A nurse is caring for a client who is desiring their wound care to be provided at 1400.
The nurse returns at 1400 to perform wound care for the client.
Which of the following ethical principles is the nurse demonstrating?
Justice.
Autonomy.
Veracity.
Fidelity.
The Correct Answer is D
Choice A rationale:
Justice is the ethical principle related to fairness and equality in healthcare. It is not applicable in this scenario as it does not address the nurse's action of returning at 1400 for wound care.
Choice B rationale:
Autonomy is the principle that respects a patient's right to make decisions about their own healthcare. While important, this is not the focus of the nurse's action in this scenario.
Choice C rationale:
Veracity refers to truthfulness and honesty in healthcare. The nurse returning at the agreed time of 1400 does not primarily relate to veracity. It is more about keeping a commitment.
Choice D rationale:
Fidelity, or faithfulness, is the ethical principle that the nurse is demonstrating in this scenario. The nurse is keeping their commitment to provide wound care at the agreed time of 1400. This aligns with the principle of fidelity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B"]
Explanation
a. Using medical jargon
- Rationale: Medical jargon can be precise and efficient for communication among healthcare professionals. However, it can be confusing and intimidating for patients or non-medical staff, which is not therapeutic.
b. Active listening
- Rationale: Active listening involves fully focusing, understanding, responding and then remembering what is being said. It is a fundamental component of therapeutic communication as it shows respect and understanding for the speaker, builds trust, and helps to facilitate a deeper understanding of a patient’s perspective and needs.
c. Giving advice
- Rationale: While it might seem helpful to give advice, it can often disempower the patient or make them feel like they are not being heard. Therapeutic communication should be patient-centered and empowering.
d. Using closed-ended questions
- Rationale: Closed-ended questions can be useful for gathering specific information quickly. However, they limit the depth of response and can shut down communication, making them less therapeutic.
The correct answer isb. Active listening. This technique is a key component of therapeutic communication as it encourages a deeper understanding and is respectful and patient-centered. It helps in building a therapeutic nurse-patient relationship.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale:
Hyperlipidemia is a condition characterized by elevated levels of lipids (cholesterol and triglycerides) in the blood. High lipid levels are associated with atherosclerosis and impaired blood flow, which can hinder wound healing. Therefore, having hyperlipidemia places the client at risk for delayed wound healing.
Choice B rationale:
Diabetes mellitus is a chronic condition that can lead to impaired wound healing. High blood sugar levels in diabetes can damage blood vessels and nerves, reducing blood flow to wounds and impairing the body's ability to fight infection. Therefore, diabetes mellitus places the client at risk for delayed wound healing.
Choice C rationale:
The medication history is a crucial factor to consider in wound healing. Prednisolone, a corticosteroid, can suppress the immune system and impair the body's ability to heal wounds. Long-term use of prednisolone, as in this case (20 mg/day for the past 2 years), increases the risk of delayed wound healing. Therefore, the medication history places the client at risk for delayed wound healing.
Choice D rationale:
The cholesterol level, in this context, is less relevant to the immediate risk of delayed wound healing. While high cholesterol levels are a risk factor for atherosclerosis and cardiovascular diseases, they do not have a direct impact on wound healing. The other choices (A, B, and C) are more directly related to delayed wound healing in the context of this surgical patient.
Choice E rationale:
Prealbumin is a protein that reflects a person's nutritional status. A low prealbumin level indicates malnutrition or inadequate protein intake, which can hinder wound healing. Therefore, a low prealbumin level places the client at risk for delayed wound healing. Now, let's move on to the last question.
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