A nurse is teaching a class on ethical principles. The nurse should include that protecting a client's safety by not causing harm refers to which of the following ethical principles?
Nonmaleficence
Beneficence
Fidelity
Justice
The Correct Answer is B
A. This ethical principle directly addresses the idea of doing no harm. It is a fundamental obligation of healthcare professionals to protect patients from injury.
B. While related to doing good, beneficence focuses on actively promoting the well-being of patients. While important, it doesn't specifically address the concept of avoiding harm.
C. Fidelity refers to faithfulness and keeping promises. It is important in building trust but doesn't directly address the prevention of harm.
D. Justice is about fairness and equality in healthcare. While important, it doesn't specifically address the prevention of harm to an individual patient.
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Correct Answer is B
Explanation
A. Advocacy involves protecting the client's rights and interests. While the nurse is acting in the client's best interest by assessing and reporting the error, the primary action here is taking responsibility.
B. Accountability is taking responsibility for one's actions and their consequences. By admitting the medication error, assessing the client, notifying the provider, and completing an incident report, the nurse is demonstrating accountability for their actions.
C. Confidence is believing in one's abilities. While confidence is important in nursing, it is not the primary characteristic displayed in this scenario.
D. Fairness involves treating everyone equally. This is not directly related to the nurse's actions in this case.
Correct Answer is C
Explanation
A. While placing the client in a room within view of the nurses' station might allow for closer monitoring, it does not address the specific infection control requirements needed for a patient with active TB. TB is an airborne pathogen, so simply placing the room near the nurses' station does not prevent the spread of TB germs to other patients or staff.
B. This option is not specifically appropriate for TB unless the client requires intensive monitoring or care that cannot be provided on a general medical-surgical unit. The ICU is not designed specifically for airborne isolation and does not offer the specialized ventilation required for managing TB patients.
C. For a patient with active TB, the room should have specialized ventilation to prevent the spread of airborne pathogens. A room with air exhaust directly to the outdoor environment is ideal for TB patients as it ensures that the airborne particles are effectively removed from the healthcare environment, minimizing the risk of transmission to others.
D. Tuberculosis is an airborne infection, so placing a TB patient in a room with another client, regardless of whether they are nonsurgical, poses a risk of transmission. TB requires a single-patient room with proper ventilation to prevent the spread of the disease to other patients and staff.
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