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A nurse is caring for a client who has a terminal illness and states that they wish to discontinue their enteral feedings. The nurse responds by saying, "You have a right to refuse treatment." This response by the nurse demonstrates which of the following ethical principles?

A.

Autonomy

B.

Fidelity

C.

Beneficence

D.

Justice

Answer and Explanation

The Correct Answer is A

A. Autonomy refers to the right of individuals to make their own decisions regarding their healthcare, including the right to refuse treatment, which the nurse has supported in their response.  

 

B. Fidelity involves being faithful to commitments made to patients, such as providing care and support, but does not directly pertain to the client's right to refuse treatment.  

 

C. Beneficence focuses on promoting the well-being of the client, which may not align with the client’s decision to refuse treatment in this context.  

 

D. Justice refers to fairness in healthcare and ensuring equitable treatment, but it does not address the specific right of the client to refuse treatment.


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View Related questions

Correct Answer is D

Explanation

A. Selecting an intervention is a subsequent step and should be informed by the baseline data on infection rates.

B. Incorporating the change into daily practice is necessary later in the process, once a specific intervention has been chosen and planned.

C. Determining if the change has lowered the infection rate is part of the evaluation phase, following the implementation of interventions.

D. Identifying current infection rates provides baseline data, which is essential for measuring the effectiveness of future interventions. Without this data, it is impossible to determine whether any implemented changes result in improvement.

Correct Answer is A

Explanation

A. Reporting the incident to the manager of the pharmacy is the appropriate action to ensure that the medication error is addressed and investigated properly, as this can help prevent future occurrences.

B. Incident reports should not be placed in the client's medical record, as they are separate documents meant for internal review and quality improvement.

C. Documenting the doubled dose in the client's medical record does not fulfill the legal requirements for reporting medication errors and could mislead future care providers about the medication administration history.

D. Contacting the nurse from the previous shift may be necessary for understanding the situation, but the priority is to report the incident properly to ensure patient safety.

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