A newly licensed nurse is talking with the nurse manager regarding his performance during orientation.
Which of the following statements by the newly licensed nurse represents the use of self-reflection?

Choice A rationale

This statement describes an external action by the preceptor providing direct guidance. While beneficial for learning, it doesn't demonstrate the nurse's internal cognitive process of analyzing their own performance or decision-making. Self-reflection involves introspective thought and evaluation of one's own actions and their impact.

Choice B rationale

This statement reflects an observation about the supportive work environment and the positive interpersonal dynamics with colleagues. While important for job satisfaction and integration, it does not specifically indicate the nurse's personal process of evaluating their own professional actions, behaviors, or learning experiences.

Choice C rationale

This statement demonstrates self-reflection as the nurse is evaluating their own cognitive processes related to decision-making. By considering the "pros and cons," the nurse is actively analyzing their thought patterns, understanding the implications of their choices, and internalizing strategies for improved future performance, which is a core aspect of self-reflection.

Choice D rationale

This statement is an objective observation of task completion and time management. While indicating efficiency and responsibility, it does not reveal the underlying thought processes, challenges encountered, lessons learned, or critical analysis of how the tasks were performed or what could be done differently, which are key components of self-reflection. .

Choice A rationale

Fidelity in nursing refers to the ethical principle of faithfulness and keeping commitments. Returning to evaluate a client's response to pain medication demonstrates adherence to the commitment made to the client to manage their pain effectively. This follow-up ensures the initial intervention was successful and addresses any ongoing discomfort, upholding the nurse's promise of care.

Choice B rationale

Finding a private location to report client laboratory results primarily upholds the ethical principle of confidentiality, which involves protecting sensitive patient information. While important, it does not directly exemplify fidelity, which focuses on honoring commitments and maintaining trust through consistent actions.

Choice C rationale

Asking whether a client has advance directives is an action that primarily aligns with the ethical principle of autonomy, respecting the client's right to make decisions about their own healthcare. While part of comprehensive care, it does not directly demonstrate the concept of fidelity, which is about being faithful to obligations.

Choice D rationale

Providing comprehensive education to a client about their new medication primarily upholds the ethical principle of beneficence, which means doing good and promoting the well-being of the client. It also touches on autonomy by empowering informed decision-making. However, it is not the most direct example of fidelity, which relates to commitment and trustworthiness.