A community health nurse is planning to offer community programs that benefit as many clients as possible. Which of the following ethical principles should the nurse use to guide their planning?

Rationale:

A. Impulsivity: Impulsivity is more commonly associated with borderline or antisocial personality disorders, where individuals may act without considering consequences. It is not a characteristic of obsessive-compulsive personality disorder (OCPD), which involves control and orderliness.

B. Shows perfectionism: Perfectionism is a key feature of OCPD. Clients often set unrealistic standards for themselves and others, struggle with flexibility, and may be excessively devoted to work and productivity at the expense of leisure and relationships.

C. Takes advantage of others: This behavior is indicative of antisocial personality disorder, where individuals disregard the rights of others for personal gain. OCPD clients typically adhere rigidly to rules and ethical codes, making this trait inconsistent.

D. Irritability: While individuals with OCPD may become frustrated when things don’t go according to their standards, irritability alone is not a defining feature. It is a nonspecific symptom that can appear across many disorders but does not specifically identify OCPD.

Rationale:

A. Irrigate the wound using a 10 mL syringe: A 10 mL syringe does not provide enough volume or control for effective wound irrigation. Typically, a 30 to 60 mL syringe with an appropriate catheter or tip is used to deliver a steady, low-pressure stream.

B. Cleanse the insertion site of the drain using a circular motion toward the center: Cleansing should be performed from the center outward in circular motions to avoid dragging contaminants toward the wound or drain site. Cleaning toward the center increases the risk of infection.

C. Cleanse the wound starting at the bottom and moving upward: Wound cleansing should be performed from the least contaminated area to the most contaminated — usually from top to bottom or from the incision line outward. Cleaning from bottom to top can introduce bacteria to cleaner areas.

D. Irrigate the wound with a low-pressure flow of solution: Using a low-pressure irrigation helps to flush out debris and reduce bacterial load without damaging healthy tissue or forcing contaminants deeper into the wound. It is the recommended method for safe and effective wound cleansing.