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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Report the incident to the charge nurse: Reporting is important but not the immediate priority to address the privacy breach.
B. Log the previous user out of the system: Securing the information immediately prevents further unauthorized access, making this the priority action.
C. Offer to conduct a unit in-service on client confidentiality: Education is beneficial but is not the immediate priority.
D. Complete an incident report: Documentation is essential but should occur after the situation is resolved.
Correct Answer is D
Explanation
A. Cover the site with a stockinette dressing: This action may help secure the IV site but does not immediately address the safety concern.
B. Administer a sedative: Administering sedatives is not the first-line intervention and requires a provider's order.
C. Apply a soft mitten restraint: Restraints should be the last resort after implementing less restrictive measures. Closer observation and attempts to redirect the client are less restrictive and should be tried first.
D. Place the client close to the nurses' station: Proximity allows for frequent monitoring, preventing further self-harm.
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