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.
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Related Questions
Correct Answer is A
Explanation
A. Discuss the issue with the AP: This is the correct answer. Addressing the issue directly with the AP allows for immediate clarification of expectations and correction of behavior. It also provides an opportunity to understand any factors contributing to the deviation from protocol.
B. Reinforce facility protocols at the next staff meeting: While reinforcing facility protocols is important, addressing the issue directly with the individual involved should be the first step to ensure timely resolution and prevent further occurrences.
C. Notify the unit manager about the incident: Notifying the unit manager may be necessary if further action is required or if the issue cannot be resolved at the staff level. However, addressing the issue directly with the AP should be the initial step.
D. Alert the infection control department: Involving the infection control department may be necessary if there are concerns about potential infection control risks. However, discussing the issue with the AP allows for immediate action and clarification of expectations.
Correct Answer is A
Explanation
A. Documenting the client's refusal in their chart is crucial for maintaining accurate records and ensuring that the refusal is properly documented for legal and medical purposes.
B. While checking the client's blood alcohol level may be relevant to the situation, it should not be done without the client's consent or a valid medical reason.
C. Assessing the client for urinary retention is not indicated in this scenario, as the client's refusal to provide a urine sample does not necessarily indicate urinary retention.
D. Informing the client that a catheter will be inserted without their consent is not appropriate and violates the client's autonomy.
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