A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?
Utility
Non-maleficence
Paternalism
Justice
The Correct Answer is B
Answer: B. Non-maleficence
Rationale:
A. Utility:
The principle of utility refers to actions that maximize the overall good or benefit for the greatest number of people. In this scenario, the nurse’s refusal to share the surgeon's medical diagnosis does not directly relate to maximizing benefits, so this principle is not applicable.
B. Non-maleficence:
Non-maleficence is the ethical principle that involves the obligation to avoid causing harm to others. By not disclosing the surgeon's medical diagnosis, the nurse is protecting the surgeon's privacy and confidentiality, thereby preventing potential harm that could arise from sharing sensitive health information without consent.
C. Paternalism:
Paternalism refers to making decisions for others with the belief that it is in their best interest, often overriding their autonomy. The nurse's action of withholding information is not based on deciding what is best for the other nurse but rather on adhering to confidentiality principles.
D. Justice:
Justice in healthcare refers to fairness in the distribution of resources and treatment. The situation does not pertain to equitable treatment or allocation of resources, so this principle is not relevant in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. BP (Blood Pressure): While monitoring blood pressure is important in assessing fluid status, a decrease in blood pressure may indicate inadequate fluid resuscitation rather than adequate replacement. Hypotension may suggest ongoing hypovolemia and the need for further fluid administration.
B. Weight: Weight may provide information about fluid balance over time, but it is not an immediate indicator of adequate fluid replacement during resuscitation. Changes in weight may lag behind changes in fluid status and may not reflect real-time fluid needs.
C. Heart rate: During fluid resuscitation for severe burn injuries, one of the primary goals is to restore intravascular volume and cardiac output. As fluid replacement improves, the heart rate typically decreases, reflecting improved perfusion and reduced sympathetic response.
D. Urine output: Urine output is another critical parameter to monitor during fluid resuscitation, but a decrease in urine output could indicate inadequate fluid replacement rather than adequate replacement.
Correct Answer is A, C, B, D, E
Explanation
A. Open the airway using a jaw-thrust maneuver: The first step in a primary survey is to assess the airway and ensure it is open. The jaw-thrust maneuver is used to open the airway without moving the neck in case of a potential cervical spine injury.
C. Determine effectiveness of ventilator efforts: Once the airway is open, the next step is to assess breathing. This includes observing for chest rise and fall, listening for breath sounds, and feeling for air movement.
B. Establish IV access: After the airway and breathing have been assessed, circulation is the next priority. This includes establishing IV access for fluid and medication administration.
D. Perform a Glasgow Coma Scale assessment: The Glasgow Coma Scale is used to assess the client’s level of consciousness, which is part of the disability assessment in the primary survey.
E. Remove clothing for a thorough assessment: Finally, removing the client’s clothing allows for a thorough assessment of injuries. This is typically done after the immediate life-threatening issues have been addressed.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.