulfill commitments and obligations. While accurate documentation is part of professional integrity, the primary ethical issue in this scenario is related to honesty and accuracy in reporting rather than fidelity to commitments.
C.   Veracity: This is the correct answer. Veracity refers to truthfulness and honesty. The charge nurse should ensure that incident reports accurately reflect the circumstances surrounding a client's fall, including the absence of a gait belt, to maintain ethical standards and promote patient safety.
D.   Beneficence: Beneficence involves acting in the best interest of the patient and promoting their well-being. While the absence of a gait belt may have compromised the client's safety, the primary ethical issue in this scenario is related to truthfulness in reporting rather than directly promoting the client's well-being.

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Correct Answer is D

Explanation

A. While tracking client information is important for managing patient care during a disaster, the immediate priority during a bioterrorism event is ensuring the safety of personnel through the availability of personal protective equipment.
B. Effective communication is vital during emergencies, but without adequate personal protective equipment, healthcare workers may be at risk of exposure to hazardous biological agents.
C. Mental health support is essential during and after disasters, but in the immediate response to a bioterrorism event, ensuring the availability of personal protective equipment takes precedence in protecting healthcare workers and containing the spread of biological agents.
D. Personal protective equipment (PPE) such as masks, gloves, gowns, and face shields are crucial for safeguarding healthcare workers from exposure to potentially harmful biological agents. During a bioterrorism event, healthcare workers may come into contact with infectious materials, and proper PPE can significantly reduce the risk of transmission.

A. A client who has dementia and exhibits aphasia B. A client who has bipolar disorder and displays constant pacing C. A client who has schizophrenia and uses neologisms D. A client who has depressive disorder and has poor personal hygiene

Correct Answer is B

Explanation

A. A client who has dementia and exhibits aphasia: While aphasia can be concerning, it is not necessarily indicative of immediate risk to the client or others.
B. A client who has bipolar disorder and displays constant pacing: This client is the highest priority because constant pacing may indicate agitation or escalating anxiety, which could lead to agitation or aggression and require immediate intervention to prevent harm to the client or others.
C. A client who has schizophrenia and uses neologisms: Neologisms, although indicative of disorganized thinking, do not necessarily present an immediate safety concern compared to constant pacing.
D. A client who has depressive disorder and has poor personal hygiene: While poor personal hygiene is important to address for the client's well-being, it may not present an immediate safety risk compared to the behaviors exhibited by the client in option B.

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Naxlex Comprehensive Predictor Exams

A nurse is participating in the development of a disaster management plan for a hospital. For which of the following actions by the resources is the highest priority to have available in response to a bioterrorism event?

Correct Answer is D

Explanation

A nurse on an acute mental health unit is assessing four clients. Which of the following clients is the highest priority?

Correct Answer is B

Explanation

A nurse is preparing a client for a cardiac catheterization. Just before the procedure, which of the following actions should the nurse take?

A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse?

A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?

A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full-thickness burns on 72% of his body?

A charge nurse is observing the staff on the unit. Which of the following situations should the charge nurse identify as a breach of confidentiality? (Select all that apply.)

A nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions by the newly licensed nurse should the nurse identify as an indication of effective time management?

A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?

A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done?