A nurse is assisting in the preparation of an in-service for a group of unit nurses about ethical principles. Which of the following nursing actions should the nurse include as an example of fidelity?
A nurse shares her time fairly among clients.
A nurse tells a client the truth.
A nurse allows a client to make her own choices.
A nurse keeps a promise made to a client.
The Correct Answer is D
A. A nurse shares her time fairly among clients: This action demonstrates justice, which involves treating clients equitably and distributing resources or time fairly. While important ethically, it does not exemplify fidelity, which focuses on faithfulness and keeping commitments.
B. A nurse tells a client the truth: Telling the truth reflects the ethical principle of veracity, emphasizing honesty and transparency in communication. It is distinct from fidelity, which centers on maintaining trust through promises and commitments.
C. A nurse allows a client to make her own choices: Supporting client autonomy involves respecting the client’s right to make informed decisions about their care. While ethically essential, autonomy differs from fidelity because it is about decision-making rights rather than keeping commitments or promises.
D. A nurse keeps a promise made to a client: Fidelity is the principle of being faithful to commitments, maintaining trust, and keeping promises. When a nurse follows through on a commitment to a client, it demonstrates reliability and loyalty, reinforcing the therapeutic nurse–client relationship.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Have the client participate in a group therapy session: Group therapy may be overwhelming and overstimulating for a client in an acute manic episode. Rapid speech, distractibility, and hyperactivity can make it difficult to engage appropriately, potentially increasing agitation rather than providing therapeutic benefit.
B. Recommend the client participate in a basketball game with other clients: High-intensity, competitive activities like basketball can increase stimulation and risk of injury for a client experiencing mania. Physical exertion in a structured, low-stimulation environment is safer than group sports.
C. Encourage the client to ambulate around the unit: Walking or ambulating provides a safe outlet for excess energy while maintaining supervision. Structured, low-stimulation physical activity helps reduce agitation, promotes safety, and supports self-regulation during manic episodes.
D. Instruct the client to avoid napping during the day: Sleep deprivation can exacerbate manic symptoms. Encouraging rest and allowing the client to nap when fatigued is safer and helps stabilize mood. Preventing sleep would be counterproductive in managing mania.
Correct Answer is B
Explanation
A. FACES: The FACES pain scale uses facial expressions that correspond to numeric ratings, but it is designed for children who are typically 3 years of age or older and can cognitively associate faces with levels of pain. Infants cannot reliably use this tool because they lack the developmental ability to self-report.
B. FLACC: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is validated for assessing pain in infants and young children who cannot verbally communicate. It evaluates observable behaviors such as facial grimacing, limb movement, activity level, crying, and consolability, providing an objective measure of pain intensity in nonverbal populations.
C. Oucher: The Oucher scale is a self-report tool that uses photographs of children’s faces to represent pain intensity, appropriate for children around 3 to 12 years old. Infants cannot use this scale reliably because they cannot interpret or select images to indicate their pain level.
D. Visual analog: The visual analog scale requires the child or adult to mark a point along a line to represent pain intensity. It relies on abstract reasoning and self-reporting and is not suitable for infants or nonverbal children, as they cannot understand or accurately use this method.
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