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 B
Explanation
A. "I should have my doctor replace the battery in the pacemaker in a year.": Pacemaker batteries are designed to last several years, typically 5 to 15 years depending on device type and usage. Routine replacement within a year is unnecessary, and frequent interventions would increase procedural risks. Battery status is monitored during scheduled device interrogations.
B. "I need to record my pulse rate daily.": Regular monitoring of pulse rate helps the client detect irregularities or device malfunction. Recording daily heart rate allows for early identification of bradycardia, tachycardia, or missed pacing events, which can be reported promptly to the healthcare provider. This practice promotes ongoing self-management and safety.
C. "I should avoid taking tub baths.": Clients with pacemakers can safely bathe or shower once the insertion site has healed, as the device is completely implanted. There is no need to avoid tub baths indefinitely unless specifically instructed due to wound healing concerns. General restriction is not necessary for daily hygiene.
D. "I will remove my microwave oven from my home.": Modern pacemakers are shielded against interference from common household appliances, including microwave ovens. It is unnecessary to remove microwaves, as these devices do not pose a risk of pacemaker malfunction when used appropriately.
Correct Answer is A
Explanation
A. Frequently remind the client of the expectations for her behavior: Clients experiencing mania may have impaired judgment, impulsivity, and difficulty focusing. Repeated, calm reminders of behavioral expectations help set limits, maintain safety, and reduce the risk of disruptive or harmful actions while promoting structure in the therapeutic environment.
B. Encourage the client to participate in a group activity in the dayroom: Group activities can be overstimulating for a client in the manic phase, increasing agitation, distractibility, and risk of conflict with others. Individual or low-stimulation interventions are safer and more appropriate during acute mania.
C. Allow the client to pick her own choice of clothing: While autonomy is generally encouraged, a manic client may make choices that are socially inappropriate, unsafe, or erratic. Guiding clothing selections may help maintain dignity and safety without restricting personal expression entirely.
D. Encourage the client to increase physical activity during the day: Although physical activity can be beneficial, clients in a manic state may already have excessive energy and impulsivity. Additional encouragement for activity could exacerbate agitation, increase risk of injury, and worsen overstimulation.
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