A nurse is caring for a client who has a hip fracture and plans to administer pain medication prior to turning the client.
Which of the following ethical principles is the nurse implementing?

Autonomy

Fidelity.

Veracity.

Beneficence.

Answer and Explanation

The Correct Answer is D

Beneficence is the ethical principle of doing good and acting in the best interest of the patient. By administering pain medication prior to turning the client, the nurse is reducing the client’s suffering and promoting their well-being.

Choice A. Autonomy is wrong because autonomy is the ethical principle of respecting the patient’s right to self-determination and decision-making. The nurse is not asking for the client’s consent or preference before giving pain medication or turning them.

Choice B. Fidelity is wrong because fidelity is the ethical principle of being faithful and loyal to the patient and honoring one’s commitments and promises. The nurse is not demonstrating fidelity by giving pain medication or turning the client.

Choice C. Veracity is wrong because veracity is the ethical principle of telling the truth and being honest with the patient. The nurse is not providing any information or education to the client before giving pain medication or turning them.

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Correct Answer is A

Explanation

The correct answer is choice A. Use a communication board to interact with the client.

A communication board is a tool that allows the client to point to words, pictures, or symbols that express their needs, feelings, or pain level.

This is an effective way to communicate with a client who speaks a different language than the nurse and is unable to verbalize their pain.

Choice B is wrong because an assistive personnel who speaks the same language as the client is not a qualified interpreter and may not be able to convey the client’s pain accurately or maintain confidentiality.

Choice C is wrong because the FLACC scale is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain.

It is not appropriate for a client who is 6 hours postoperative and can communicate their pain using a communication board.

Choice D is wrong because the FACES pain scale is a self-report measure of pain intensity developed for children.

It uses facial expressions to rate the severity of pain in children from 0-103.

It is not suitable for a client who speaks a different language than the nurse and may not understand the meaning of the faces.

A. “We won’t allow her spiritual advisor to visit during this time.”. B. “We will receive emotional support during our mother’s illness.”. C. “We won’t discuss the illness in the presence of our mother.”. D. “We will provide resuscitation to our mother if necessary.”.

Correct Answer is B

Explanation

The correct answer is choice B. Palliative care is a type of care that improves the quality of life of patients and their families who are facing problems associated with life-threatening illness.

It prevents and relieves suffering through the early identification, correct assessment and treatment of pain and other problems, whether physical, psychosocial or spiritual.

Palliative care also provides emotional support to the patients and their families during the illness.

Therefore, choice B indicates an understanding of the teaching.

Choice A is wrong because it contradicts the goal of palliative care to address the spiritual needs of the patients and their families.

Spiritual advisors can help patients cope with their illness and find meaning and purpose in their situation.

Choice C is wrong because it denies the patient the opportunity to express their feelings and concerns about their illness.

Palliative care involves open and honest communication between the patients, their families and the health care team.

Discussing the illness can help patients make informed decisions about their care and prepare for the end of life.

Choice D is wrong because it goes against the principle of palliative care to respect the patient’s wishes and preferences regarding their treatment.

Resuscitation is a procedure that attempts to revive someone from apparent death or unconsciousness.

Some patients may not want resuscitation if they have a terminal illness or a poor quality of life.

They may have an advance directive or a living will that states their preferences for end-of-life care.

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A nurse is caring for a client who has a hip fracture and plans to administer pain medication prior to turning the client. Which of the following ethical principles is the nurse implementing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who speaks a different language than the nurse and is 6 hr postoperative. Which of the following actions should the nurse take to determine the client’s level of pain?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A nurse is caring for a client who has a hip fracture and plans to administer pain medication prior to turning the client.
Which of the following ethical principles is the nurse implementing?