A charge nurse observes a licensed practical nurse (LPN) tell a client that she will return with a medication to help relieve the client's nausea. The LPN does not return with the medication. The charge nurse should reinforce which of the following ethical principles with the LPN?

Nonmaleficence

Veracity

Fidelity

Justice

Answer and Explanation

The Correct Answer is C

A.   Nonmaleficence: This ethical principle relates to the duty to do no harm to the client. While not returning with the medication may have resulted in the client experiencing continued discomfort, fidelity is more directly applicable in this scenario.
B.   Veracity: Veracity relates to truthfulness and honesty in communication, which may be indirectly related to the situation but is not the primary focus.
C.   Fidelity: Fidelity refers to the duty to fulfill commitments and promises made to clients. In this scenario, the LPN made a promise to the client to return with medication, and failing to fulfill this promise breaches the principle of fidelity.
D.   Justice: Justice relates to fairness and equality in the distribution of resources and treatment.

While ensuring fairness is important, it is not directly applicable to the situation described.

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Correct Answer is D

Explanation

A. While tracking client information is important for managing patient care during a disaster, the immediate priority during a bioterrorism event is ensuring the safety of personnel through the availability of personal protective equipment.
B. Effective communication is vital during emergencies, but without adequate personal protective equipment, healthcare workers may be at risk of exposure to hazardous biological agents.
C. Mental health support is essential during and after disasters, but in the immediate response to a bioterrorism event, ensuring the availability of personal protective equipment takes precedence in protecting healthcare workers and containing the spread of biological agents.
D. Personal protective equipment (PPE) such as masks, gloves, gowns, and face shields are crucial for safeguarding healthcare workers from exposure to potentially harmful biological agents. During a bioterrorism event, healthcare workers may come into contact with infectious materials, and proper PPE can significantly reduce the risk of transmission.

A. Whether the facility ethics committee reaches a consensus on the case B. Whether the client's refusal is based on religious belief C. Whether the partner is the client's durable power of attorney for health care D. Whether the client understands the risk of refusing the procedure

Correct Answer is D

Explanation

A. The facility ethics committee can provide guidance and recommendations, but they do not have the authority to override a competent client's decision regarding their own medical treatment. Their role is advisory rather than decisive.

B. While a client's refusal based on religious beliefs must be respected, it is not the primary deciding factor in this scenario. The key issue is the client's understanding and informed consent, regardless of the reason for refusal.

C. If the partner is the client's durable power of attorney for health care, they can make decisions on behalf of the client only if the client is deemed incompetent. In this case, the client is competent and has made their own decision.

D. The client's understanding of the risks associated with refusing the procedure is crucial. Informed consent requires that the client comprehends the potential consequences of their decision, ensuring that their refusal is based on a clear understanding of the risks involved.

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A charge nurse observes a licensed practical nurse (LPN) tell a client that she will return with a medication to help relieve the client's nausea. The LPN does not return with the medication. The charge nurse should reinforce which of the following ethical principles with the LPN?

Nursing Test Bank

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Explanation

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