A charge nurse observes a licensed practical nurse (LPN) tell a client that she will return with a medication to help relieve the client's nausea. The LPN does not return with the medication. The charge nurse should reinforce which of the following ethical principles with the LPN?
Nonmaleficence
Veracity
Fidelity
Justice
The Correct Answer is C
A. Nonmaleficence: This ethical principle relates to the duty to do no harm to the client. While not returning with the medication may have resulted in the client experiencing continued discomfort, fidelity is more directly applicable in this scenario.
B. Veracity: Veracity relates to truthfulness and honesty in communication, which may be indirectly related to the situation but is not the primary focus.
C. Fidelity: Fidelity refers to the duty to fulfill commitments and promises made to clients. In this scenario, the LPN made a promise to the client to return with medication, and failing to fulfill this promise breaches the principle of fidelity.
D. Justice: Justice relates to fairness and equality in the distribution of resources and treatment.
While ensuring fairness is important, it is not directly applicable to the situation described.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. An adolescent who refuses to speak to their parents may be experiencing emotional distress, but this behavior does not necessarily require immediate intervention by the nurse.
B. A toddler who cries in the presence of their parent is displaying separation anxiety, which is a common reaction in young children and does not typically require intervention by the nurse unless it persists or escalates.
C. A preschooler who was previously toilet trained and now requires diapers may indicate regression, which could be a sign of emotional distress or physical illness and warrants further assessment and intervention by the nurse.
D. A school-age child with abrasions on their lower legs may require wound care and assessment, but this does not indicate an immediate need for intervention by the nurse unless there are signs of infection or other complications.
Correct Answer is C
Explanation
A. Obtains client intake and output instead of delegating the task to an assistive personnel: While it may demonstrate initiative, effective time management involves delegating appropriate tasks to assistive personnel to maximize efficiency.
B. Skips lunch to catch up on client documentation: Skipping meals is not a sustainable or healthy time management strategy and may indicate poor self-care practices.
C. Reviews a client's medical record before performing a prescribed dressing change: This is the correct answer. Reviewing the client's medical record before performing a procedure ensures that the nurse is well-prepared and can perform the task efficiently and safely.
D. Documents medications administered throughout the shift at the end of the day: Documenting medications at the end of the day may lead to inaccuracies and delays in care. Timely and accurate documentation is essential for effective patient care.
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