A nurse is caring for a group of clients on a medical-surgical unit.
In which situation does the nurse demonstrate the ethical principle of veracity?
A client who has a prescription for a nasogastric tube refuses it, and the nurse complies with the client’s wishes.
A client who has a do-not-resuscitate (DNR) order experiences a cardiac arrest, and the nurse does not perform CPR despite requests from the client’s family.
A client who is about to undergo a painful procedure receives pain medication 30 minutes before the procedure, as the nurse had previously promised.
A client who is unaware of their recent cancer diagnosis asks the nurse if they have cancer, and the nurse responds affirmatively.
The Correct Answer is D
Choice A rationale
This choice represents the ethical principle of autonomy, which respects the client’s rights and preferences in their healthcare decisions.
Choice B rationale
This choice demonstrates the ethical principle of fidelity, which involves keeping promises and commitments, such as honoring a DNR order.
Choice C rationale
This choice reflects the ethical principle of beneficence, which involves taking positive actions to help others and promote the well-being of clients.
Choice D rationale
This choice represents the ethical principle of veracity, which involves truth-telling. In this situation, the nurse is being truthful to the client about their cancer diagnosis, thus demonstrating veracity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Saying “I could not arrive any sooner. What can I do for you?” may come off as defensive and does not acknowledge the client’s feelings of frustration.
Choice B rationale
Saying “We had an emergency on the unit and that was a priority, but now I’m here.”. may make the client feel less important and does not acknowledge their feelings of frustration.
Choice C rationale
Saying “That must be frustrating for you. How can I help you right now?” acknowledges the client’s feelings of frustration and offers assistance, which is an appropriate response.
Correct Answer is A
Explanation
Choice A rationale
After drawing up the medication, the nurse should ask another nurse to observe the medication wastage. This is a standard procedure for controlled substances like opioids. The second nurse acts as a witness to ensure that the unused portion of the medication is disposed of properly and not diverted for inappropriate use.
Choice B rationale
Notifying the pharmacy when wasting the medication is not the immediate next step after drawing up the medication. While some institutions may require notification of the pharmacy for controlled substance wastage, the immediate next step is typically to have another nurse witness the wastage.
Choice C rationale
Locking the remaining medication in the controlled substances cabinet is not the immediate next step after drawing up the medication. The remaining medication should be wasted with a witness present.
Choice D rationale
Disposing of the vial with the remaining medication in a sharps container is not the immediate next step after drawing up the medication. The remaining medication should be wasted with a witness present.
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