A nurse is caring for a client who has a terminal illness and states that they wish to discontinue their enteral feedings. The nurse responds by saying "You have a right to refuse treatment." This response by the nurse demonstrates which of the following ethical principles?
Beneficence
Fidelity
Autonomy
Justice
The Correct Answer is C
A. Beneficence:
Beneficence is the ethical principle of doing good or promoting the well-being of the patient. In this scenario, the nurse is respecting the client's autonomy rather than actively promoting a specific course of action.
B. Fidelity:
Fidelity refers to the principle of being faithful or keeping promises. While being truthful and honest with the client is important, the nurse's response is primarily addressing the client's autonomy.
C. Autonomy:
This is the correct answer. Autonomy is the ethical principle that emphasizes the individual's right to make decisions about their own care, including the right to refuse treatment. The nurse's response acknowledges and respects the client's autonomy in deciding to discontinue enteral feedings.
D. Justice:
Justice pertains to fairness and equitable distribution of resources. It is not the primary ethical principle being demonstrated in this scenario, as the focus is on the individual's right to make a decision about their own care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A.While it is important to have nonperishable food items, they should generally be checked and rotated every 6 months to a year to ensure they remain within expiration dates and to maintain freshness. Depending on storage conditions, some items may degrade sooner, so this timeframe may be insufficient.
B.In a disaster situation, access to pharmacies may be limited, so having a backup supply of essential nonprescription medications like pain relievers, antacids, and allergy medications is essential. This ensures that individuals have what they need to manage minor health issues without needing immediate access to stores.
C.Current recommendations typically advise having enough supplies for at least 3 days (72 hours) to a week, as this is generally the period required before external help may arrive during a disaster. While gathering supplies for two weeks can be helpful, it may not be feasible for everyone due to storage limitations.
D.The recommended amount of water for emergency situations is 1 gallon (approximately 3.8 liters) per person per day, which accounts for drinking and basic hygiene needs. Two liters would not be sufficient for most people’s daily water needs during an emergency.
Correct Answer is C
Explanation
A. Changing the dressing is an action that comes after assessing and selecting the appropriate dressing. Before changing the dressing, the nurse needs to gather information and make decisions about the most suitable type of dressing based on the characteristics of the wound.
B. Selecting the appropriate dressing is an essential step, but before doing so, the nurse should review available dressing types to make an informed decision about which dressing will best meet the needs of the wound. This involves considering factors such as the wound's characteristics, exudate level, and the overall condition of the client.
C. Reviewing available dressing types is the first step because it allows the nurse to assess the wound, gather information about the client's condition, and make an informed decision about the most appropriate dressing. This step ensures that the chosen dressing aligns with the wound's characteristics and promotes optimal healing.
D. Documenting the dressing change is an important step in the process, but it typically occurs after the dressing change has been completed. Documentation is crucial for tracking the client's progress, ensuring continuity of care, and providing a record for other healthcare team members.
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