A nurse is educating a newly licensed nurse about ethical principles. Which of the following situations is an example of beneficence?

A nurse keeps a promise to a client not to tell their family about their diagnosis.

A nurse provides therapeutic touch by holding a dying patient's hand.

A nurse involves a client in making decisions about their care.

A nurse tells the truth about forgetting to perform a procedure for a client.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Keeping a promise to a client not to tell their family about their diagnosis is an example of fidelity, respecting confidentiality and maintaining trust. However, it does not directly reflect the ethical principle of beneficence, which focuses on actions that promote the patient's well-being and best interests.

Choice B rationale:

Providing therapeutic touch to a dying patient by holding their hand is an example of beneficence. This action demonstrates compassion, emotional support, and comfort to the patient in a critical and vulnerable time. It promotes the patient's well-being by addressing their emotional and psychological needs.

Choice C rationale:

Involving a client in making decisions about their care is an example of respecting their autonomy and practicing shared decision-making. While this action is important and aligns with the principle of autonomy, it is not a direct example of beneficence, which centers on actively doing good for the patient.

Choice D rationale:

Telling the truth about forgetting to perform a procedure for a client is an example of honesty and integrity, which are essential ethical principles in nursing. However, it does not directly relate to beneficence, which emphasizes actions that actively contribute to the patient's well-being and benefit.

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Correct Answer is B

Explanation

Choice A rationale:

Using an internet webpage translator might seem convenient, but it can lead to inaccuracies in communication due to language nuances and medical terminology. Direct communication with a human translator is more reliable.

Choice B rationale:

Arranging to complete the assessment with only the client and a translator present is the best option. This approach ensures accurate and confidential communication, allowing the nurse to gather essential information directly from the client without potential bias or misinterpretation from family members.

Choice C rationale:

Asking the client's husband to translate questions and answers for the client can lead to inaccurate or biased information. Additionally, it might not provide a safe environment for the client to openly share her concerns.

Choice D rationale:

Asking a male student nurse to translate for the client does not necessarily address the language barrier adequately. The gender of the translator is not the primary concern here. Ensuring effective communication through a professional translator is more important.

A. Toe. B. Earlobe. C. Skin fold. D. Finger.

Correct Answer is B

Explanation

Choice A rationale:

Applying the pulse oximeter probe to the toe is not the most appropriate location. While toe measurements can be used, the fingers are more commonly used due to their accessibility and accuracy. Edema in the hands could affect the accuracy of readings.

Choice B rationale:

The nurse should apply the pulse oximeter probe to the earlobe. This choice is correct because the earlobe is a well-vascularized and easily accessible area that provides accurate oxygen saturation measurements. Thickened toenails and edema of the hands might compromise readings in those locations.

Choice C rationale:

Applying the pulse oximeter probe to a skin fold is not a recommended site for oxygen saturation measurement. While there are various sites where pulse oximeters can be applied, the earlobe and finger are more suitable due to their consistent blood flow and accessibility.

Choice D rationale:

While applying the pulse oximeter probe to the finger is a common and acceptable practice, in this scenario, edema of the hands could affect the accuracy of the readings. The earlobe is a better choice as it is less likely to be affected by edema and can provide accurate readings.

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A nurse is educating a newly licensed nurse about ethical principles. Which of the following situations is an example of beneficence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a female client who is Hispanic. The client's husband answers the questions and states, "She speaks only a little English." Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A Cardiovascular nurse is preparing to measure a client's level of oxygen saturation and observes edema of both hands and thickened toenails. The nurse should apply the pulse oximeter probe to which of the following locations?

Correct Answer is B

Explanation

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