A nurse ensuring that a patient's confidentiality

Question 1 of 5

A nurse ensuring that a patient's confidentiality is maintained is practicing which ethical principle?

A. Fidelity B. Veracity C. Justice D. Autonomy

Correct Answer: A

Rationale: Fidelity includes maintaining confidentiality to uphold trust in the nurse-patient relationship.

Question 2 of 5

Which of the following is true regarding the deinstitutionalisation of large numbers of mentally ill persons?

A. It occurred after adequate community services were made widely available B. It resulted in the discovery that most inpatients appeared insane only because of the negative effects of institutionalisation C. It has been recognised as harmful; current policy is to reinstitutionalise most of these patients D. It created a large population of impoverished, homeless mentally ill

Correct Answer: D

Rationale: Deinstitutionalisation led to increased homelessness among the mentally ill due to inadequate community support.

Question 3 of 5

The prosecution and defence in the trial of Andrea Yates agreed

A. that she knew right from wrong B. she was not mentally ill at the time of the murders C. that she killed her children D. All of the above are correct

Correct Answer: C

Rationale: Both sides agreed Yates committed the act, but disputed her mental state, making C the agreed fact.

Question 4 of 5

In the case described by Beauchamp and Childress of a ninety-year-old patient with a squamous cell carcinoma who was extremely fearful of cancer, which of the following was NOT set forth as a justification for 'intentional verbal inaccuracy' on the part of the physician who treated the patient?

A. The patient was in need of 'effective reassurance.' B. The patient's family urged the physician not to tell him that the ulcer on his lip was cancer, because of the patient's fearfulness of the disease. C. In the physician's judgment, it was 'more truthful' to tell the patient he did not have cancer, because the patient was unable to accept the idea that he had a treatable and curable cancer. D. Addressing the patient and his concerns in his own language expressed respect, not paternalistic arrogance.

Correct Answer: D

Rationale: This choice does not justify intentional verbal inaccuracy; instead, it emphasizes respectful communication rather than deception.

Question 5 of 5

You are a resident in the emergency department. An irate parent comes to you furious because the social worker has been asking him about striking his child. The child is a 5-year-old boy who has been in the emergency department four times this year with several episodes of trauma that did not seem related. Today, the child is brought in with a child complaint of 'slipping into a hot bathtub' with a burn wound on his legs. The parent threatens to sue you and says 'How dare you think that about me? I love my son!' What should you do?

A. Admit the child to remove him from the possibly dangerous environment. B. Call the police. C. Ask the father yourself if there has been any abuse. D. Report the family to child protective services.

Correct Answer: D

Rationale: Reporting of child abuse is mandatory even based on suspicion alone. Although it is frightening to be confrontational with the family, the caregiver is legally protected even if there turns out to be no abuse as long as the report was made honestly and without malice. You do not have the authority to remove the child from the custody of the parents. Only child protective services or the courts can do that. The police are not appropriate to investigate child abuse unless an assault is happening at that moment.

A nurse ensuring that a patient's confidentiality is maintained is practicing which ethical principle?

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