A parish nurse helps an older woman in the congregation who is taking multiple medications develop a system whereby the woman can more easily remember to take the right medications at the right time

Which is the primary ethical principle observed by the nurse in this situation?
A) Autonomy
B) Confidentiality
C) Beneficence
D) Nonmaleficence


Ans: A
Feedback:
The parish nurse works to empower members of the congregation to take charge of their health, such as by helping an older woman develop a system to help her remember to take the right medications at the right time. This can enhance their autonomy. One area in which parish nurses can commit an ethical breach comes up often in the family context of a congregation; this area is the need to protect confidentiality. The faith community nurse is also to be guided by beneficence, the act of doing good. This is an even more stringent requirement than nonmaleficence, the need to do no harm.

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