A nurse verbally contracts with a client to reassess their pain level after repositioning and an analgesic is given. The nurse returns within 60 minutes to evaluate effectiveness of the interventions. What ethical principle does this represent?
paternalism
confidentiality
responsibility
fidelity
The Correct Answer is D
A. Paternalism: Paternalism refers to the healthcare provider making decisions on behalf of the client without their input or consent, typically for the client's perceived benefit. In this scenario, the nurse is not making decisions for the client but rather honoring an agreement to reassess pain after interventions.
B. Confidentiality: Confidentiality refers to maintaining the privacy and security of client information. It does not directly relate to the nurse's commitment to follow through on a verbal contract with the client regarding pain reassessment.
C. Responsibility: Responsibility involves being accountable for one's actions and obligations in providing care to clients. While responsibility is important in nursing practice, it does not specifically address the nurse's commitment to fulfill a verbal contract with the client regarding pain reassessment.
D. Fidelity: Fidelity, also known as loyalty or faithfulness, pertains to the nurse's obligation to uphold commitments made to clients. In this scenario, the nurse is demonstrating fidelity by returning within the agreed-upon time frame to evaluate the effectiveness of pain interventions as promised to the client. This principle emphasizes the importance of keeping promises and honoring agreements made with clients, thereby building trust and promoting ethical practice in nursing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Tell him that he shouldn't feel embarrassed, saying that there are more people than we know who feel this way: While offering reassurance and normalization of the client's feelings may be well-intentioned, it may not address the client's immediate needs or provide tangible support. Additionally, assuming that "more people than we know" feel this way may not be accurate and could potentially invalidate the client's experience.
B. Provide information about support groups and other community resources for questioning and/or transgender people: This is the correct response. Providing information about support groups and community resources acknowledges the client's feelings and offers practical assistance in accessing additional support and resources. It demonstrates empathy, validation, and a commitment to assisting the client in finding the help and support they need.
C. Suggest that the client seek mental health care for medication to help him deal with his anxiety: While mental health care may be beneficial for addressing anxiety related to gender identity concerns, suggesting medication as the first line of treatment may not be appropriate without a comprehensive assessment by a mental health professional. Additionally, focusing solely on medication overlooks the importance of psychosocial support and other interventions.
D. Share with him that your nephew has experienced this, and tell him about that outcome: Sharing personal anecdotes may not be helpful in this situation, as it could potentially detract from the client's experience and needs. Each individual's experience with gender identity is unique, and the client may benefit more from information about professional resources and support groups.
Correct Answer is D
Explanation
A. Multiple lesions on the dorsal aspect of feet probably due to elder abuse: This option includes a speculative interpretation of the lesions and implies a potential cause (elder abuse) without clear evidence. Speculating about the cause of lesions without proper assessment or confirmation is inappropriate for documentation.
B. Four burned areas noted on the plantar area of each foot: This option describes the finding of burned areas on the plantar area of each foot, but it lacks specificity regarding the size or characteristics of the burns. Additionally, it does not differentiate between the left and right foot. Clarity and precision are important in documentation to ensure accurate communication of findings.
C. Several partially healed lesions on the bottom of the left foot, looks like cigarette burns: While this option provides some details about the location and appearance of the lesions, it lacks specificity regarding the number and size of the lesions. Additionally, it focuses only on the left foot, omitting any findings from the right foot.
D. Four round, 2 cm in diameter lesions on the plantar aspect of the right foot: This is the correct answer. It provides clear and specific details about the findings, including the number, size, and location of the lesions. Using objective descriptors such as "round" and "2 cm in diameter" enhances the clarity of the documentation. Additionally, specifying the location as "plantar aspect of the right foot" ensures accurate communication of the assessment findings.
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