A nurse is assisting in the development of an in-service on ethics for a group of newly licensed nurses. The nurse should include which of the following situations as examples of the ethical principle of fidelity? (Select all that apply.)
A nurse contacts a client's family member upon the client's request.
A nurse returns to a client's room within a specified time frame.
A nurse provides the same care to clients regardless of their socioeconomic status.
A nurse reinforces education and evaluates a client's understanding.
A nurse administers pain medication prior to ambulating a postoperative client.
Correct Answer : A,B,E
A. A nurse contacts a client's family member upon the client's request. Fidelity involves keeping promises or fulfilling client requests.
B. A nurse returns to a client's room within a specified time frame. Keeping a promise to return demonstrates fidelity.
C. A nurse provides the same care to clients regardless of their socioeconomic status. This exemplifies the ethical principle of justice, not fidelity.
D. A nurse reinforces education and evaluates a client's understanding. This reflects the ethical principle of beneficence (doing good) rather than fidelity.
E. A nurse administers pain medication prior to ambulating a postoperative client. Administering pain medication as promised demonstrates fidelity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
A. Inserting an indwelling urinary catheter: This is a routine procedure that does not require informed consent.
B. Receiving moderate sedation: Moderate sedation involves the risk of respiratory depression and other complications, necessitating informed consent.
C. Inserting a peripheral IV catheter: Routine IV insertion does not require formal informed consent.
D. Suctioning a tracheostomy tube: Suctioning is a standard care procedure that does not require informed consent.
E. Undergoing cardiac catheterization: Cardiac catheterization is an invasive diagnostic or therapeutic procedure with potential risks, requiring informed consent.
Correct Answer is B
Explanation
A. Taking the vital signs of a client who is experiencing acute angina. Acute angina is a potentially unstable condition requiring assessment by a nurse.
B. Collecting a urine specimen from a client who is experiencing dysuria. APs can perform routine specimen collection tasks.
C. Answering a telephone inquiry about NPO status from a client who is scheduled for a procedure. Only licensed nurses should provide pre-procedure instructions.
D. Reinforcing teaching with a client about stool specimen collection. Reinforcement of teaching involves assessment and evaluation, which are the nurse’s responsibilities.
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