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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
This statement is incorrect. Advance directives do not allow the court to overrule an adult client’s refusal of medical treatment. They are legal documents that provide instructions for medical care and only go into effect if the individual cannot communicate their own wishes.
Choice B rationale
This statement is correct. Advance directives indicate the form of treatment a client is willing to accept in the event of a serious illness. They allow individuals to express their preferences about medical treatment at some point in the future, should they become unable to communicate their wishes.
Choice C rationale
This statement is incorrect. Advance directives do not permit a client to withhold medical information from health care personnel. They are used to communicate the individual’s wishes about medical treatment to their healthcare providers and family.
Choice D rationale
This statement is incorrect. Advance directives do not specifically allow health care personnel in the emergency department to stabilize a client’s condition. They are used to guide choices for doctors and caregivers if the individual is terminally ill, seriously injured, in a coma, in the late stages of dementia or near the end of life.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
Regular inspection of the cord for frays or tears is crucial to ensure the safe operation of the home oxygen concentrator. A damaged cord can pose a risk of electric shock or fire.
Choice B rationale
Keeping the unit at least 1.2 m (4 ft) away from a gas stove is important because oxygen supports combustion. An oxygen-rich environment can cause materials to ignite more easily and make fires burn at a faster rate.
Choice C rationale
Considering the purchase of a generator for power backup is a good idea. In case of a power outage, a backup power source would ensure the continuous operation of the oxygen concentrator, which is critical for patients who are dependent on supplemental oxygen.
Choice D rationale
Monitoring for signs of hypoxia is essential. Despite receiving oxygen therapy, a patient may still experience hypoxia if the oxygen flow rate is insufficient, or if there are issues with the equipment. Signs of hypoxia include shortness of breath, rapid breathing, restlessness, confusion, and cyanosis (bluish color of the skin, lips, or nails)12.
Choice E rationale
Choosing synthetic clothing and bedding is not recommended. Synthetic materials can build up static electricity, which can spark and cause a fire in an oxygen-enriched environment.
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