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?

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Question 1 of 5

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?

Correct Answer: A

Rationale: The correct answer is A. Keeping an appointment with a client demonstrates fidelity, which is the ethical principle of keeping promises and commitments made to clients. By honoring the appointment, the nurse shows respect for the client's time and trust in the therapeutic relationship. Choice B is incorrect because allowing a new mother to hold her stillborn infant relates more to compassion and empathy rather than fidelity. Choice C is incorrect as confirming a signed consent form is related to autonomy and informed consent, not fidelity. Choice D is incorrect as refusing to disclose information to the media pertains to confidentiality and privacy, not fidelity.

Question 2 of 5

A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?

Correct Answer: B

Rationale: The correct answer is B: Nonmaleficence. Nonmaleficence is the ethical principle of doing no harm or preventing harm to the patient. In this scenario, the nurse's primary duty is to relieve the client's pain and suffering without causing harm. Administering the pain medication as prescribed would align with the principle of nonmaleficence by ensuring the client's comfort and quality of life. Choice A, Utilitarianism, focuses on the greatest good for the greatest number, which may conflict with the individual's well-being in this case. Choice C, Fidelity, pertains to maintaining trust and being loyal to the client but does not directly address the issue of harm. Choice D, Veracity, involves telling the truth, which is important but not the primary concern when deciding whether to administer pain medication in end-of-life care.

Question 3 of 5

A nurse is planning client care for herself and an assistive personnel (AP) working with her. Which of the following tasks should the nurse plan to perform?

Correct Answer: C

Rationale: Rationale: - The nurse should assess the client's sacrum for edema as it requires nursing assessment skills. - Administering an enema and assisting a client to cough and deep breathe are within the scope of the AP's duties. - Application of antiembolic stockings can also be delegated to the AP, as it is a task requiring basic nursing skills. - Therefore, the nurse should plan to perform the task of assessing a client's sacrum for edema.

Question 4 of 5

A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to care for first?

Correct Answer: C

Rationale: The correct answer is C, the client asking about his PCA pump containing morphine. This client should be cared for first because the PCA pump is delivering a potent medication that requires close monitoring to prevent adverse effects. The nurse needs to assess the client's pain level, pump settings, and any signs of overdose or underdose. This situation requires immediate attention to ensure the client's safety. Choice A is incorrect because a client needing assistance with a bath can typically wait and does not pose an immediate risk to their health or safety. Choice B is incorrect as a client requesting a referral for home health services is important but can be addressed after the client with the PCA pump. Choice D is also incorrect because a client with questions about a new prescription can typically wait as long as it is not urgent.

Question 5 of 5

A nurse is planning to delegate a task to an assistive personnel (AP). Which of the following actions should the nurse plan to take?

Correct Answer: D

Rationale: The correct answer is D: Provide a clear description of the task to the AP. This is essential to ensure the task is understood and completed accurately. Assessing the AP's ability to follow a teaching plan (A) is not relevant to task delegation. Determining social skills (B) and evaluating ability to work with peers (C) are also not directly related to task delegation. Providing clear instructions (D) is crucial for effective delegation and ensuring the task is performed correctly.

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