A nurse in a mental health facility is caring for a client who expresses anxiety about exercising in the outdoor courtyard. The nurse promises to walk with the client in the courtyard each day. Which of the following ethical principles is the nurse demonstrating?
Autonomy
Justice
Nonmaleficence
Fidelity
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The Correct Answer is D
Fidelity, also known as loyalty or faithfulness, refers to the nurse's commitment to keeping promises and fulfilling their responsibilities to the client. By promising to walk with the client in the outdoor courtyard each day, the nurse is demonstrating fidelity by maintaining their commitment to the client's well-being and providing the support needed to alleviate anxiety.
Autonomy refers to the client's right to make decisions about their own care and treatment. While the nurse's promise supports the client's autonomy by accommodating their preference for exercising in the courtyard, it is not the principle being demonstrated by the nurse.
Justice refers to fairness and equality in healthcare, ensuring equitable treatment and distribution of resources. While justice is an important ethical principle, it is not directly applicable in this situation.
Nonmaleficence is the principle of doing no harm and taking actions to prevent harm to the client. While the nurse's promise of walking with the client aligns with the goal of reducing anxiety, it is not specifically related to preventing harm.
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Correct Answer is D
Explanation
Explanation:
Chronic fatigue is a common symptom experienced by clients with leukemia due to various factors, including the disease process, treatment side effects, and anemia. Encouraging strength- training exercises can be beneficial in managing fatigue in these clients. Engaging in regular physical activity, especially strength-training exercises, has been shown to improve muscle strength, endurance, and overall energy levels.
Strength-training exercises help build muscle mass and improve cardiovascular fitness, which can combat fatigue and enhance the client's ability to perform activities of daily living. However, it is essential to individualize the exercise plan based on the client's current physical abilities and energy levels. The nurse should work closely with the client and, if available, a physical therapist or exercise specialist to develop a safe and appropriate exercise program.
Let's briefly discuss the other options:
A- Increase protein in the diet: While a balanced diet that includes an adequate amount of protein is essential for overall health, increasing protein alone may not directly address the issue of chronic fatigue in leukemia clients. While adequate nutrition is important, simply increasing protein intake is not the most effective intervention for managing fatigue in this context.
B- Increase the client's fluids to 4 L per day: Adequate hydration is essential for overall health, but there is no evidence to suggest that increasing fluids alone will directly alleviate chronic fatigue in leukemia clients. The nurse should encourage adequate hydration based on the client's individual needs but should also consider other interventions to address fatigue.
C- Encourage the client to have continual bed rest: Although rest and sleep are important for individuals with leukemia to manage fatigue, promoting continual bed rest can lead to deconditioning and further exacerbate fatigue. Encouraging a balance between rest and physical activity is crucial to managing fatigue effectively.
Correct Answer is C
Explanation
Elevating the head of the bed while sleeping is a recommended strategy for managing GERD (gastroesophageal reflux disease). By raising the head of the bed, gravity helps to prevent stomach acid from flowing back into the esophagus, reducing the likelihood of acid reflux and associated symptoms.
"You should eat three large meals and two snacks per day" is not recommended for GERD management. Instead, it is advised to have smaller, more frequent meals throughout the day to reduce the pressure on the stomach and minimize the likelihood of acid reflux.
"You should lay down for 1 hour following a meal" is not recommended for GERD management. It is advised to avoid lying down immediately after meals, as this can increase the risk of acid reflux. It is generally recommended to wait at least 2 to 3 hours before lying down.
"You should only drink 2 cups of coffee per day" is a specific recommendation related to caffeine intake, which can potentially trigger or worsen GERD symptoms in some individuals. However, this statement alone does not encompass the comprehensive dietary recommendations for managing GERD.
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