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 D
Explanation
Rationale:
A. Nonmaleficence is the principle of doing no harm, which is not directly demonstrated by completing a course.
B. Veracity involves truthfulness, not specifically related to taking a course before transferring units.
C. Autonomy is related to respecting individuals' rights to make their own decisions and is not demonstrated by completing educational requirements.
D. Fidelity refers to being faithful to one’s commitments and promises, which includes taking steps to ensure competency in a new area of practice, thus demonstrating dedication to providing competent care.
Correct Answer is A
Explanation
Rationale:
A. An experienced nurse being uncivil to a newly licensed nurse is an example of interpersonal conflict, as it involves direct interaction and disagreement between individuals.
B. Uncertainty about joining a professional organization is a personal decision and not an interpersonal conflict.
C. Disagreements about the timing of client weights are more related to procedural issues than interpersonal conflicts.
D. Not wanting to care for a terminally ill client due to personal loss is a personal issue rather than an interpersonal conflict.