The nurse calls security and has physical restraints applied to a competent client who becomes both physically and verbally abusive while demanding to be discharged from the hospital. Which represents the possible legal ramifications for the nurse associated with these interventions? (Select All That Apply)

Choice A reason: Fidelity refers to the ethical principle of keeping promises and maintaining trust. In nursing, this principle involves being loyal to the client and upholding commitments made to them. While important, fidelity does not directly address the nurse's concern about the potential harm caused by administering the opioid medication.

Choice B reason: Nonmaleficence is the ethical principle of "do no harm." This principle is directly applicable in this scenario, as the nurse's concern is about potentially hastening the client's death by administering the opioid medication. By choosing not to administer the medication, the nurse is acting to avoid causing harm, aligning with the principle of nonmaleficence.

Choice C reason: Veracity is the principle of truthfulness and honesty. It involves providing accurate information to clients and being truthful in communication. Although important in healthcare, veracity does not specifically address the nurse's concern about the potential harm of administering the opioid medication.

Choice D reason: Utilitarianism is an ethical theory that focuses on the consequences of actions and aims to achieve the greatest good for the greatest number of people. While utilitarianism can guide decision-making in healthcare, it is not the most relevant principle in this scenario where the primary concern is avoiding harm to the individual client.

Choice A reason: The radiology department plays a crucial role in mass casualty incidents by providing imaging services to diagnose and assess the extent of injuries. Involving radiology in the drill planning process ensures that they are prepared to handle a sudden influx of patients.

Choice B reason: Hospital security is essential for managing crowd control, maintaining order, and ensuring the safety of patients, staff, and visitors during a mass casualty incident. Their involvement in the drill planning process is necessary to coordinate security measures effectively.

Choice C reason: Hospital housekeeping is responsible for maintaining cleanliness and sanitation, which is especially important during a mass casualty incident to prevent the spread of infections and ensure a safe environment for patient care. Their participation in the drill planning helps prepare them for increased demands.

Choice D reason: The dietary department, while important for overall patient care, is not immediately critical in the context of a mass casualty drill. The focus of such drills is typically on urgent medical care, security, and logistical coordination.

Choice E reason: The registration department is vital for efficiently processing and documenting patient information during a mass casualty incident. Their involvement in the drill planning process ensures that they are prepared to handle a large number of patients quickly and accurately.