A nurse is teaching a class on ethical principles.
The nurse should include that protecting a client's safety by not causing harm refers to which of the following ethical principles?
Beneficence.
Justice.
Nonmaleficence.
Fidelity.
The Correct Answer is C
Choice A rationale
Beneficence is the ethical principle of acting in the best interest of the patient and performing actions that promote good. It requires the nurse to take positive steps to help others and balance benefits against risks. While related to safety, it is distinct from the specific duty to avoid harm. Beneficence is proactive, whereas the prevention of harm is a protective boundary defined by other principles.
Choice B rationale
Justice refers to the fair and equitable distribution of healthcare resources and treating all patients with impartiality. It ensures that patients with similar needs receive similar care regardless of their background or status. While justice is fundamental to a fair healthcare system, it does not specifically address the individual clinical duty of the nurse to avoid causing physical or psychological harm to a patient.
Choice C rationale
Nonmaleficence is the foundational ethical principle that obligates healthcare providers to "do no harm.”. It involves the avoidance of intentional harm and the prevention of unintentional injury through careful practice. In nursing, this means maintaining competence to prevent errors, such as medication mistakes or falls. Protecting a client's safety is the direct application of this principle, ensuring that the care provided does not worsen their condition.
Choice D rationale
Fidelity refers to the obligation to be faithful to commitments and promises made to patients. it involves maintaining professional trust and keeping one's word, such as returning to a room when promised. While fidelity builds the therapeutic relationship and ensures consistency in care, it is centered on loyalty and truth-telling rather than the specific physical protection and harm-prevention addressed by the concept of nonmaleficence.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Counseling involves providing emotional, psychological, and spiritual support to help clients cope with stress or adjust to lifestyle changes. While nurses often act as counselors during therapeutic communication, this role focuses on the internal mental state of the individual rather than the logistical organization of various healthcare professionals. It does not encompass the structural management of interprofessional teams required for holistic healthcare delivery and discharge planning.
Choice B rationale
The educator role focuses on providing information to clients and families about their health conditions, medications, and self-care strategies to promote health literacy. Although teaching is a core nursing competency, it does not involve the management of other healthcare team members. This role is essential for empowering the client to take an active part in their own recovery process but remains distinct from administrative leadership.
Choice C rationale
The researcher role involves utilizing evidence-based practice and conducting studies to improve nursing care and patient outcomes. Nurses in this role collect data and analyze clinical problems to develop new protocols. This function is academic and clinical in nature but does not involve the active, daily management or coordination of an interprofessional team of doctors, therapists, and social workers for specific patient care.
Choice D rationale
Care coordination is the deliberate organization of patient care activities and sharing information among all participants concerned with a patient's care to achieve safer and more effective care. This means the nurse facilitates communication between physical therapists, physicians, and social workers. By managing these moving parts, the nurse ensures that the client's needs are met efficiently, preventing duplication of services and ensuring a smooth transition.
Correct Answer is A
Explanation
Choice A rationale
Joining a professional organization demonstrates professional commitment by showing a dedication to the advancement of the nursing profession and continuous learning. These organizations provide platforms for networking, advocacy, and the development of professional standards. By participating, a nurse shows a willingness to invest time and resources into the broader professional community, which strengthens the profession's collective voice and helps maintain high standards of practice and ethics throughout the healthcare delivery system.
Choice B rationale
Risk management focuses on identifying, assessing, and reducing threats to an organization's capital and earnings, as well as ensuring patient safety by preventing errors. While professional organizations may offer resources related to risk management, the act of joining one is a personal professional choice rather than a direct risk management activity. Risk management is typically a systematic process within a healthcare facility designed to minimize legal liability and clinical mishaps through specific protocols and monitoring.
Choice C rationale
Quality improvement involves systematic and continuous actions that lead to measurable improvements in healthcare services and the health status of targeted patient groups. Professional organizations often advocate for quality improvement and provide evidence based guidelines, but the membership itself is a professional behavior. Quality improvement is a process carried out within clinical settings to enhance patient outcomes, whereas joining an organization reflects a nurse's personal engagement with their professional community and standards.
Choice D rationale
Professional identity refers to how a nurse perceives themselves within the nursing role, encompassing their values, beliefs, and experiences. While joining a professional organization can help shape and strengthen a nurse's professional identity, it is more accurately described as an act of professional commitment. Professional identity is an internal developmental process, whereas membership in an organization is an external action that demonstrates a commitment to the growth and development of the profession as a whole.
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