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?
Fidelity
Utilitarianism
Autonomy
Veracity
The Correct Answer is B
Rationale:
A. Fidelity: Fidelity involves loyalty, faithfulness, and keeping promises to individuals. While important in one-on-one nursing relationships, it is not the guiding principle when planning for population-wide benefit.
B. Utilitarianism: Utilitarianism is an ethical principle focused on producing the greatest good for the greatest number of people. It is most appropriate when planning community programs that aim to maximize overall health benefits.
C. Autonomy: Autonomy emphasizes respecting individual rights and decision-making. While vital in personal healthcare decisions, it does not directly guide broad community health program planning.
D. Veracity: Veracity refers to truth-telling and honesty in communication. Although essential in client interactions, it does not provide direction in choosing programs that broadly benefit the community.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Nurses notes are used to create the critical pathway: Critical pathways are developed from evidence-based clinical guidelines and best practices, not directly from nurses’ notes. While documentation may help track progress, it is not the foundation for pathway creation.
B. Critical pathways should reduce health care costs: Critical pathways standardize care for specific diagnoses, promoting timely interventions and reducing unnecessary treatments or delays. This efficiency helps lower healthcare costs while improving patient outcomes.
C. Critical pathways have an unlimited timeframe for completion: Each critical pathway includes a defined timeline with expected outcomes for each phase of care. This structure ensures care is efficient and progress is monitored closely to prevent delays or complications.
D. Nurses should discontinue the critical pathway if variances occur: Variances are deviations from the expected outcomes and are used to evaluate and adjust care. They do not justify discontinuing the entire pathway but rather indicate a need for reassessment or individualized modifications.
Correct Answer is C
Explanation
Rationale:
A. Complete the feeding in 5 min: NG tube feedings should be administered slowly, typically over 20–30 minutes, to allow for proper digestion and to reduce the risk of nausea, vomiting, or aspiration in pediatric clients.
B. Warm the formula in the microwave: Microwaving can create uneven hot spots in the formula, risking oral or gastrointestinal burns. Formula should be warmed safely by placing the container in warm water and checking the temperature before administration.
C. Measure the tubing from the nose to the distal port: Correct NG tube placement is essential to prevent aspiration and ensure the feeding reaches the stomach. Measurement is done from the nose to the ear lobe and then to the xiphoid process (not the distal port), but this option reflects the importance of measurement as part of safe practice.
D. Position the child at a 10° to 20° angle after feeding: After NG feeding, the child should be kept in an upright position of at least 30° to 45° for 30–60 minutes to facilitate digestion and minimize aspiration risk. A 10° to 20° angle is too low and unsafe
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