A charge nurse on the medical-surgical unit is making an assignment for a float nurse from the labor and delivery unit. Which of the following clients should the charge nurse assign to the nurse?

Rationale:
A. Meeting with a committee of nurses from each shift to discuss the conflict is an important step in resolving the issue, but it should not be the first action. Without a clear understanding of the underlying causes, the meeting may not effectively address the conflict.

B. Gathering information regarding the situation is the first step the nurse manager should take. This involves assessing the perspectives of all parties, identifying the source and severity of the conflict, and collecting objective facts. This step aligns with the nursing process and effective conflict management, as it ensures that any interventions are informed and appropriate.

C. Acknowledging the conflict and encouraging teamwork is a supportive approach, but it does not address the root causes. Without gathering information first, this action may be premature and ineffective in resolving the conflict.

D. Encouraging nurses to resolve the conflict autonomously may be suitable for minor disagreements, but in this case, a conflict between day and night shift staff likely affects unit function and patient care. The nurse manager must first assess the situation before deciding on the appropriate level of intervention.

Rationale:
A. Refusing to participate in an elective abortion is an example of exercising conscientious objection, which is ethically and legally permitted, provided the nurse ensures the client’s care is not compromised and appropriate staff take over. This behavior does not indicate a need for further education.

B. Administering opioids to a terminally ill client is ethically appropriate under the principle of double effect, where the primary intent is pain relief, not hastening death. This is standard palliative care practice and does not indicate a need for further education.

C. Explaining that a DNR order does not include withholding comfort measures demonstrates correct ethical understanding. Comfort measures, such as pain relief and emotional support, are always provided, regardless of resuscitation status. This behavior is correct.

D. Informing a confused client that he must stay at the facility until he is better violates the ethical principle of autonomy. Even if the client lacks full decision-making capacity, coercion or providing false information is unethical. This behavior indicates a need for further education on respecting client rights, informed consent, and ethical care practices.