A nurse in a mental health facility caring for a client who expresses anxiety about exercising in the outdoor courtyard. The nurse promises to walk with the client in the courtyard each day. Which of the following ethical principles is the nurse demonstrating?
Autonomy
Fidelity
Justice
Nonmalefcence
The Correct Answer is B
A) Autonomy: Autonomy refers to the right of individuals to make their own choices and decisions. While the nurse’s actions may promote the client’s independence in the future, the nurse’s promise to walk with the client does not directly address or uphold the client’s autonomy. The nurse is offering support rather than encouraging the client to make independent decisions about their participation in the exercise.
B) Fidelity: Fidelity involves being faithful and keeping promises or commitments. In this scenario, the nurse promises to walk with the client in the courtyard each day, and this promise demonstrates the ethical principle of fidelity. The nurse is demonstrating trustworthiness and loyalty by committing to help the client overcome their anxiety and follow through with the daily exercise.
C) Justice: Justice is the ethical principle that focuses on fairness and equal treatment for all individuals. While justice is important in providing equal care to all clients, it is not the primary principle in this scenario. The nurse’s actions focus on meeting the specific needs of the individual client, which is more aligned with fidelity.
D) Nonmaleficence: Nonmaleficence means “do no harm.” While the nurse’s goal is to prevent harm by helping the client address their anxiety, the primary ethical principle at play here is fidelity, as the nurse is keeping their promise to provide consistent support. Nonmaleficence would be more relevant if the nurse were directly addressing potential harm or risk associated with the client’s situation, but the promise to walk with the client focuses more on the nurse’s commitment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) "Carry your newborn back to the nursery in your arm when you need to rest.": This statement is not recommended. Carrying the newborn around, especially when the mother is feeling fatigued or unwell, can increase the risk of accidental drops or falls. Newborns should be placed in a bassinet or crib, and if the mother needs to rest, she should use assistance to ensure the baby is safely secured in their sleeping area.
B) "Request that the nurses show their nursing license prior to removing your newborn from the room.": While it’s important to ensure that the staff is authorized to care for the newborn, it may not be practical or necessary to request to see a nursing license every time someone comes to take the baby. Instead, the hospital usually has strict protocols in place for identifying staff, and it is better to rely on the facility's established security measures to verify authorized personnel.
C) "Leave your newborn in the bassinet in your room while you use the bathroom.": This statement is not ideal because, while it may seem safer to leave the baby in the bassinet, the nurse should encourage the mother to keep the baby nearby or alert a nurse to assist if needed. It is safer to have the baby in a secure place or ask for help to avoid the risk of falls or accidents while the mother is not attending to the baby.
D) "Alert the staff if any of your newborn's identification bands are missing.": This is the correct and most important instruction. Newborns should always be closely monitored to prevent abductions or mix-ups, and the identification bands are critical for verifying the baby's identity. If any identification bands are missing, it is essential to notify the staff immediately to ensure the newborn’s safety and prevent any potential security risks.
Correct Answer is D
Explanation
A) Nausea:
Epinephrine is not typically used to treat nausea. Nausea is usually addressed with antiemetic medications. Epinephrine, an adrenergic agonist, works by stimulating the sympathetic nervous system to alleviate symptoms related to anaphylaxis, such as difficulty breathing or hypotension, but not nausea.
B) Hyperglycemia:
While epinephrine can increase blood sugar levels by stimulating the release of glucose from the liver, it is not used to treat hyperglycemia. Hyperglycemia management typically involves insulin or other medications designed to lower blood sugar, not epinephrine. Therefore, it is not an appropriate indication for this medication.
C) Hand tremors:
Hand tremors are a possible side effect of epinephrine due to its stimulatory effects on the sympathetic nervous system. However, tremors are not an indication for administering epinephrine. The purpose of an epinephrine auto-injector is not to treat tremors but rather to manage more serious conditions, like anaphylactic reactions.
D) Shortness of breath:
Epinephrine is commonly used in emergencies, such as anaphylactic reactions, to alleviate shortness of breath, which occurs due to bronchoconstriction. Epinephrine works by stimulating alpha and beta receptors, causing bronchodilation and improving airflow. This makes it effective in treating shortness of breath caused by allergic reactions or anaphylaxis.
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