A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice?

A nurse raises all four side rails on the bed of a client who is confused.

A nurse elects not to care for a client who had an abortion.

A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order.

A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min.

Answer and Explanation

The Correct Answer is D

Choice A Reason:
Raising all four side rails on the bed of a confused client can be considered a form of restraint, which should be avoided unless necessary for the safety of the patient. It may infringe on the client's autonomy and dignity.
Choice B Reason:
Electing not to care for a client who had an abortion is discriminatory and violates the principle of nonmaleficence (doing no harm). Nurses have a professional obligation to provide care to all patients regardless of their personal beliefs or circumstances.
Choice C Reason:
Withholding nutrition from a client with a do-not-resuscitate (DNR) order without clear medical indications goes against the principle of beneficence and could be considered unethical. Nutritional support is a basic aspect of care that should not be withheld unless it is medically indicated or aligns with the patient's wishes.
Choice D Reason:
A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min represents ethical practice because administering prescribed opioids to a client with a terminal illness and a respiratory rate of 8/min is appropriate and aligns with the principle of beneficence. The nurse's action aims to alleviate the client's pain and suffering, which is essential in end-of-life care.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A Reason:
Ensuring goals of the facility are being met is correct. Nurse managers are responsible for ensuring that the unit's activities align with the overall goals and objectives of the healthcare facility.
Choice B Reason:
Making decisions on the unit is not necessarily exclusive to the nurse manager role. While nurse managers do have authority to make decisions on the unit, decision-making may also involve collaboration with other members of the healthcare team and may not be solely the responsibility of the nurse manager. Therefore, it's not a specific responsibility that should be included in this context.
Choice C Reason:
Delegating tasks to assistive personnel is correct. Nurse managers delegate tasks to assistive personnel based on their scope of practice and the needs of the unit, ensuring efficient and effective care delivery.
Choice D Reason:
Rewarding and discipline staff as necessary is correct. Nurse managers are responsible for recognizing and rewarding staff for their contributions, as well as addressing performance issues through appropriate disciplinary measures when necessary to maintain a productive work environment.
Choice E Reason:
Monitoring overall functions of the unit is correct. Nurse managers oversee the day-to-day operations of the unit, including staffing, patient care delivery, adherence to policies and procedures, and quality improvement initiatives. They are responsible for ensuring that the unit functions smoothly and efficiently to provide safe and high-quality care to patients.

A. A sufficient supply of personal protective equipment B. A network for communication between staff members and families C. A mental health specialist on the response team D. A system for tracking client information

Correct Answer is A

Explanation

Choice A Reason:
A sufficient supply of personal protective equipment is appropriate. Bioterrorism events can involve the deliberate release of biological agents, such as bacteria, viruses, or toxins, with the intent to cause harm to individuals or populations. In such events, personal protective equipment (PPE) is critical for protecting healthcare workers and first responders from exposure to infectious agents and toxins. Adequate supplies of PPE, including masks, gloves, gowns, and eye protection, are essential to ensure the safety of healthcare workers and to prevent the spread of infection.
Choice B Reason:
A network for communication between staff members and families, is important for coordinating care and providing updates during a disaster, but it is not the highest priority when addressing immediate safety concerns related to a bioterrorism event.
Choice C Reason:
A mental health specialist on the response team, is important for providing support to individuals affected by the disaster, but it is not the highest priority during the initial response phase focused on safety and containment.
Choice D Reason:
A system for tracking client information, is important for maintaining continuity of care and tracking patient outcomes, but it is not the highest priority in the immediate response to a bioterrorism event when protecting healthcare workers and preventing further spread of infection is paramount.

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A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event?

Correct Answer is A

Explanation

A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?

A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)

A nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions by the newly licensed nurse should the nurse identify as an indication of effective time management?

A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice?

A nurse is preparing a client for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?

A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?