A nurse is assisting in the preparation of an in-service for a group of unit nurses about ethical principles. Which of the following nursing actions should the nurse include as an example of fidelity?

A. A nurse shares her time fairly among clients: This action demonstrates justice, which involves treating clients equitably and distributing resources or time fairly. While important ethically, it does not exemplify fidelity, which focuses on faithfulness and keeping commitments. B. A nurse tells a client the truth: Telling the truth reflects the ethical principle of veracity, emphasizing honesty and transparency in communication. It is distinct from fidelity, which centers on maintaining trust through promises and commitments. C. A nurse allows a client to make her own choices: Supporting client autonomy involves respecting the client’s right to make informed decisions about their care. While ethically essential, autonomy differs from fidelity because it is about decision-making rights rather than keeping commitments or promises. D. A nurse keeps a promise made to a client: Fidelity is the principle of being faithful to commitments, maintaining trust, and keeping promises. When a nurse follows through on a commitment to a client, it demonstrates reliability and loyalty, reinforcing the therapeutic nurse–client relationship.