What actions by a nurse identify an understanding of the nursing responsibility to treat the patient with consideration to the ethical component of beneficence? Select all that apply
a. Frequently self-reflecting on whether the nursing interventions are actually help-ing the patient
b. Evaluating whether the intervention is causing the patient unacceptable levels of anxiety or pain
c. Recognizing that the moral rule of primum non nocere does not apply to the mentally ill patient
d. Being willing to influence the patient in making decisions concerning the need for unpleasant treatments
e. Consistently setting boundaries to effectively deflect a patient's inappropriate sexually-oriented behaviors
ANS: A, B, E
Individuals who work in the health care field have a special duty and responsibility to act in a manner that is going to benefit rather than harm patients. The term beneficence refers to bringing about good. Self-reflection concerning interventions and frequent evaluation of the effects of treatment on the patient is critical to beneficent care. Maintaining a therapeutic en-vironment by providing an appropriate nurse-patient relationship is a vital component to ful-filling the obligation to act in a beneficent manner. The moral rule of primum non nocere ("first do no harm") is vital in clinical interventions with persons with mental illnesses. The nurse should not influence patient decisions but rather provide information to support an ed-ucated decision whenever possible.
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