Answer to Question 1
Answer: 3
Rationale: Paternalism is the complete disregard for the client's right to understand the treatment options available and make the best choice based on the client's preferences. Therefore, the statement describing the completed tests and blood work most closely indicates paternalism, as it has no indication of client involvement in the decision. Considering options indicates the availability of client involvement in treatment options, preparing for surgery does not indicate either paternalism or autonomy, and encouraging questions is also indicative of client involvement in autonomy.
Answer to Question 2
Answer: 2
Rationale: Nonmaleficence is the ethical principle requiring avoidance of harm to others. The nurse cannot do any action bringing harm or risk of harm to the client, regardless of how the client perceives the action. Beneficence is the principle requiring the nurse's actions for the client to bring about positive outcomes for the health and/or well-being of that client. Justice is not the best choice, since this ethical principle helps determines the fairness of a nurse's actions for each client. The principle of autonomy is applicable in this situation from the client's perspective, as the client should have free choice over health care decisions. However, for the nurse, the principle of nonmaleficence is more applicable.
The nurse is using Standard Precautions to draw blood.
Hubba Hubba Nurse Smiley
Nurse collaboration
Example of a patient statement.
Nurse using a stethoscope
The nurse begins the general survey