Author Question: A student nurse accidentally left the call light outside the reach of an elderly client. Luckily ... (Read 14 times)

soccerdreamer_17 · **on:** Jul 23, 2018

A student nurse accidentally left the call light outside the reach of an elderly client. Luckily another nurse found the situation and was able to rectify the matter before something happened. The student responded, I know better.

I should've double checked where the light was before I left the room. This student is demonstrating which of the following?
1. Justice
2. Fidelity
3. Responsibility
4. Accountability

Question 2

A toddler who has just been admitted to the pediatric unit is crying and scared. No treatment has been initiated at this point. The nurse needs to start an IV and the parent asks, Will this be painful to my child?

In practicing veracity, the nurse responds:
1. I won't lie to you. It may be easier for you if you step out until we get the line in.
2. We'll take every care not to hurt your child.
3. It shouldn't be too bad and I'll be quick.
4. We do this all the time, so don't worry.

efwsefaw · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Justice is being fair. That it not the value exhibited by the student nurse.
Rationale 2: Fidelity means to be faithful to agreements and promises. That it not the value exhibited by the student nurse.
Rationale 3: Responsibility refers to the liability associated with the performance of duties of a particular role. The student had the responsibility to provide safe care to the client (i.e., make sure the call light was within reach) but did not follow through with it. That it not the value exhibited by the student nurse.
Rationale 4: Accountability means answering to oneself and others for one's own actions. By admitting that he or she knew better and should have double checked the situation, the student shows accountability.

Answer to Question 2

Correct Answer: 1
Rationale 1: Veracity refers to telling the truth. Even though telling the truth may frighten the parent, starting an IV on a frightened, scared, ill child is a difficult task. Because of the developmental stage, any explanation given by the nurse won't be understood. Being honest to the parent will help the nurse gain trust and will outweigh any benefits that may be gained by downplaying the situation.
Rationale 2: Saying that the nurse will everything possible not to hurt the child will not negate the fact that it will hurt. A needle going into a vein is not a comfortable procedure.
Rationale 3: Saying that the nurse will preform the task quickly is not a sufficient answer to the parent. A needle going into a vein is not a comfortable procedure. The nurse really doesn't know how bad it will hurt the child.
Rationale 4: Telling the parent not to worry is pointless.