A nurse has agreed to act as a preceptor for a newly licensed nurse.
Which of the following statements by the precepting nurse demonstrates an understanding of her role?
I will orient the new nurse to our nursing unit.
I will confront the new nurse if I identify deficiencies in nursing skills.
I will invite the new nurse to attend the next state nursing organization meeting with me.
I will report all of the new nurse's mistakes to the nurse manager.
The Correct Answer is A
Choice A rationale
Orienting a new nurse to the nursing unit involves familiarizing them with the physical layout, equipment, common workflows, and specific patient population. This initial exposure is crucial for building foundational competence and reducing anxiety. A preceptor's role is to facilitate this integration, ensuring the new nurse can safely and effectively navigate the clinical environment and understand unit-specific protocols.
Choice B rationale
Confronting a new nurse about deficiencies can create a defensive environment, hindering learning and open communication. A preceptor's role is to provide constructive feedback, identify areas for improvement through observation, and then offer guidance and opportunities for skill development in a supportive manner. This approach fosters growth rather than punitive action.
Choice C rationale
While encouraging participation in professional organizations like state nursing associations is beneficial for professional development and networking, it is not the primary or immediate responsibility of a preceptor. The core role centers on clinical skill development, unit orientation, and direct patient care competencies within the specific practice setting.
Choice D rationale
Immediately reporting all mistakes to the nurse manager undermines the preceptor's role as a supportive educator. A preceptor should identify mistakes as learning opportunities, provide immediate feedback, guide corrective actions, and document progress. Only persistent, significant, or safety-critical issues warrant escalation to the nurse manager, after attempts at remediation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The American Nurses Association's Code of Ethics for Nurses with Interpretive Statements serves as a foundational document that articulates the ethical obligations and duties of every individual who enters the nursing profession. It delineates the profession's non-negotiable ethical standards and expresses nursing's commitment to society, guiding professional conduct and decision-making.
Choice B rationale
While nursing knowledge and regulation are important aspects of the profession, the primary objective of the Code of Ethics is not to inform stakeholders about the knowledge base or regulatory procedures. These aspects are typically addressed by other professional documents, such as scope and standards of practice or state nurse practice acts, which define the legal parameters.
Choice C rationale
The Code of Ethics does not limit nursing to a single focus of practice. Instead, it provides a broad ethical framework applicable across all nursing specialties and settings, acknowledging the diverse roles and responsibilities within the profession. It ensures ethical consistency while allowing for varied applications of nursing expertise.
Choice D rationale
While breaches of the Code of Ethics can lead to disciplinary actions, its primary purpose is not to serve as a legal framework for such actions. Rather, it is a moral and ethical guide. Legal frameworks for disciplinary actions are typically established by state boards of nursing through nurse practice acts, which have legal authority.
Correct Answer is C
Explanation
Choice A rationale
Paternalism in healthcare involves a professional making decisions for a patient without their full consent, often justified by the belief that it is for the patient's own good. This approach can override patient autonomy and self-determination, potentially leading to ethical conflicts regarding individual rights and the role of the healthcare provider in decision-making processes, contrasting with upholding directives.
Choice B rationale
Altruism describes a selfless concern for the well-being of others, often involving personal sacrifice. While nurses generally act altruistically, this principle specifically refers to the motivation behind an action, not the adherence to a legal or ethical directive regarding patient care, which falls under different ethical frameworks focusing on patient rights.
Choice C rationale
Autonomy is the ethical principle recognizing an individual's right to self-determination and independent decision-making regarding their own healthcare. By upholding the client's advance directive, the nurse is respecting the client's previously expressed wishes, even when the client is currently unable to communicate them, thereby honoring their right to choose.
Choice D rationale
Beneficence is the ethical principle that obligates healthcare providers to act in the best interest of their patients, doing good and promoting well-being. While providing artificial nutrition could be seen as beneficial, the specific act of upholding a pre-existing directive directly relates to respecting the patient's autonomous wishes rather than simply acting beneficially.
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