Which ethical principle is demonstrated by keeping promises to a client?

• A. Autonomy
• B. Beneficence
• C. Fidelity
• D. Justice

Answer: (C)

Keeping promises to a client reflects fidelity, the commitment to be trustworthy and reliable in professional relationships. Fidelity means staying true to your word, honoring commitments, and following through on what you say you will do. When a clinician promises to call with results, to arrange a referral, or to maintain confidentiality, upholding those promises builds trust and a sense of safety for the client. That trust is essential for effective care and leadership, because patients are more likely to engage, adhere to plans, and share important information if they believe the provider will keep their word.

Autonomy centers on respecting a client’s right to make informed choices, and while fidelity supports that by creating a trustworthy environment, it is not the same as the patient’s decision-making control. Beneficence focuses on acting in the patient’s best interest and promoting well-being, which is a broad goal that fidelity can support but is not the act of keeping promises itself. Justice concerns fairness and equitable treatment, ensuring resources and care are distributed fairly. The act of keeping promises specifically embodies the obligation to remain faithful and reliable in the professional relationship.