A public health nurse is struggling with moral distress. What are actions the nurse can take to handle moral distress? (Select all that apply)
Communicate concern with chain of command.
Seek support from ethic committees.
Be proactive.
Examine ways to work toward addressing the stressors.
Avoid discussing with others situations leading to moral distress.
Correct Answer : A,B,C,D
A. Communicate concern with chain of command: Addressing moral distress requires advocating for ethical concerns. Reporting issues to supervisors or the chain of command can initiate discussions and potential solutions.
B. Seek support from ethics committees: Ethics committees provide guidance and a structured way to resolve ethical dilemmas, helping nurses navigate morally distressing situations.
C. Be proactive: Taking a proactive approach—such as staying informed on ethical policies and seeking resolution early—can help prevent worsening distress.
D. Examine ways to work toward addressing the stressors: Identifying specific causes of moral distress and finding ways to address them, whether through self-reflection or systemic changes, promotes resilience and ethical practice.
E. Avoid discussing with others situations leading to moral distress: Suppressing concerns can worsen distress and lead to burnout. Open discussions with trusted colleagues, mentors, or support groups can help process emotions and develop solutions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Epidemiologic triangle: The epidemiologic triangle is a public health model that examines three key components of disease transmission:
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Agent – The microorganism (bacteria, virus, fungus, etc.).
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Host – The person or animal that harbors the disease.
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Environment – External conditions that contribute to disease spread.
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B. Health promotion: The health promotion model focuses on behavioral and lifestyle changes to prevent illness rather than examining the direct causes of disease.
C. Natural history of disease: The natural history of disease describes how a disease progresses without intervention from the initial exposure to resolution or chronicity, but it does not specifically analyze the agent, host, and environment.
D. Levels of prevention: The levels of prevention (primary, secondary, tertiary) focus on preventing and managing disease, but they do not analyze the factors leading to disease transmission like the epidemiologic triangle does.
Correct Answer is C
Explanation
A. A recent potluck that had a petting zoo: While petting zoos can be sources of zoonotic infections like E. coli or Salmonella, they are not associated with botulism, which comes from improperly processed foods.
B. A recent potluck that served spinach: Spinach can harbor bacterial infections like E. coli or Listeria, but it is not a common source of botulism unless improperly canned.
C. A recent potluck that served baked beans out of a bent can: Botulism is caused by Clostridium botulinum, a bacterium that produces neurotoxins in improperly canned, preserved, or stored foods. A bent or bulging can suggests contamination and potential toxin production, making it the most likely cause of botulism in this scenario.
D. A recent potluck that served pork products: Pork can transmit trichinosis (from undercooked meat) or bacterial infections (Salmonella, Listeria), but botulism is primarily linked to canned foods, not pork products.
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