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
Explanation
A. Asking the client about the presence of pain. This is part of the assessment phase, as it involves gathering data.
B. Reinforcing teaching about the client's diagnosis. Teaching is part of the implementation phase, where planned interventions are carried out.
C. Establishing the priorities of client care. This is part of the planning phase, where care priorities are determined.
D. Comparing the client's current laboratory values to previous results. This is part of the evaluation phase, where the nurse assesses progress toward goals.
Correct Answer is B
Explanation
A. Health insurance information: Financial details are not included in a clinical handoff report.
B. Need for special equipment: Information about special equipment (e.g., oxygen or mobility aids) is essential for continuity of care.
C. Name of facility social worker: This is not a critical piece of information for client care during the transfer.
D. Medication administration record: Medication details should be summarized in the report, but the full record is sent separately.
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