A nurse is assisting with teaching a class about the interlocking principles of shared governance. Which of the following principles should the nurse include? (select all that apply)
Caring
Navigation
Finance
Leading
Knowing
Correct Answer : A,D,E
Choice A reason: This is correct. Caring is one of the interlocking principles of shared governance. Caring refers to the nurse's commitment to the well-being of patients, families, colleagues, and the profession. Caring also involves the nurse's self-care and professional development. Caring is the foundation of nursing practice and the core value of shared governance.
Choice B reason: This is incorrect. Navigation is not one of the interlocking principles of shared governance, but a skill that nurses need to practice shared governance. Navigation refers to the nurse's ability to navigate the complex and dynamic health care environment, and to adapt to changes and challenges. Navigation also involves the nurse's use of evidence, technology, and innovation to improve outcomes and quality of care².
Choice C reason: This is incorrect. Finance is not one of the interlocking principles of shared governance, but a factor that influences shared governance. Finance refers to the financial resources and constraints that affect the health care system and the nursing profession. Finance also involves the nurse's understanding of the economic impact of their practice and decisions, and their participation in budgeting and resource allocation.
Choice D reason: This is correct. Leading is one of the interlocking principles of shared governance. Leading refers to the nurse's role as a leader and a follower in the health care team and the organization. Leading also involves the nurse's empowerment, autonomy, accountability, and collaboration. Leading is the key to achieving shared governance and transforming nursing practice.
Choice E reason: This is correct. Knowing is one of the interlocking principles of shared governance. Knowing refers to the nurse's knowledge and expertise in their specialty and practice area. Knowing also involves the nurse's lifelong learning, inquiry, and scholarship. Knowing is the basis of nursing excellence and the driver of shared governance.
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Correct Answer is D
Explanation
Choice A reason: The use of social media is included in the COE. According to the ICN Code of Ethics for Nurses, nurses should use social media responsibly and ethically, respecting the privacy and confidentiality of patients, colleagues, and employers. Nurses should also avoid posting any information that could harm the reputation of the profession or the health care organization.
Choice B reason: Student nurses are held accountable to the COE. According to the ANA Code of Ethics for Nurses, student nurses are expected to uphold the same ethical standards as registered nurses, as they are members of the profession and the public trust. Student nurses should also adhere to the academic policies and regulations of their educational institutions.
Choice C reason: Criteria for obtaining licensure is not included in the COE. The COE is not a legal document, but a guide for ethical nursing practice and decision-making. Criteria for obtaining licensure is determined by the regulatory bodies of each country or state, and may vary depending on the level and scope of practice.
Choice D reason: Professional expectations are included in the COE. The COE defines and guides the ethical values, responsibilities, and accountabilities of nurses in all settings, roles, and domains of practice. The COE also provides a framework for self-evaluation, peer review, and quality improvement.
Correct Answer is D
Explanation
Choice A reason: This statement does not indicate an understanding of acute care, but rather a misconception and a lack of responsibility. Acute care is a level of health care that provides immediate and short-term treatment for severe or life-threatening conditions, such as asthma attacks. Acute care requires the parents to stay with their child and participate in their care plan.
Choice B reason: This statement does not indicate an understanding of acute care, but rather a denial and a delay of treatment. Acute care is not provided at home, but at a specialized facility that has the equipment and staff to handle emergencies. Waiting for the nurse to come may worsen the child's condition and increase the risk of complications.
Choice C reason: This statement does not indicate an understanding of acute care, but rather an exaggeration and a misunderstanding of the duration of treatment. Acute care is not meant to last for a long time, but only until the condition is stabilized or resolved. The length of stay at an acute care facility depends on the severity of the condition and the response to treatment, but it is usually less than a month.
Choice D reason: This statement indicates an understanding of acute care, as it reflects the main goal and intervention of acute care for asthma. Acute care for asthma involves administering medications that can quickly relieve the symptoms and prevent further inflammation of the airways. Medications may include bronchodilators, corticosteroids, oxygen, and others.
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