Which factors may contribute to hypertension? (Select All that Apply.)

A) Justice:
The principle of justice refers to the fair and equitable distribution of resources and the fair treatment of individuals. While it is an important ethical principle in healthcare, it does not specifically address the concept of avoiding harm to the client.

B) Fidelity:
Fidelity, also known as loyalty or faithfulness, relates to the obligation of healthcare professionals to be faithful to the commitments and promises they make to their clients. While fidelity is important for building trust and maintaining professional relationships, it does not directly address the concept of avoiding harm.

C) Non-maleficence:
Non-maleficence is the ethical principle that refers to the duty to do no harm. It emphasizes the obligation to protect clients from harm by ensuring that no unnecessary or unjustified harm is inflicted. In the context of healthcare, non-maleficence guides healthcare professionals to prioritize the safety and well-being of their clients, avoiding actions or interventions that may cause harm. This is the correct choice.

D) Beneficence:
Beneficence is the ethical principle that emphasizes the duty to do good and promote the well-being of others. While it is related to the concept of providing positive benefits to clients, it does not specifically focus on the avoidance of harm.

A. Arrange referral for family therapy to deal with home stressors:

While family therapy may be beneficial in addressing underlying issues, suspected abuse must be reported promptly to protect the client's safety. Referral for family therapy can be considered as part of a comprehensive intervention plan but should not delay reporting of suspected abuse.

B. Follow the agency's guidelines for reporting suspected abuse:

Reporting suspected abuse is the first priority when there are concerns about a client's safety. Following the agency's guidelines ensures that the appropriate authorities are notified and that the client receives the necessary protection and support.

C. Check the bruises at the next visit to the client's home:

Delaying action and waiting until the next visit to check the bruises could put the client at further risk of harm. Suspected abuse requires immediate attention, and the nurse should follow established protocols for reporting and intervening in such situations.

D. Institute more frequent visits to the client's home:

While more frequent visits may allow for closer monitoring of the client's condition, suspected abuse should be addressed immediately through appropriate reporting channels. Increasing visit frequency alone may not adequately address the safety concerns and may delay necessary intervention.