A nurse is caring for a client who asks, "Can I decide not to continue with chemotherapy?" The nurse responds, "This is your choice, and I'll support whatever decision you make."
The nurse's response is an example of which of the following ethical principles?
Autonomy
Beneficence
Nonmaleficence
Veracity
The Correct Answer is A
The nurse's response demonstrates respect for the client's autonomy, which is the principle of respecting the client's right to make decisions about their own healthcare. The nurse acknowledges the client's right to make a decision and offers support for whatever decision the client makes. Beneficence is the principle of doing good for the client, while nonmaleficence is the principle of avoiding harm. Veracity is the principle of telling the truth to the client, which is not necessarily demonstrated in this scenario.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Children with leukemia are at increased risk for infection and other complications due to their weakened immune system. One potential complication is oral mucositis, which can cause painful sores in the mouth and throat. Inspecting the child's mouth for sores once a week is a preventive measure that can help identify this complication early and allow for prompt treatment.
Taking the child's rectal temperature daily (A) is not a necessary preventive measure for a child with leukemia unless directed by the healthcare provider.
Riding a bicycle (B) can be a healthy activity for a child with leukemia but it does not prevent complications.
Getting a measles, mumps, and rubella vaccine (D) is important for preventing these specific infectious diseases but it is not directly related to preventing complications in a child with leukemia. The vaccine may also not be recommended for a child with leukemia, depending on their treatment plan and medical history.

Correct Answer is C
Explanation
The nurse should identify option C, "Refer a client who is recovering from a substance use disorder to a social service program," as a secondary prevention activity. This intervention focuses on early identification and intervention to prevent further harm or complications related to substance use disorder.
Option A is a primary prevention activity, as it focuses on preventing the development of complications through early intervention and education.
Option B is a tertiary prevention activity, as it focuses on reducing the impact of a disease or injury that has already occurred.
Option D is also a tertiary prevention activity, as it focuses on reducing the impact of a disease that has already occurred.
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