A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?
Beneficence
Justice
Autonomy
Nonmaleficence
The Correct Answer is A
A. Beneficence is the duty to do good and act in the best interest of the client, which includes finding alternatives to restraints that promote dignity.
B. Justice refers to fairness in distributing resources and treatment, which does not directly apply in this scenario.
C. Autonomy involves respecting a client’s right to make decisions, but the decision in this case is made by the nurse.
D. Nonmaleficence is avoiding harm, which is closely related but not the best choice because beneficence goes beyond avoiding harm—it actively promotes the client's well-being.
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Related Questions
Correct Answer is B
Explanation
A. The right to refuse care: Autonomy includes the right to refuse care, but it encompasses more than just refusal—it includes active decision-making.
B. The right to self-determination and making decisions about their own healthcare: Autonomy means that clients have the right to make informed decisions about their own care, including choosing, refusing, or modifying treatments.
C. The right to receive care without any input or involvement in decision-making: This contradicts autonomy, as autonomous clients must be actively involved in their healthcare choices.
D. The right to make decisions on behalf of the healthcare provider: Clients do not make decisions for healthcare providers, but rather for themselves.
Correct Answer is C
Explanation
A. Assault is a tort that only occurs if a client is physically harmed. Assault is the threat of harm, not the actual harm. Physical harm would be battery.
B. False imprisonment does not apply to use of chemical restraints. False imprisonment includes the improper use of both physical and chemical restraints if used without medical justification or consent.
C. Negligence is the most common unintentional tort. Negligence occurs when a nurse fails to meet the standard of care, leading to client harm, making it the most common unintentional tort in healthcare.
D. Battery occurs when a person verbally threatens to harm another person. Battery involves actual physical contact without consent, while threats fall under assault.
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