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?
Keeping an appointment with a client
Allowing a new mother to hold her stillborn infant
Confirming that a client going for surgery has signed a consent form
Refusing to disclose information about a client to the media
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 A
Explanation
Rationale:
A. Check to see if the elbow restraint is in place for an infant who is postoperative from a surgical correction of a cleft palate is a priority to ensure the safety and proper positioning of a vulnerable postoperative patient.
B. Wash the hair of an adolescent who reports extreme fatigue and is scheduled for radiation therapy for the treatment of Hodgkin lymphoma can be done later, as it is not as critical as ensuring the safety of a postoperative infant.
C. Collect a stool sample for ova and parasites from a school-age child is important but not as urgent as checking restraints for a postoperative infant.
D. Engage a toddler in play is important for developmental support but is not as urgent as tasks directly related to patient safety and postoperative care.
Correct Answer is B
Explanation
Rationale:
A. "The client works in the hospital radiology department." This information is important for understanding the client's background but does not indicate a need for total care by the nurse.
B. "The client discussed having prior thoughts of suicide." This statement indicates a high-risk situation requiring close monitoring and direct care by the nurse, rather than delegating tasks to an AP. The client's safety and mental health status necessitate the nurse's full attention.
C. "The client's blood pressure and pulse have been fluctuating throughout the day." While this information suggests the need for monitoring, it doesn't necessarily preclude the AP from assisting with certain tasks under the nurse's supervision.
D. "The client's family members have been present most of the day." This statement provides context but does not indicate a need for total care by the nurse.