A nurse is assisting with the plan of care for a child whose parents refuse to accept the medical treatment prescribed by the provider. Which of the following actions should the nurse plan to take first to address this ethical dilemma?

Examine personal values.

Agree on a desired outcome.

Create a plan of action.

Collect the relevant facts.

Answer and Explanation

The Correct Answer is D

A.   Examine personal values: Understanding personal biases is important, but this is not the initial step in ethical decision-making.
B.   Agree on a desired outcome: Reaching a consensus is essential but should come after gathering the necessary information.
C.   Create a plan of action: Developing a plan is premature without gathering facts and understanding the situation.
D.   Collect the relevant facts: Gathering all relevant information is the first step to understanding the ethical dilemma and determining an appropriate response.

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Correct Answer is B

Explanation

A. Asking a staff member from another unit to complete the evaluation: Staff from other units may not have direct knowledge of the nurse's work performance.
B. Linking the evaluation to predetermined standards: Using predetermined standards ensures objectivity and consistency in evaluations.
C. Focusing primarily on areas that need improvement: Evaluations should be balanced, recognizing both strengths and areas for improvement.
D. Discussing the evaluation with the nurse manager: The evaluation should first be completed independently before discussing it with a manager if needed.

A. Asking the client about the presence of pain B. Reinforcing teaching about the client's diagnosis C. Establishing the priorities of client care D. Comparing the client's current laboratory values to previous results

Correct Answer is B

Explanation

A. Asking the client about the presence of pain. This is part of the assessment phase, as it involves gathering data.
B. Reinforcing teaching about the client's diagnosis. Teaching is part of the implementation phase, where planned interventions are carried out.
C. Establishing the priorities of client care. This is part of the planning phase, where care priorities are determined.
D. Comparing the client's current laboratory values to previous results. This is part of the evaluation phase, where the nurse assesses progress toward goals.

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A nurse is assisting with the plan of care for a child whose parents refuse to accept the medical treatment prescribed by the provider. Which of the following actions should the nurse plan to take first to address this ethical dilemma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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