A 45-year-old patient is part of a research study dealing with management of migraine headaches. The patient does not know whether she is receiving a placebo for pain management. Which ethical principle is involved in this situation?
A) Sanctity of life
B) Confidentiality
C) Veracity
D) Fidelity
Ans: C
Feedback: Telling the truth (veracity) is one of the basic principles of our culture. Three ethical dilemmas in clinical practice that can directly conflict with this principle are the use of placebos (nonactive substances used to for treatment), not revealing a diagnosis to a patient, and revealing a diagnosis to persons other than the patient with the diagnosis. All involve the issue of trust, which is an essential element in the nurse–patient relationship. Sanctity of life is the perspective that life is the highest good. Confidentiality deals with privacy of the patient. Fidelity is promise keeping and the duty to be faithful to one's commitments.
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