In a team meeting, a nurse says, "I'm concerned whether we are behaving ethically by using restraint to prevent one patient from self-mutilation while the care plan for another patient who has also self-mutilated calls for one-on-one supervision." Which ethical principle most clearly applies to this situation?
Fidelity
Beneficence
Autonomy
Justice
The Correct Answer is D
A. Fidelity pertains to faithfulness, loyalty, and keeping promises, which may not directly address the fairness of resource allocation or treatment.
B. Beneficence refers to doing good and promoting the patient's well-being. While it's relevant to patient care, it might not specifically address the fair distribution of resources or actions among different patients.
C. Autonomy emphasizes a patient's right to make decisions about their care and treatment, which doesn't directly address the fairness or justice in the scenario described.
D. Justice concerns the fair and equitable distribution of resources, treatment, and decisions among individuals. In this case, it's about ensuring fairness in the application of care plans and resources for patients who self-mutilate.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While impulsive actions can contribute to suicide, it doesn't specifically relate to monitoring during antidepressant therapy.
B. Monitoring is crucial because as depressive symptoms improve, the energy levels may increase before mood stabilizes, potentially increasing the risk of acting on suicidal thoughts.
C. While true, this statement doesn't specifically address the need for monitoring during antidepressant therapy.
D. This statement highlights a potential issue for suicidal patients but doesn't directly relate to the need for monitoring during antidepressant therapy.
Correct Answer is C
Explanation
A. Verbally reporting to the psychiatrist might be appropriate but doesn’t directly address ensuring the safety of the potential victim.
B. Waiting for a court order might delay necessary action and put the potential victim at risk.
C. Ensuring the potential victim is warned is a crucial step to protect them from potential harm.
D. While confidentiality is important, the duty to protect potential victims supersedes confidentiality in cases of potential harm or danger.
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