Which is the most appropriate method a nurse can use to advocate for clients when ethical decisions are made inappropriately?
1. The nurse discusses concerns with the nurse manager, who then calls together a
meeting of the ethics committee.
2. The nurse confronts the care provider to discuss the specifics of the issue and then discusses with the team.
3. The nurse discusses concerns with the nurse manager, citing institutional policy and client rights documents.
4. The nurse discusses concerns with the client and/or family to get them to confront the care providing team.
Answer: 3
Rationale: It is important for the nurse to follow the chain of command when advocating for clients. The nurse needs to discuss concerns with the nurse manager first. The nurse manager and nurse would then discuss with the team. Confrontation should not occur over an ethical situation, but should be discussed among team members, with consultation of the ethics committee. The nurse would not discuss concerns with the family before discussing the situation with the nurse manager.
You might also like to view...
An accident victim who presented to the Emergency Department 8 hours earlier begins having seizures. Toxicology reports indicate an abnormally high blood alcohol level. Based on this information, what drug does the nurse expect to administer?
1. Valproic acid (Depakote) 2. Gabapentin (Neurontin) 3. Lorazepam (Ativan) 4. Phenytoin (Dilantin)
Which symptom should a nurse identify that would differentiate clients diagnosed with neurocognitive disorders from clients diagnosed with amnesic disorders?
A. Neurocognitive disorders involve disorientation that develops suddenly, whereas amnestic disorders develop more slowly. B. Neurocognitive disorders involve impairment of abstract thinking and judgment, whereas amnestic disorders do not. C. Neurocognitive disorders include the symptom of confabulation, whereas amnestic disorders do not. D. Both neurocognitive disorders and profound amnesia typically share the symptom of disorientation to place, time, and self.
A community member asks a community/public health nurse, "How much progress has been made toward consolidating state health services into a single agency?" Which of the following statements would be accurate for the nurse to make?
a. "Incredible progress; about half the states have done so." b. "Little progress; no state has completely done so." c. "Some progress; about one third of the states have done so." d. "Successful progress; most states have done so."
The nursing student is assisting with the care of a patient with musculoskeletal pain related to soft tissue injury and bone disruption. The student sees that the patient has a prn (as needed) order for pain medication. What does the student do first in order to decide when to give the pain medication?
a) Ask the physician to clarify the order for specific parameters. b) Check with the primary nurse or the charge nurse for advice. c). Ask the patient about types of activities that increase the pain. d) Ask the instructor for help interpreting the order.