A nurse is working with an active labor patient who is in preterm labor and has been designated as high risk. The patient is very apprehensive and asks the nurse, “Is everything going to be all right?” The nurse replies, “Yes, everything will be okay.” Following delivery via an emergency cesarean birth, the newborn undergoes resuscitation and does not survive. The patient is distraught over the outcome and blames the nurse for telling her that everything would be okay. Which ethical principle did the nurse violate?

Correct Answer: C

Rationale: The correct answer is C: Beneficence. The nurse violated the ethical principle of beneficence by providing false reassurance to the patient, which ultimately led to a negative outcome. Beneficence means to do good and act in the best interest of the patient. By giving false hope, the nurse failed to provide truthful information that could have prepared the patient for potential complications. A: Autonomy - This choice is not the correct answer because autonomy refers to respecting the patient's right to make their own decisions, which was not directly violated in this scenario. B: Fidelity - This choice is not the correct answer because fidelity refers to being faithful and keeping promises to the patient, which is not the primary issue in this case. D: Accountability - This choice is not the correct answer because accountability refers to taking responsibility for one's actions, which the nurse may need to do in this situation, but it is not the primary ethical principle violated. In summary, the nurse violated the ethical

Correct Answer: D

Rationale: The correct answer is D because it demonstrates cultural congruence, which is essential for effective communication and learning. By having an Asian nurse providing information to pregnant Asian women, there is a shared cultural background that enhances understanding and trust. This setting promotes cultural sensitivity and tailors the information to meet the specific needs and preferences of the audience. In contrast, the other choices lack cultural relevance and may hinder effective communication and learning. Choice A involves a large group setting, which may not allow for individualized cultural considerations. Choice B highlights a language barrier that can impede understanding. Choice C presents a diverse group, which may not address the unique cultural needs of each individual.

Correct Answer: C

Rationale: The correct answer is C because it inaccurately suggests that family dynamics will not change after childbirth. The nurse needs to correct this statement as childbirth often leads to significant changes in family dynamics. This is important for the patient to understand to prepare for potential adjustments and challenges. Choices A, B, and D are incorrect because they align with the principles of family-centered care. Choice A highlights the importance of family support, choice B emphasizes the commonality of uncomplicated childbirth, and choice D empowers the patient to make informed decisions about her healthcare.

Correct Answer: D

Rationale: The correct answer is D because a multipara with six pregnancies and two young children may require more help and understanding due to the potential challenges of caring for multiple young children simultaneously. The presence of two children younger than 3 years old indicates that the mother may be experiencing higher levels of stress and demands on her time and energy. This situation could lead to difficulties in integrating the newborn into the family dynamics. Choice A is incorrect because being from an upper-income family does not necessarily indicate a need for more help and understanding. Choice B is incorrect because coming from a large family does not directly correlate with requiring more assistance when integrating a newborn. Choice C is incorrect because having a supportive husband and mother can provide valuable assistance and may not necessarily indicate a greater need for help compared to the scenario described in choice D.

Correct Answer: B

Rationale: The correct answer is B because giving a report to the oncoming nurse in a private area maintains patient confidentiality, which is a key aspect of HIPAA compliance. This action ensures that patient information is not disclosed to unauthorized individuals. Explanation of other choices: A: Posting patient updates on social media violates patient privacy and is a breach of HIPAA. C: Giving patient information over the phone to a friend is a violation of patient confidentiality under HIPAA. D: Logging off the computer screen before leaving unattended is a good practice for data security but does not directly relate to HIPAA compliance regarding patient information privacy.