A nurse is resolving a potential ethical dilemma. After determining the ethical dilemma exists, which of the following actions should the nurse take next?
Gather information about the dilemma.
Ensure solutions to the dilemma adhere to facility policy.
Distinguish between facts and opinions about the dilemma.
Agree upon solutions to the dilemma.
The Correct Answer is A
Rationale:
A. Gather information about the dilemma: After identifying that an ethical dilemma exists, the next step is to gather relevant data. This includes clinical facts, the perspectives of all parties involved, and any cultural or legal considerations to fully understand the context.
B. Ensure solutions to the dilemma adhere to facility policy: While adherence to policy is important, it comes later in the decision-making process after the issue is fully assessed and possible solutions are being evaluated.
C. Distinguish between facts and opinions about the dilemma: This step is important in the ethical decision-making process, but it follows information gathering. Sorting facts from opinions requires sufficient data to begin with.
D. Agree upon solutions to the dilemma: Reaching agreement is one of the final steps. It follows data collection, analysis, consideration of ethical principles, and generation of possible solutions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. "Preceptorship offers an opportunity for socialization along with teaching." Preceptorship programs support both clinical skill development and professional socialization. New nurses benefit from guidance, role modeling, and integration into the workplace culture.
B. "A preceptor program often raises the operating costs of a facility." While there may be initial investments in training, preceptorship improves retention and competence, often reducing turnover and long-term costs. Cost increase is not a defining characteristic.
C. "A preceptor will set goals for a newly licensed nurse." Goal-setting in preceptorship is ideally collaborative. The preceptor supports the new nurse in identifying and reaching objectives, not unilaterally assigning them.
D. "Preceptorship will last for a period of 12 months." Preceptorship length varies based on facility policy, specialty, and individual needs, but it typically lasts weeks to a few months not a fixed 12-month duration.
Correct Answer is B
Explanation
Rationale:
A. The client's ventricular heart rate is 100/min: A heart rate of 100/min is the upper limit of normal for sinus rhythm and can be a response to pain or anxiety. It is not specific for myocardial infarction and may occur in various non-cardiac conditions as well.
B. The client's ST segments are 2 mm above the isoelectric line: ST segment elevation of 1 mm or more in at least two contiguous leads is a hallmark sign of acute ST-elevation myocardial infarction (STEMI). It indicates ongoing myocardial injury due to reduced coronary blood flow and requires immediate medical intervention.
C. The client's PR interval on the ECG strip is 0.12 seconds: A PR interval of 0.12 seconds is within the normal range (0.12–0.20 seconds) and does not indicate myocardial infarction. It reflects normal atrioventricular conduction time.
D. The client's QRS duration on the ECG strip is 0.08 seconds: A QRS duration of 0.08 seconds is also within normal limits (≤0.10 seconds). It indicates proper ventricular conduction and is not a diagnostic sign of myocardial infarction.
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