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 D
Explanation
A. This alone might not be a sufficient reason for involuntary commitment. The key factor for extended hospitalization is a threat to safety.
B. Moving out of the state might not justify extended hospitalization if there's no indication of imminent danger.
C. Personal dislike, without posing an immediate danger, might not be sufficient for extended hospitalization.
D. If the client continues to pose a risk of harm to herself or others, involuntary hospitalization beyond the initial hold might be warranted.
Correct Answer is B
Explanation
A. Using a threat about meals isn't a therapeutic approach to encourage participation and may further distress the client.
B. This response offers assistance while encouraging participation, respecting the client's autonomy by suggesting a balance between activity and rest.
C. Using a direct order may escalate resistance and isn't likely to be helpful.
D. This response doesn't encourage participation and may perpetuate the client's withdrawal.
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