A nurse is assisting in the development of an in-service on ethics for a group of newly licensed nurses. The nurse should include which of the following situations as examples of the ethical principle of fidelity? (Select all that apply.)

A nurse contacts a client's family member upon the client's request.

A nurse returns to a client's room within a specified time frame.

A nurse provides the same care to clients regardless of their socioeconomic status.

A nurse reinforces education and evaluates a client's understanding.

A nurse administers pain medication prior to ambulating a postoperative client.

Answer and Explanation

Correct Answer : A,B,E

A.   A nurse contacts a client's family member upon the client's request. Fidelity involves keeping promises or fulfilling client requests.
B.   A nurse returns to a client's room within a specified time frame. Keeping a promise to return demonstrates fidelity.
C.   A nurse provides the same care to clients regardless of their socioeconomic status. This exemplifies the ethical principle of justice, not fidelity.
D.   A nurse reinforces education and evaluates a client's understanding. This reflects the ethical principle of beneficence (doing good) rather than fidelity.
E.   A nurse administers pain medication prior to ambulating a postoperative client. Administering pain medication as promised demonstrates fidelity.

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Correct Answer is B

Explanation

A. Health insurance information: Financial details are not included in a clinical handoff report.
B. Need for special equipment: Information about special equipment (e.g., oxygen or mobility aids) is essential for continuity of care.
C. Name of facility social worker: This is not a critical piece of information for client care during the transfer.
D. Medication administration record: Medication details should be summarized in the report, but the full record is sent separately.

A. Decline documenting the first counseling session. B. Communicate expected behavior to the AP. C. Explain to the AP the consequences of the behavior. D. Allow the AP time to respond to the counseling information. E. Conduct the counseling session with another AP present.

Correct Answer is ["B","C","D"]

Explanation

A. Decline documenting the first counseling session: Documentation is necessary to maintain accurate records of counseling sessions.
B. Communicate expected behavior to the AP: Reinforcing the expectations helps clarify appropriate behavior.
C. Explain to the AP the consequences of the behavior: Understanding potential consequences encourages adherence to confidentiality standards.
D. Allow the AP time to respond to the counseling information: Allowing the AP to respond fosters a two-way communication approach and encourages accountability.
E. Conduct the counseling session with another AP present: Counseling sessions should remain private to maintain confidentiality.

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A nurse is assisting in the development of an in-service on ethics for a group of newly licensed nurses. The nurse should include which of the following situations as examples of the ethical principle of fidelity? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with the discharge of a client from an acute care unit to a long-term care facility, which of the following should the nurse include in the transfer report?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a newly licensed assistive personnel (AP) who has violated a client's confidentiality. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is reviewing the electronic medical records of clients following the implementation of a quality improvement plan to reduce health care associated infections. Exhibits Select the three clients whose findings indicate the program is effective.

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A charge nurse is reviewing the computer documentation of a newly licensed nurse. Which of the following practices by the newly licensed nurse should the charge nurse identify as appropriate documentation practice?

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