A nurse is assisting in the care of a client who has schizophrenia and is being prescribed a new antipsychotic medication. The client's parent asks the nurse not to discuss the medication side effects with the client. Which of the following ethical principles does this request violate?
Veracity
Fidelity
Autonomy
Justice
The Correct Answer is C
Rationale:
A. Veracity: Veracity refers to the obligation to tell the truth and provide accurate information. While withholding information could also violate this principle, the core issue in this scenario centers more on the client's right to make informed decisions rather than truth-telling alone.
B. Fidelity: Fidelity involves keeping promises and maintaining trust in the nurse-client relationship. While failing to inform the client may strain trust, the request from the parent specifically violates the client's right to participate in decisions about their care.
C. Autonomy: Autonomy is the right of individuals to make informed decisions about their own healthcare. Withholding information about medication side effects directly interferes with the client’s ability to provide informed consent, violating this fundamental ethical principle.
D. Justice: Justice involves fairness and equality in the distribution of care and resources. This principle is not directly implicated in the scenario, as the issue is not about fairness but about the individual’s right to know and decide.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. 1/2 cup of corn: While corn contains some folate, the amount is relatively low compared to legumes and leafy greens. It is not considered one of the best sources of folic acid for meeting the increased demands of early pregnancy.
B. 1/2 cup of cooked lentils: Lentils are among the richest natural sources of folic acid, providing a significant portion of the recommended daily intake. They are especially beneficial during early pregnancy to help prevent neural tube defects in the developing fetus.
C. 1 fried egg: Eggs provide a small amount of folate but are not a primary source. Although eggs offer other important nutrients during pregnancy, they do not meet the body’s high folic acid needs at 8 weeks gestation.
D. 1 slice of toast: Most bread products in some regions are fortified with folic acid, but the quantity in a single slice is minimal. While it can contribute to daily intake, it is not as concentrated a source as legumes like lentils.
Correct Answer is A
Explanation
Rationale:
A. A client who gave birth 6 hr ago and just received a dose of methylergonovine: Methylergonovine is used to control postpartum hemorrhage but can cause severe hypertension or other adverse effects. Close monitoring immediately after administration is critical to detect complications early.
B. A client who gave birth 24 hr ago and has had a urinary output of 2800 mL: Increased urinary output postpartum is common due to diuresis as the body eliminates excess fluid; this is not an urgent concern if the client is otherwise stable.
C. A client who is 3 days postpartum and reports bilateral breast fullness: Breast engorgement is common around this time and is expected. It can be managed with supportive measures and is not an immediate priority.
D. A client who gave birth 8 hr ago and has moderate perineal edema: Perineal edema is expected postpartum and usually resolves with routine care. Unless associated with severe pain or signs of infection, it does not require immediate attention.
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