Four patients in labor all request epidural analgesia to manage their pain at the same time. Which ethical principle is most compromised when only one nurse anesthetist is on call?

Nonmaleficence

Beneficence

Justice

Fidelity

Answer and Explanation

The Correct Answer is C

A. Nonmaleficence involves preventing harm, but the ethical issue here centers around fairness rather than harm.
B. Beneficence focuses on doing good and providing benefits, but the concern here is not about maximizing benefit but rather ensuring equitable treatment.
C. Justice refers to fairness and equitable treatment. In this scenario, the nurse anesthetist’s limited availability to administer epidural analgesia to all four patients creates an issue of fairness. Only one patient can be treated at a time, compromising the equal allocation of resources.
D. Fidelity involves being loyal, faithful, and honoring commitments, but the issue in this case is resource allocation, not trust or loyalty.

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Correct Answer is B

Explanation

A. While IPV can occur at any age, it's more prevalent among younger and pregnant women.
B. Pregnancy increases the risk for IPV due to increased stress and changes in relationship dynamics. It is a known vulnerable period.
C. Substance abuse is a risk factor for both perpetrators and victims.
D. Statistically, women, particularly those who are pregnant or in stressful relationships, are at greater risk than white males.

A. Sexuality B. Retirement C. Social isolation D. Environment

Correct Answer is C

Explanation

A. While changes in sexuality may occur in older adults, there is no indication that this is a concern for this client at this time.
B. Retirement can cause psychosocial changes, but this client has been retired for 5 years, making it a less immediate concern.
C. The client is at high risk for social isolation due to widowhood, lack of transportation, rural living, and the absence of a driving license. Social isolation is a major psychosocial risk in older adults and can lead to depression, cognitive decline, and physical deterioration.
D. Environmental factors (rural area, lack of transport) contribute to the risk of social isolation but are not the psychosocial issue itself.

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Four patients in labor all request epidural analgesia to manage their pain at the same time. Which ethical principle is most compromised when only one nurse anesthetist is on call?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the risk of intimate partner violence (IPV) for patients. Which population should the nurse focus on most for IVP?

Correct Answer is B

Explanation

A 72-year-old woman was recently widowed. She worked as a teller at a bank for 40 years and has been retired for the past 5 years. She never learned how to drive. She lives in a rural area that does not have public transportation. Which psychosocial change does the nurse focus on as a priority?

Correct Answer is C

Explanation

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