Which level of the ethical scope do mission and values, and policy and procedure fall under?

Choice A reason: Implementing managed care policies that threaten the quality of life is an ethical issue because it can conflict with the nurse's duty to advocate for the patient's best interests and well-being.

Choice B reason: Working with impaired colleagues is an ethical issue because it can compromise patient safety and care quality. Nurses have a responsibility to address such situations to maintain professional standards and ensure patient safety.

Choice C reason: Administering medications following the 6 rights of medication administration is not an ethical issue but a standard of practice to ensure safe medication administration. It is an expected and essential part of nursing care.

Choice D reason: Staffing patterns that limit patient access to nursing care is an ethical issue because inadequate staffing can lead to suboptimal patient outcomes and may violate the ethical principle of justice, which calls for fair distribution of resources and care.

Choice A reason:

Error reporting free from penalty is essential for a culture of safety. It encourages staff to report mistakes without fear of retribution, allowing for the identification and correction of system issues that could lead to errors.

Choice B reason:

Hazing a coworker is not an example of creating a culture of safety. It is a harmful practice that undermines trust and respect, which are crucial for a safe work environment.

Choice C reason:

Becoming a mentor to a new nurse is a positive example of creating a culture of safety. Mentorship supports the development of competence and confidence, which contributes to safer patient care.

Choice D reason:

Open communication and clear expectations are fundamental to a culture of safety. They ensure that everyone understands their roles and responsibilities and feels comfortable speaking up about concerns.