A nurse is caring for a group of clients.
The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?
Allowing a new mother to hold her stillborn infant.
Confirming that a client going for surgery has signed a consent form.
Refusing to disclose information about a client to the media.
Keeping an appointment with a client.
The Correct Answer is D
Choice A rationale
Allowing a new mother to hold her stillborn infant demonstrates the ethical principle of beneficence and respect for autonomy. Beneficence involves acting in the best interest of the client, providing comfort and emotional support during a profound loss. Respect for autonomy allows the mother to make choices regarding her grief process and bonding, acknowledging her inherent right to self-determination even in tragedy.
Choice B rationale
Confirming a signed consent form aligns with the ethical principle of autonomy and fidelity. Autonomy ensures the client's right to self-determination and informed decision-making regarding their healthcare. Fidelity involves upholding professional promises and commitments, which includes ensuring all legal and ethical prerequisites for procedures, like informed consent, are meticulously fulfilled prior to intervention.
Choice C rationale
Refusing to disclose client information to the media exemplifies the ethical principle of confidentiality, which is a facet of fidelity. Confidentiality protects sensitive client data, safeguarding their privacy and fostering trust within the therapeutic relationship. Fidelity mandates honoring commitments to privacy and acting as a trustworthy steward of patient information, even under external pressure.
Choice D rationale
Keeping an appointment with a client directly demonstrates the ethical principle of fidelity. Fidelity refers to the commitment to honor promises and maintain loyalty. By consistently attending scheduled appointments, the nurse upholds their professional obligations and builds trust with the client, demonstrating reliability and dedication to the therapeutic relationship. This action directly reflects trustworthiness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A normal serum sodium level ranges from 135 to 145 mEq/L. A value of 120 mEq/L is significantly below the normal range, indicating hyponatremia, not an elevated level. Therefore, reporting it as elevated would be incorrect.
Choice B rationale
While laboratory errors can occur, a serum sodium level of 120 mEq/L in a client with chronic renal failure is a plausible finding due to impaired fluid and electrolyte balance, making a repeat analysis not the immediate primary interpretation without further clinical context.
Choice C rationale
While electrolyte abnormalities are common in chronic renal failure, a serum sodium of 120 mEq/L is a low sodium level (hyponatremia), not necessarily an "expected" abnormality in the sense of being benign or typical without specific context. It reflects a significant imbalance.
Choice D rationale
Chronic renal failure often leads to fluid retention due to impaired kidney excretion. This excessive water retention dilutes the body's sodium concentration, leading to a condition known as dilutional hyponatremia, where the total body sodium may be normal or even elevated, but its concentration is lowered by the excess fluid.
Correct Answer is A
Explanation
Choice A rationale
The copper intrauterine device (IUD) is a highly effective, long-acting reversible contraceptive option that does not contain hormones. It works by releasing copper ions, which create an inflammatory reaction in the uterus, toxic to sperm and eggs, thus preventing fertilization and implantation. Its mechanism is entirely non-hormonal, meeting the client's request.
Choice B rationale
A cervical ring, often referring to a vaginal ring like the NuvaRing, releases hormones (estrogen and progestin) to prevent ovulation. This contradicts the client's request for a hormone-free method of contraception. Hormonal methods work by altering the menstrual cycle and preventing the release of an egg.
Choice C rationale
A cervical cap is a barrier method that requires the use of spermicide to be effective. While it is hormone-free, it is not considered "easy to use" as it requires precise placement over the cervix before each act of intercourse and removal afterward, often necessitating practice for proper insertion and fit.
Choice D rationale
A diaphragm is a barrier method that, similar to a cervical cap, requires the use of spermicide for efficacy. It must be inserted before intercourse and left in place for several hours afterward. This method, while hormone-free, is not considered "easy to use" due to the dexterity and understanding required for proper placement and removal.
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