A nurse manager observes a newly licensed nurse interacting with clients.
Which of the following actions by the newly licensed nurse requires intervention by the nurse manager?
Offering to meet with a client's home health nurse after discharge.
Informing the client that she cannot accept a personal gift.
Recommending the client contact clergy for spiritual counsel.
Sharing personal contact information with the client.
The Correct Answer is D
Choice A rationale
Offering to meet with a client's home health nurse after discharge demonstrates appropriate interprofessional collaboration and continuity of care. This action facilitates a smooth transition for the client by ensuring that relevant health information is accurately conveyed and understood by the home health provider, promoting optimal post-discharge outcomes and preventing fragmented care.
Choice B rationale
Informing the client that she cannot accept a personal gift aligns with ethical nursing practice and professional boundaries. Nurses are obligated to maintain a professional relationship, avoiding situations that could lead to actual or perceived conflicts of interest, exploitation, or compromise the nurse-client therapeutic relationship.
Choice C rationale
Recommending the client contact clergy for spiritual counsel demonstrates an understanding of holistic care, addressing the client's spiritual needs. This action respects the client's autonomy and acknowledges the significant role that spiritual well-being can play in a client's coping mechanisms and overall health outcomes.
Choice D rationale
Sharing personal contact information with the client blurs professional boundaries and can compromise the nurse-client relationship. This action creates a risk for dependency, manipulation, and potential exploitation, undermining the therapeutic nature of the interaction and violating professional conduct standards.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Providing patient-centered care involves tailoring interventions to individual patient preferences and values, emphasizing respect for autonomy and shared decision-making. This competency promotes a holistic approach, integrating the patient's cultural background, personal beliefs, and unique needs into the care plan to optimize therapeutic outcomes and patient satisfaction.
Choice B rationale
Employing evidence-based practice necessitates integrating the best available research evidence with clinical expertise and patient values. This scientific approach ensures that nursing interventions are grounded in robust empirical data, enhancing the effectiveness and safety of care while minimizing reliance on outdated or unproven methods.
Choice C rationale
Delivering care in a safe manner requires diligent application of principles to prevent medical errors, reduce adverse events, and minimize risks to patients. This involves adhering to safety protocols, utilizing technology for error reduction, and fostering a culture of safety where near misses and errors are reported for system improvement.
Choice D rationale
Working in interdisciplinary teams involves effective communication, mutual respect, and collaborative decision-making among healthcare professionals from various disciplines. This competency is crucial for coordinated care delivery, allowing for comprehensive patient assessments, shared care planning, and seamless transitions across different healthcare settings.
Choice E rationale
Partnering with the consumer emphasizes active patient and family engagement in their healthcare journey, recognizing them as integral members of the healthcare team. This collaboration fosters shared understanding, empowers individuals to make informed decisions, and promotes adherence to treatment plans, ultimately leading to improved health outcomes.
Correct Answer is C
Explanation
Choice A rationale
Paternalism in healthcare involves a professional making decisions for a patient without their full consent, often justified by the belief that it is for the patient's own good. This approach can override patient autonomy and self-determination, potentially leading to ethical conflicts regarding individual rights and the role of the healthcare provider in decision-making processes, contrasting with upholding directives.
Choice B rationale
Altruism describes a selfless concern for the well-being of others, often involving personal sacrifice. While nurses generally act altruistically, this principle specifically refers to the motivation behind an action, not the adherence to a legal or ethical directive regarding patient care, which falls under different ethical frameworks focusing on patient rights.
Choice C rationale
Autonomy is the ethical principle recognizing an individual's right to self-determination and independent decision-making regarding their own healthcare. By upholding the client's advance directive, the nurse is respecting the client's previously expressed wishes, even when the client is currently unable to communicate them, thereby honoring their right to choose.
Choice D rationale
Beneficence is the ethical principle that obligates healthcare providers to act in the best interest of their patients, doing good and promoting well-being. While providing artificial nutrition could be seen as beneficial, the specific act of upholding a pre-existing directive directly relates to respecting the patient's autonomous wishes rather than simply acting beneficially.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.