Parents of an adolescent client experiencing a relapse of leukemia do not want the client to know about the relapse. Which of the following ethical principles must a nurse consider when the client asks about their medical status?

Fidelity

Authority

Justice

Veracity

Answer and Explanation

The Correct Answer is D

A. Fidelity: Fidelity refers to the responsibility to maintain trust and uphold promises made to clients. While important, the core issue in this case is not about fulfilling prior commitments but rather about responding truthfully to a direct question from the adolescent regarding their medical condition.

B. Authority: Authority is the recognized power to make decisions or enforce obedience, typically within a professional or legal framework. In this situation, the ethical dilemma is not related to decision-making power but centers on the nurse's obligation to provide honest communication.

C. Justice: Justice emphasizes fairness and equitable treatment of all clients in healthcare settings. Although justice is critical to ethical practice, the specific challenge here involves answering truthfully when asked about a relapse, rather than issues of equitable treatment or distribution of care.

D. Veracity: Veracity demands honesty and transparency when communicating with clients about their health. When the adolescent directly questions the nurse about their medical status, veracity obligates the nurse to provide truthful and accurate information, respecting the client's right to know.

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Correct Answer is B

Explanation

A. A client who has a urinary tract infection: A urinary tract infection is generally straightforward to manage with antibiotics and does not usually require input from multiple disciplines unless complications arise.

B. A client who has a spinal cord injury: A spinal cord injury often involves complex care needs requiring input from several disciplines, including physical therapy, occupational therapy, nursing, social work, and nutrition services. Coordinated planning is essential to optimize recovery and long-term management.

C. A client who has acute appendicitis: Acute appendicitis typically requires prompt surgical intervention but does not usually require an interprofessional conference unless there are unusual complications or comorbidities.

D. A client who has a torn rotator cuff: A torn rotator cuff is typically managed with surgical repair or physical therapy. While it may involve multiple providers, it generally does not require a full interprofessional conference unless extensive rehabilitation needs are anticipated.

A. "We will switch our baby's car seat to forward-facing when they turn one B. "We will check the temperature of the car seat surface before placing our baby in the seat when it is hot out." C. "We will make sure to activate the air bag when we place the car seat in the front passenger seat." D. "We will wrap our baby in a blanket under the car seat straps when it is cold out."

Correct Answer is B

Explanation

A. "We will switch our baby's car seat to forward-facing when they turn one.": Current guidelines recommend keeping infants and toddlers in a rear-facing car seat until they reach the maximum height or weight limit of the seat, often well past one year, to provide optimal protection in a crash.

B. "We will check the temperature of the car seat surface before placing our baby in the seat when it is hot out.": This statement shows good understanding. Car seat surfaces can become dangerously hot and cause burns. Checking the seat temperature ensures the baby’s safety and comfort before securing them inside.

C. "We will make sure to activate the air bag when we place the car seat in the front passenger seat.": Airbags can cause serious injury or death to infants in rear-facing car seats. Car seats should always be placed in the back seat, and airbags should be deactivated if absolutely necessary to place a seat in the front, which is discouraged.

D. "We will wrap our baby in a blanket under the car seat straps when it is cold out.": Placing a blanket under the straps can prevent the harness from fitting snugly and securely. Instead, the harness should be fastened correctly first, and then a blanket can be placed over the baby for warmth.

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Parents of an adolescent client experiencing a relapse of leukemia do not want the client to know about the relapse. Which of the following ethical principles must a nurse consider when the client asks about their medical status?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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