A nurse manager suspends a nurse due to chemical impairment.
Which of the following is an appropriate requirement for re-entry to the workplace?
Submits to weekly drug testing.
Works on the night shift for the first year.
Completes a diversion program.
Attends anger management classes.
The Correct Answer is C
Choice A rationale
Submitting to weekly drug testing is a common component of monitoring for chemical impairment but is typically part of a broader re-entry plan. While necessary for accountability and ensuring sobriety, it is a compliance measure rather than a foundational rehabilitative requirement that addresses the underlying issues of chemical dependence for successful re-entry.
Choice B rationale
Working on the night shift for the first year is not a standard requirement for re-entry after chemical impairment and may even be counterproductive. Irregular schedules and isolation can potentially increase stress and relapse risk, as a supportive and stable environment is crucial for successful recovery and reintegration into the workforce following impairment.
Choice C rationale
Completing a diversion program is an appropriate requirement for re-entry to the workplace for a chemically impaired nurse. These programs are structured to provide comprehensive treatment, rehabilitation, and monitoring, addressing the root causes of impairment and supporting the nurse's recovery to ensure patient safety and professional integrity upon return.
Choice D rationale
Attending anger management classes is not typically a primary requirement for re-entry following chemical impairment. While anger management might be beneficial for some individuals, it does not directly address the core issue of chemical dependence or provide the structured monitoring and treatment necessary for a safe and successful return to nursing practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Morality refers to personal or societal standards of right and wrong conduct, encompassing a broader scope than a single ethical principle. While caring is often considered a moral imperative, morality itself is a framework of beliefs and values, not a specific principle addressing the act of "doing good" in a prescriptive sense.
Choice B rationale
Justice in ethics refers to the fair and equitable distribution of resources, benefits, and burdens, and treating all individuals equally. While caring can contribute to just outcomes, the principle of justice specifically focuses on fairness and equity rather than the proactive act of performing good deeds for a patient.
Choice C rationale
Beneficence is an ethical principle that specifically addresses the duty to do good, promote well-being, and act in the best interests of others. In nursing, this means taking actions that benefit the patient, preventing harm, and contributing to their health and welfare. Caring is inherently linked to the application of beneficence.
Choice D rationale
Autonomy is an ethical principle that emphasizes respect for an individual's right to self-determination and independent decision-making. While caring involves respecting autonomy, it does not directly address the active "doing good" aspect. Autonomy focuses on empowering the patient's choices, not the nurse's direct actions of promoting well-being.
Correct Answer is B
Explanation
Choice A rationale
Employing coercive power, which relies on threats or punishment, is generally counterproductive in policy development. Sustainable political influence stems from collaboration and well-reasoned arguments, rather than dictatorial approaches. Coercion erodes trust and can alienate potential allies, ultimately hindering effective advocacy for public health initiatives.
Choice B rationale
Nurses possess unique insights into community health needs due to their direct patient contact and understanding of social determinants of health. Voicing these concerns to elected officials is a vital aspect of civic engagement, allowing nurses to advocate for policies that promote population well-being and address health disparities. This aligns with their professional responsibility to the public.
Choice C rationale
Preventing the development of coalitions within healthcare facilities is detrimental to effective advocacy. Coalitions amplify collective voices, pooling resources and diverse perspectives to exert greater influence on policy makers. Collaboration among various healthcare professionals strengthens advocacy efforts, leading to more comprehensive and impactful policy changes.
Choice D rationale
While clinical duties are paramount, nurses also have a professional and ethical obligation to engage in political processes. Healthcare policies directly impact patient care, nursing practice, and public health outcomes. Avoiding political involvement limits their ability to shape the environment in which they practice and advocate for their patients' best interests.
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