A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the following statements by a staff nurse indicate understanding of the teaching? (Select all that apply.)
"Administer pain medication to my clients even if they have a history of narcotic addiction."
"The family of a newly admitted client recently treated me to lunch in the hospital cafeteria"
"I can delegate the removal of an IV catheter to an LPN on the unit"
"Have the assistive personnel double-check packed RBCs when other nurses are busy."
"I will attend continuing education classes for professional growth."
Correct Answer : A,C,E
A. This aligns with the ethical principle of nonmaleficence and beneficence, ensuring all clients receive appropriate care and pain management without bias.
B. Accepting gifts or meals from clients or their families can pose a conflict of interest and compromise professional boundaries. This action violates ethical standards.
C. Delegating tasks based on appropriate scope of practice reflects safe and ethical nursing delegation. LPNs are permitted to remove IVs in most settings.
D. Packed red blood cells (PRBCs) must be verified by two licensed professionals (typically RNs). Having an assistive personnel double-check violates safety protocols and ethical standards.
E. Ongoing learning is part of professional accountability and ethical nursing practice to maintain competence.
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Related Questions
Correct Answer is D
Explanation
A.A registered dietitian can assist with nutrition planning but is not the first priority when a client has feeding difficulties potentially related to swallowing.
B.A respiratory therapist is not indicated based on the client’s current symptoms of weakness and difficulty feeding.
C. A speech-language pathologist evaluates swallowing and communication, which may be important, but the client’s primary issue is self-feeding due to right-sided weakness.
D. An occupational therapist specializes in helping clients regain independence in activities of daily living, including feeding, dressing, and grooming, making this referral the priority for improving functional independence.
Correct Answer is A
Explanation
A. The nurse should address the issue directly and immediately by educating the staff about HIPAA regulations and the importance of maintaining client privacy. This promotes accountability and may prevent future breaches.
B.Discussing the incident with another staff nurse is inappropriate and could further violate confidentiality.
C.Reporting to the state board of nursing is a severe action that may be necessary for repeated or egregious violations but is not the first step for a single incident.
D.Filing a grievance report may be warranted if the behavior continues or is serious, but counseling the staff members directly is the appropriate initial response.
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