A nurse is assisting with the care of a client who is requesting pain medication. The nurse returns to the bedside to administer the pain medication within the timeframe given to the client. Which of the following ethical principles did the nurse follow?
Fidelity
Justice
Autonomy
Beneficence
The Correct Answer is A
A. Fidelity: Fidelity involves keeping promises and honoring commitments made to the client. By returning to administer pain medication within the timeframe promised, the nurse demonstrates reliability and maintains trust in the nurse–client relationship.
B. Justice: Justice refers to fairness and equal treatment of all clients. Although important in care delivery, it does not specifically address keeping a promise or following through on a commitment to an individual client.
C. Autonomy: Autonomy supports the client’s right to make informed decisions about their care. While requesting pain medication reflects autonomy, the nurse’s action of returning on time aligns more directly with honoring a commitment.
D. Beneficence: Beneficence involves acting in the client’s best interest by promoting comfort and well-being. Administering pain medication supports beneficence, but the defining ethical principle in this scenario is the nurse’s follow-through on a promise.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Individuals who have this disorder have a flat affect.": A flat affect is more commonly associated with mood disorders or schizophrenia rather than delirium. Delirium primarily affects attention, cognition, and perception, not emotional expression.
B. "This disorder is characterized by a sudden onset of mental confusion.": Delirium is an acute, often reversible, condition marked by a rapid onset of confusion, disorientation, and fluctuating levels of consciousness. This sudden change distinguishes it from chronic cognitive disorders such as dementia.
C. "Individuals who have this disorder speak at a slow pace.": Speech patterns in delirium are typically rapid, pressured, or incoherent rather than uniformly slow. Cognitive disorganization is more prominent than changes in speech rate.
D. "This disorder is not reversible.": Delirium is often reversible if the underlying cause—such as infection, medication effects, or metabolic imbalance, is identified and treated promptly. Prognosis improves with early intervention.
Correct Answer is B
Explanation
A. An infant who has respiratory syncytial virus and a respiratory rate of 70/min: This infant is experiencing tachypnea, which indicates respiratory distress. Discharging during a storm would place the infant at high risk for decompensation and inadequate access to emergency care.
B. An adolescent who has cystic fibrosis and is receiving their yearly tune-up: A routine annual check-up indicates the adolescent is stable and does not require acute care. This client is the safest candidate for discharge during a storm, as their condition is not immediately life-threatening.
C. A child who has a new diagnosis of type 1 diabetes mellitus and is receiving IV insulin: This child requires close monitoring and titration of insulin therapy, making discharge unsafe. Early management of new-onset diabetes involves frequent assessments that cannot be delayed.
D. A child who has leukemia and an absolute neutrophil count of 200/mm³: Severe neutropenia places the child at high risk for infection. Discharge during a storm could prevent timely access to emergency care if complications arise.
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