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 B
Explanation
Rationale:
A. Requesting a referral is important but not immediately critical compared to other needs.
B. Asking about a PCA pump with morphine indicates a potential issue with pain management or medication delivery that needs immediate attention.
C. Assisting with a bath is important for comfort and hygiene but is less urgent compared to immediate pain management.
D. Questions about a new prescription should be addressed but are generally less urgent than issues related to pain management.
Correct Answer is C
Explanation
Rationale:
A. Reassign the task to another nurse is not immediately necessary; first, the issue needs to be addressed with the LPN.
B. Report the issue to the unit manager should be done if the problem persists, but initial action should involve resolving the immediate issue.
C. Change the client's dressing is essential to address the immediate need and ensure the client’s care is up-to-date.
D. Verify the LPN knows how to do a dressing change might be necessary in the long term, but addressing the immediate issue of the uncompleted task is a priority.