The newly hired public health nurse understands that which of the following is an example of moral distress?
Having the knowledge and skill set needed to advocate for the patient, but not being able to act on it due to not having the authority to do so.
Having the authority to call off a code, then realizing the decision was harmful to the patient.
Having the authority to override a physician's order for pain medication.
Having the knowledge and skill set needed to provide culturally competent care.
The Correct Answer is A
A. Having the knowledge and skill set needed to advocate for the patient, but not being able to act on it due to not having the authority to do so. Moral distress occurs when a nurse knows the right action to take but is constrained by external factors such as policies, hierarchy, or legal limitations.
B. Having the authority to call off a code, then realizing the decision was harmful to the patient. This describes moral regret or ethical uncertainty, not moral distress. Moral distress occurs when a nurse is unable to act according to their ethical beliefs.
C. Having the authority to override a physician's order for pain medication. This describes an ethical dilemma rather than moral distress. Moral distress arises when a nurse cannot act despite knowing the right course of action.
D. Having the knowledge and skill set needed to provide culturally competent care. Cultural competence is an important aspect of nursing, but it does not describe moral distress, which involves ethical conflict and external barriers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The result of legislative action: While politics influences legislative action, it is broader than just the outcome of laws. Politics involves the process of shaping policies and decisions.
B. The art of influencing others: Politics involves influencing decisions, policies, and resource allocation in society. In nursing and public health, advocacy and policy changes are achieved through political influence.
C. A provision of power for making decisions: Politics involves power, but this definition is too narrow. Politics includes negotiation, debate, and advocacy beyond just decision-making.
D. The outcome of governmental policies: While politics can shape governmental policies, it is not limited to just the outcomes. It is the process of influencing those policies.
Correct Answer is B
Explanation
A. Dengue: Dengue is transmitted by Aedes mosquitoes and is found in tropical regions, but it is less commonly imported to the U.S. than malaria.
B. Malaria: Malaria is the most frequently imported vector-borne disease in the U.S. due to international travelers coming from endemic areas (Africa, South Asia, South America). It is transmitted by Anopheles mosquitoes.
C. Onchocerciasis (river blindness): This disease is primarily found in Africa and is not commonly imported to the U.S. by travelers.
D. Yellow fever: While yellow fever exists in endemic areas, travelers are often vaccinated before visiting these regions, reducing its importation risk.
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