A case manager is reviewing a client's electronic medical record. Click to highlight the findings from the client's medical record that correspond with the specified ethical principle. To deselect a finding. click on the finding again. Ethical principle Findings Autonomy Informed consent obtained by provider and verified by nurse. Provider prescriptions for a mammogram and ultrasound of the breasts. Client reassured that medical records remain confidential. Fidelity Client reassured that staff will treat all clients equally. Client provided with additional information about recovery as promised at last visit. Client states, "I have a bad feeling about this, tell me the truth even if it's bad news." Nonmaleficence Documentation of living will and durable power of attorney on client's chart. Evidence-based standards of postoperative care reviewed with nursing staff prior to procedure. Client provided resources for support groups for clients who have diagnosis of cancer.

Rationale Autonomy Informed consent obtained by provider and verified by nurse: Supports the client’s right to make informed decisions about their own care. Fidelity Client provided with additional information about recovery as promised at last visit: Demonstrates keeping commitments and being faithful to what was promised to the client. Nonmaleficence Evidence-based standards of postoperative care reviewed with nursing staff prior to procedure: Reflects the obligation to do no harm by providing safe, evidence-based care to prevent complications. Findings not selected Provider prescriptions for a mammogram and ultrasound of the breasts: Reflects medical decision-making, not autonomy. Client reassured that medical records remain confidential: Corresponds more closely with confidentiality, not autonomy. Client reassured that staff will treat all clients equally: Reflects justice, not fidelity. Client states, “I have a bad feeling about this, tell me the truth even if it’s bad news.”: Expresses a desire for truth-telling but does not itself demonstrate fidelity. Documentation of living will and durable power of attorney on client’s chart: Relates to advance directives, not nonmaleficence. Client provided resources for support groups for clients who have diagnosis of cancer: Reflects beneficence, not nonmaleficence.