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 A
Explanation
A. "A nurse can recommend clients who are stable for discharge during a disaster." - This statement demonstrates an understanding of the role of nurses during a disaster. Nurses may need to prioritize patients for discharge to free up resources for those in critical need.
B. "A unit nurse has the authority to prescribe emergency medications during a disaster." - Nurses do not have the authority to prescribe medications outside of their scope of practice or without proper authorization, even during a disaster.
C. "A nurse should communicate with the performance improvement committee during a disaster to improve client outcomes." - While communication with relevant committees may be
important, it is not a primary role of nurses during a disaster.
D. "A unit nurse can provide information to the media during a disaster." - Providing information to the media should be coordinated through designated spokespersons or public relations personnel, not individual nurses, to ensure accurate and appropriate messaging.
Correct Answer is ["A","C","E"]
Explanation
A. Hospice care: This option is correct because hospice care provides comprehensive support and comfort measures for terminally ill patients and their families, focusing on improving quality of life in the final stages of an illness.
B. Legal assistance: While legal assistance may be important for advanced care planning and end-of-life decisions, it may not be among the immediate priorities for a client with terminal lung cancer expected to live less than 6 months.
C. Respite care: Respite care allows caregivers to take a temporary break from their caregiving responsibilities, which can be invaluable for family members caring for a terminally ill loved one, providing them with much-needed rest and support.
D. Adult day care: While adult day care may be beneficial for some clients and their caregivers, it may not be as relevant for a client with terminal lung cancer who may have more immediate needs related to symptom management and end-of-life care.
E. Social worker: In this scenario, involving a client with terminal cancer, a social worker can provide emotional support, assist with accessing community resources, and help with care coordination, making this option appropriate.
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