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1. 1.ID: 22114995478
A client with leukemia is being considered for a bone marrow transplant. The healthcare
team is discussing the risks and benefits of this treatment and other possible
treatments with the goal of inflicting the least possible harm on the client. Which
principle of healthcare ethics is the team practicing?
A. Justice
B. Fidelity
C. Autonomy
D. Nonmaleficence Correct
Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember that in
healthcare ethics, ethical practice involves not only the will to do good but also the
equal commitment to do no harm. Healthcare professionals try to balance the risks and
benefits of a plan of care while striving to do the least possible harm. Justice refers to
fairness and equity and ensuring fair allocation of resources, such as nursing care for all
clients. Fidelity is the keeping of promises made to clients, families, and other
healthcare professionals. Autonomy refers to a person’s independence and represents
an agreement to respect another’s right to determine his or her course of action.
Test-Taking Strategy: Focus on the subject - the ethical principle being utilized.
Recall the definition of each item in the options. Note the relationship of the strategic
words “least possible harm“ in the question and the definition of nonmaleficence.
Review: Nonmaleficience
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Ethical/Legal
Giddens Concepts: Celluar Regulation, Ethics
HESI Concepts: Advocacy/Ethical/Legal Issues, Cellular Regulation
Awarded 96.0 points out of 96.0 possible points.
2. 2.ID: 22114995475
Which action by the nurse represents the ethical principle of beneficence?
A. The nurse upholds a client’s decision to refuse chemotherapy for lung
cancer.
B. The nurse follows a plan of care designed to relieve pain in a client with
cancer.
C. The nurse administers an immunization to a child even though it may
cause discomfort. Correct
D. The nurse provides equal amounts of care to all assigned clients on the
basis of illness acuity.
Rationale: Beneficence is taking action to help others. Although administration of a
child’s immunization might cause discomfort, the benefits of protection from disease
outweigh the temporary discomfort. Fidelity is keeping promises made to clients,
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