A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster.
Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
"A nurse can recommend clients who are stable for discharge during a disaster."
"A unit nurse has the authority to prescribe emergency medications during a disaster."
"A nurse should communicate with the performance improvement committee during a disaster to improve client outcomes."
"A unit nurse can provide information to the media during a disaster."
The Correct Answer is A
A. "A nurse can recommend clients who are stable for discharge during a disaster." - This statement demonstrates an understanding of the role of nurses during a disaster. Nurses may need to prioritize patients for discharge to free up resources for those in critical need.
B. "A unit nurse has the authority to prescribe emergency medications during a disaster." - Nurses do not have the authority to prescribe medications outside of their scope of practice or without proper authorization, even during a disaster.
C. "A nurse should communicate with the performance improvement committee during a disaster to improve client outcomes." - While communication with relevant committees may be
important, it is not a primary role of nurses during a disaster.
D. "A unit nurse can provide information to the media during a disaster." - Providing information to the media should be coordinated through designated spokespersons or public relations personnel, not individual nurses, to ensure accurate and appropriate messaging.
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Related Questions
Correct Answer is D
Explanation
A. The client needs to have someone come in to help her bathe at home: While assistance with activities of daily living may be necessary, it does not specifically warrant a referral to a social worker.
B. The client needs to have someone bring oxygen tanks and equipment to her home: This indicates a need for home oxygen therapy but does not directly involve social work services.
C. The client needs to have range-of-motion exercises to assist with ambulation: Rehabilitation needs can be addressed by physical or occupational therapy, not necessarily by a social worker.
D. The client needs to arrange financial resources to purchase equipment: This assessment data suggests potential financial concerns related to purchasing equipment, which may require assistance from a social worker in accessing resources or financial assistance programs.
Correct Answer is C
Explanation
A. Nonmaleficence: This principle emphasizes the obligation to avoid causing harm. While the absence of a gait belt could have contributed to the client's fall, the primary ethical concern in this scenario is related to truthfulness and honesty in documentation rather than solely avoiding harm.
B. Fidelity: Fidelity refers to the obligation to fulfill commitments and obligations. While accurate documentation is part of professional integrity, the primary ethical issue in this scenario is related to honesty and accuracy in reporting rather than fidelity to commitments.
C. Veracity: This is the correct answer. Veracity refers to truthfulness and honesty. The charge nurse should ensure that incident reports accurately reflect the circumstances surrounding a client's fall, including the absence of a gait belt, to maintain ethical standards and promote patient safety.
D. Beneficence: Beneficence involves acting in the best interest of the patient and promoting their well-being. While the absence of a gait belt may have compromised the client's safety, the primary ethical issue in this scenario is related to truthfulness in reporting rather than directly promoting the client's well-being.
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