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. "If you let us know ahead of time that you plan to perform a procedure, we could do better job of having the supplies available." may be perceived as placing blame and does not address the immediate concern of the provider's anger.
B. "It must be very frustrating when you don't have what you need to perform the procedure." acknowledges the provider's frustration and validates their feelings, which can help de-escalate the situation and improve communication.
C. "I will help you with this procedure instead of the staff nurse." does not address the underlying issue and might not resolve the conflict or improve the situation.
D. "You should think about how you make others feel when you lose your temper." is confrontational and may escalate the situation further rather than resolving it.
Correct Answer is D
Explanation
Rationale:
A. Blood for PaCO2 is a specialized specimen that requires venipuncture and specific handling to ensure accuracy, which should be performed by a licensed nurse or phlebotomist.
B. Random stool specimen collection is a routine task that can be delegated to the AP. It requires minimal specialized skill and is within the AP's scope of practice.
C. Wound drainage for culture requires sterile technique and proper handling to avoid contamination, which is beyond the AP's responsibilities.
D. Urine from an indwelling catheter requires specialized techniques and knowledge to ensure proper collection, and should be performed by a nurse.