The new nurse is preparing to insert an intravenous (IV) catheter for the first time independently. Which statement made by the nurse to the client demonstrates veracity?
"Did you talk to your healthcare provider and sign the consent for your procedure?"
"While I've done some IV insertions supervised, this is my first one independently."
"Don't worry, I've inserted many IVs before independently."
"I am going to contact a case manager to help coordinate the care you will receive in the community to help manage your IV."
The Correct Answer is B
Veracity is an ethical principle in nursing grounded in truthfulness, honest disclosure, and transparent communication, ensuring patients receive accurate information about provider competence, procedures, and risks to support informed decision-making and maintain therapeutic trust.
Rationale:
A. This statement reflects informed consent verification rather than veracity. It focuses on procedural readiness and legal documentation. It does not disclose truthful information about nurse competence or experience level. Therefore, it does not demonstrate ethical truthfulness in communication context.
B. This statement demonstrates veracity principle by honestly disclosing limited independent experience while acknowledging supervised competence. It provides truthful disclosure about skill level without deception. This supports patient autonomy and trust, aligning directly with ethical nursing communication standards.
C. This statement violates veracity principle because it provides misleading reassurance about independent IV insertion experience. It exaggerates competence, compromising truthful communication. Such misinformation undermines patient trust and ethical transparency required in nursing practice and informed decision-making processes.
D. This statement reflects care coordination and discharge planning rather than veracity. It focuses on continuity of care through case management. It does not involve truthful disclosure of nurse competence or procedural honesty. Therefore, it is unrelated to ethical truthfulness principle.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Hospice care focuses on palliative management, emphasizing comfort-focused goals, symptom relief, and respect for patient autonomy in end-of-life decision-making. Ethical decision-making prioritizes the patient’s expressed wishes regarding hospitalization, invasive interventions, and location of care in terminal conditions such as advanced tissue necrosis from peripheral vascular disease.
Rationale:
A. Explaining comfort care goals to staff is important but does not address the immediate ethical priority of patient autonomy. Interprofessional education should occur after determining the client’s wishes. This delays resolution of the central decision-making issue regarding transfer.
B. The first action is to determine the client’s treatment preference regarding hospitalization. Hospice care requires honoring informed patient decisions about care location and interventions. Even in gangrene, transfer decisions must be guided by the client’s expressed goals of care.
C. Discussing hospice philosophy with staff supports understanding of palliative principles, but it is not the immediate priority. Ethical decision-making must first confirm patient wishes. Education does not supersede direct patient-centered assessment.
D. A care conference may help resolve conflict but is not the first step. Immediate priority is clarifying client-centered decision authority. Organizational discussion should occur only after establishing the patient’s preferences regarding hospital transfer and treatment escalation.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"D"},"D":{"answers":"C"}}
Explanation
Understanding the different types of conflict helps nurses identify the source of disagreement and apply appropriate resolution strategies. Conflicts can occur within an individual, between individuals, within a group, or between groups.
Rationale:
- Intrapersonal conflict (First example): This occurs within an individual. The nurse is experiencing internal conflict between personal needs (going home) and professional responsibility (helping the unit), leading to feelings of guilt.
- Interpersonal conflict (Second example): This occurs between two individuals. The disagreement between the nurse and the provider regarding client discharge reflects differing professional opinions.
- Intergroup conflict (Third example): This occurs between different groups or departments. The disagreement between respiratory therapists and nursing staff involves role boundaries and responsibilities across disciplines.
- Intragroup conflict (Fourth example): This occurs within the same group. The nursing staff disagreeing about an overtime policy represents conflict among members of the same team.
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