A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?

Keeping an appointment with a client

Allowing a new mother to hold her stillborn infant

Confirming that a client going for surgery has signed a consent form

Refusing to disclose information about a client to the media

Answer and Explanation

The Correct Answer is A

Rationale:

A. Keeping an appointment with a client demonstrates fidelity by honoring commitments and ensuring reliability in care.

B. Allowing a new mother to hold her stillborn infant is compassionate care but relates more to the ethical principle of beneficence.

C. Confirming that a client going for surgery has signed a consent form is related to the principle of autonomy and informed consent.

D. Refusing to disclose information about a client to the media is related to confidentiality, not fidelity.

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Correct Answer is C

Explanation

Rationale:

A. Reporting the observation to the nurse caring for that client is important but not the immediate priority.

B. Informing the nursing supervisor is necessary but should be done after assessing the situation directly.

C. Approaching the man and asking why he is making copies is the most immediate and direct action. It allows the nurse to assess the situation and determine if the man has legitimate access to the client's medical record or if further action is needed.

D. Notifying hospital security may be necessary if the man’s actions are unauthorized, but the first step is to gather more information.

A. Assigning the most competent RN to perform a central line dressing change B. Assigning the most efficient AP to perform glucometer monitoring for each client C. Assigning two assistive personnel (AP) to ambulate all clients D. Assigning a new graduate nurse to perform a wet-to-dry dressing change

Correct Answer is D

Explanation

Rationale:

A. Assigning an RN to perform a central line dressing change is appropriate as it requires specialized skills and knowledge.

B. Assigning an AP to perform glucometer monitoring is within their scope of practice and is a suitable task.

C. Assigning two APs to ambulate clients is reasonable if the workload requires it.

D. Assigning a new graduate nurse to perform a wet-to-dry dressing change may be inappropriate if it requires more experience and skill than the new graduate has.

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A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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