A nurse working in a labor and birth unit is asked to take care ...

[neverstopbelieb]

A nurse working in a labor and birth unit is asked to take care of two high-risk clients in the labor and birth suite: a 34 weeks' gestation 28-year-old gravida 3, para 2 in preterm labor and a 40-year-old gravida 1, para 0 who is severely preeclamptic.
 
  The nurse refuses this assignment telling the charge nurse that based on individual client acuity, each client should have one-on-one care. Which ethical principle is the nurse advocating?
 
  a. Accountability
  b. Beneficence
  c. Justice
  d. Fidelity

Question 2

A charge nurse is working on a postpartum unit and discovers that one of the clients did not receive AM care during her shift assessment. The charge nurse questions the nurse assigned to provide care and finds out that the nurse thought that
 
  the client should just do it by herself because she will have to do this at home. On further questioning of the nurse, it is determined that the rest of her assigned clients were provided AM care. The assigned nurse has violated which ethical principle?
 
  a. Justice
  b. Truth
  c. Confidentiality
  d. Autonomy

[abctaiwan]

Answer to Question 1

ANS: B
In this situation, the clients are each exhibiting significant high-risk conditions and should receive individual nursing care. The nurse is advocating the principle of beneficence in that she is trying to do the greatest good or the least harm to improve client outcomes. The other ethical principles do not apply in this situation.

Answer to Question 2

ANS: A
The ethical principle of justice indicates that all clients should be treated equally and fairly. In this case, the charge nurse ascertained that the AM care was not equally applied to all the nurse's assigned clients. The other ethical principles do not apply to this situation.