A nurse manager is working with a team to resolve an ethical dilemma. Which of the following steps should the team take to make an informed decision? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

List actions to take based on a list of alternatives.

Decide to select one alternative.

Communicate the justification for the decision.

Identify and state the nature of the ethical dilemma.

Answer and Explanation

The Correct Answer is D,A,B,C

Rationale:

D. This option is correct as the first step because the team must clearly identify and state the nature of the ethical dilemma. Defining the problem ensures that everyone understands the issue and the ethical principles involved.

A. This option is correct as the second step because the team should list all possible actions or alternatives. Considering multiple options allows for a thorough evaluation of potential outcomes and ethical implications.

B. This option is correct as the third step because, after reviewing alternatives, the team decides on one course of action. This decision should align with ethical principles, organizational policies, and the best interests of the client.

C. This option is correct as the final step because the team must communicate the justification for the decision. Explaining the rationale promotes transparency, accountability, and understanding among all stakeholders.

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Correct Answer is B

Explanation

Rationale:

A. This option is incorrect because, although formal orientation is ideal, it is often not feasible in short-staffed situations requiring floating. Waiting for a full training program could delay client care.

B. This option is correct because the nurse should negotiate specific tasks with the nursing supervisor to ensure they only perform duties within their current competency and scope of practice. Floating nurses must communicate their limitations to prevent unsafe care, avoid legal liability, and ensure patient safety. This collaborative approach balances the needs of the unit with the nurse’s competence.

C. This option is incorrect because asking a coworker to take the assignment does not address the situation professionally or ensure that someone competent is available. The responsibility still lies with the nurse and the nurse manager to ensure safe assignment.

D. This option is incorrect because outright refusing a float assignment without discussing limitations or negotiating responsibilities may be viewed as unprofessional unless there is a legitimate safety concern. The focus should be on safe practice rather than avoidance.

A. Respect the client's wishes. B. Document the findings for the provider. C. Share the findings with a close family member of the client. D. Report the suspected abuse to the client's long-term care facility.

Correct Answer is D

Explanation

Rationale:

A. This option is incorrect because, even if the client requests that the findings not be reported, nurses are mandated reporters of suspected abuse. Legal and ethical obligations require the nurse to report suspicions of abuse regardless of the client’s wishes.

B. This option is incorrect because documentation alone is insufficient. While thorough documentation is essential, it does not fulfill the nurse’s legal duty to report suspected abuse.

C. This option is incorrect because sharing the findings with a family member without following proper reporting channels could violate privacy laws and facility policy, and may not ensure the client’s safety.

D. This option is correct because the nurse must report suspected abuse to the appropriate authority, which in this case is the client’s long-term care facility. Reporting ensures the client’s safety, allows for a proper investigation, and fulfills the nurse’s role as a mandated reporter.

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A nurse manager is working with a team to resolve an ethical dilemma. Which of the following steps should the team take to make an informed decision? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse from an acute pediatric unit who has not cared for adult clients in more than 5 years is assigned to float to a medical-surgical unit. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

A nurse case manager is reviewing the chart of a client who has emphysema and is scheduled for discharge to their home. Which of the following items should the nurse case manager anticipate that the client will need?

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