A nurse is caring for a client who has an eating disorder. The nurse is practicing which of the following ethical concepts when the client refuses to drink a between meal protein and calorie supplement?
Autonomy
Fidelity
Veracity
Beneficence
The Correct Answer is A
A. Autonomy: Respecting a client’s right to make their own decisions, including the refusal of a protein and calorie supplement, demonstrates the ethical principle of autonomy.
B. Fidelity: Fidelity involves being faithful to commitments and responsibilities, but this scenario focuses on the client’s decision-making rights rather than the nurse’s loyalty.
C. Veracity: Veracity refers to truth-telling, which is not directly related to the client refusing the supplement.
D. Beneficence: Beneficence involves acting in the client’s best interest, but forcing treatment would conflict with respecting autonomy.
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Related Questions
Correct Answer is A
Explanation
A. "Use written communication to supplement verbal instructions and ensure the client understands the information." Written communication supports understanding, especially when hearing impairment may limit verbal communication.
B. "Use gestures and non-verbal cues only, without speaking, as the client is able to read lips effectively." Lip reading alone is insufficient for most hearing-impaired clients. Combining gestures, speech, and written communication is more effective.
C. "Avoid standing in front of the client while speaking." Standing in front of the client is crucial to ensure visibility for lip-reading or interpreting gestures.
D. "Speak loudly and slowly to the client to ensure they can hear you clearly." Speaking too loudly may distort sounds, and slow speech does not always enhance comprehension. Instead, normal tone and clear enunciation are recommended.
Correct Answer is D
Explanation
A. Vital sign measurement: While vital signs may change due to pain, they are not specific indicators of pain intensity and should not be the primary basis for pain management.
B. The nature and invasiveness of the surgical procedure: The type of procedure may influence pain, but it is still essential to rely on the client's self-report for pain management.
C. Visual observation for nonverbal signs of pain: While helpful in some cases, nonverbal signs are not as reliable as the client's own report of pain.
D. The client's self-report of pain severity. The most accurate method to assess pain is through the client's self-report. This allows the nurse to understand the severity and nature of the pain, which helps guide treatment.
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