A patient asks the nurse to promise that nothing bad will happen while the patient is under anesthesia for a surgical procedure
The patient is creating a conflict in which of the nurse's ethical principles? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fidelity
2. Respect for others
3. Paternalism
4. Veracity
5. Autonomy
1,4
Rationale 1: Fidelity means keeping one's promises or commitments. The patient is putting the nurse "in the middle" of a potentially conflicting situation. The nurse cannot promise that nothing bad will happen to the patient under anesthesia.
Rationale 2: Respect for others acknowledges the right of individuals to make decisions and to live by these decisions.
Rationale 3: Paternalism allows one person to make decisions for another.
Rationale 4: Veracity is the concept that one should always tell the truth. The nurse cannot truthfully make the statement that nothing "bad" will happen to the patient.
Rationale 5: Autonomy addresses personal freedom and the right of an individual to choose what will happen to herself. The nurse's personal autonomy is not at risk in this situation as the nurse is expected to provide safe and effective care.
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