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.

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale

A lesion with uniform pigmentation is not typically a sign of skin malignancy. Most benign moles are uniform in color, including shades of tan, brown, and black.

Choice B rationale

The new appearance of petechiae, or small, pinpoint hemorrhages under the skin, is not typically associated with skin cancer. Petechiae can be a sign of a number of conditions, including certain infections, low platelet count, or certain medications.

Choice C rationale

A mole with an asymmetrical appearance is a potential indication of skin malignancy. Asymmetry, where one half of the mole does not match the other, is one of the ABCDEs (Asymmetry, Border irregularity, Color variation, Diameter greater than 6mm, and Evolving size, shape, or color) of melanoma detection.

Choice D rationale

The presence of a papule, a small, raised bump on the skin, is not necessarily indicative of skin cancer. Papules can be a sign of many different skin conditions, including acne, skin infections, or dermatitis.

A. Granulation tissue covers the wound bed. B. Slight erythema at wound edges. C. The surrounding tissue is warm to touch. D. The patient reports pain as a 2 on a scale from 0 to 10. .

Correct Answer is A

Explanation

Choice A rationale

Granulation tissue covering the wound bed is a positive sign of wound healing. Granulation tissue is a key component of the wound healing process, typically forming during the proliferation phase. It consists of new connective tissue and tiny blood vessels that develop in the wound bed as part of the body’s response to injury. Therefore, the presence of granulation tissue covering the wound bed indicates an improvement in the patient’s condition.

Choice B rationale

Slight erythema at the wound edges could be a sign of inflammation or infection. Erythema, or redness of the skin, is often associated with inflammation or infection. While it can be a normal part of the healing process, persistent or increasing erythema could indicate a problem such as infection or irritation. Therefore, slight erythema at the wound edges does not necessarily indicate an improvement in the patient’s condition.

Choice C rationale

The surrounding tissue being warm to touch could be a sign of inflammation or infection. When skin feels hot to the touch, it often means that the body’s temperature is hotter than normal. This can happen due to an infection or an illness, but it can also be caused by an

environmental situation that increases body temperature. Therefore, the surrounding tissue being warm to touch does not necessarily indicate an improvement in the patient’s condition.

Choice D rationale

The patient reporting pain as a 2 on a scale from 0 to 10 could indicate that the patient’s pain is minor. On a pain scale, a score of 2 usually indicates minor pain. However, pain is a subjective experience and can vary greatly among individuals. Therefore, while a lower pain score generally suggests less severe pain, it does not necessarily indicate an improvement in the patient’s overall condition.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a skin assessment for a client who expresses concern about skin cancer.Which of the following findings should the nurse identify as a potential indication of a skin malignancy?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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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?