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. "You should eat foods high in protein." Protein is essential for tissue repair and healing, especially after pancreatitis. A diet rich in protein supports recovery and helps maintain muscle mass and immune function.

B. “Limit alcohol intake to no more than one drink per day." Alcohol is a major risk factor for pancreatitis; complete abstinence is necessary to prevent recurrence. Advising to limit intake rather than abstain may lead to misunderstanding and increased risk.

C. "Notify your provider if you experience vomiting or diarrhea." Vomiting and diarrhea may indicate complications such as worsening pancreatitis, infection, or intolerance to diet changes. Early reporting can prevent severe dehydration and further complications.

D. "You should eat foods that are low in fat." Low-fat foods reduce pancreatic stimulation, which is crucial in managing pancreatitis. Consuming high-fat foods can exacerbate symptoms and prolong inflammation.

E. “You can drink beverages that contain caffeine." Caffeine can irritate the gastrointestinal tract and may worsen symptoms in pancreatitis. One should limit or avoid caffeine during recovery.