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A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?

A.

Keeping an appointment with a client

B.

Allowing a new mother to hold her stillborn infant

C.

Confirming that a client going for surgery has signed a consent form

D.

Refusing to disclose information about a client to the media

Answer and Explanation

The Correct Answer is A

Rationale:

 

A. Keeping an appointment with a client demonstrates fidelity by honoring commitments and ensuring reliability in care.

 

B. Allowing a new mother to hold her stillborn infant is compassionate care but relates more to the ethical principle of beneficence.

 

C. Confirming that a client going for surgery has signed a consent form is related to the principle of autonomy and informed consent.

 

D. Refusing to disclose information about a client to the media is related to confidentiality, not fidelity.


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Correct Answer is B

Explanation

Rationale:

A. Dilated pupils are typically associated with stimulant use, not opioids.

B. Euphoria is a common effect of opioid use and can indicate misuse or diversion of these medications.

C. Rhinorrhea is usually associated with withdrawal from opioids rather than their use.

D. Hallucinations can occur with certain drugs but are less commonly associated with opioid use compared to euphoria.

Correct Answer is C

Explanation

Rationale:

A. Determining social skills is not directly related to task delegation.

B. Assessing ability to follow the client's teaching plan is beyond the scope of AP duties.

C. Providing a clear description of the task ensures that the AP understands what is expected, which is essential for effective delegation.

D. Evaluating ability to work with peers is important but not the primary focus for task delegation.