A nurse is caring for a client who has an ethical conflict about the care they are receiving. Which of the following resources should the nurse consult about resolving the dilemma?
Hospital ethics committee
Quality improvement committee
Chaplain
Director of nursing
The Correct Answer is A
A. Hospital ethics committee: The nurse should consult the hospital ethics committee for guidance in resolving ethical conflicts related to client care. This committee is specifically designed to address ethical dilemmas and provide support for decision-making, ensuring that care aligns with ethical principles and the client's values.
B. Quality improvement committee: While the quality improvement committee focuses on enhancing care quality and patient safety, it is not primarily concerned with resolving ethical dilemmas. This committee may address systemic issues, but it does not specialize in ethical conflicts regarding individual client care.
C. Chaplain: While a chaplain can provide spiritual support and guidance, they may not be equipped to address the ethical aspects of the client's care. Consulting a chaplain could be helpful for emotional or spiritual concerns, but the ethics committee is more appropriate for resolving ethical dilemmas.
D. Director of nursing: The director of nursing may provide support and resources, but they may not have specialized training in ethics. Referring to the hospital ethics committee is more appropriate for addressing specific ethical conflicts in client care.
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Related Questions
Correct Answer is A
Explanation
A. "If you accept this assignment today, I will let you choose your assignment tomorrow.": This statement exemplifies smoothing as a conflict resolution strategy. By offering a compromise or incentive, the charge nurse is attempting to reduce tension and create a more favorable situation for the staff nurse, thereby smoothing over the disagreement about the assignment.
B. "Let's just focus on giving out client medications on time.": This statement diverts attention from the conflict but does not actively seek to resolve it. It may minimize the issue temporarily but does not address the underlying disagreement or concern regarding the assignment.
C. "If you don't agree with the assignment, I will have to report your decision to the nursing supervisor.": This statement is confrontational and may escalate the conflict rather than resolve it. It places pressure on the staff nurse and does not foster a collaborative atmosphere for finding a solution.
D. "You have a lot of experience, so I'm sure you're capable of these tasks.": While this statement acknowledges the staff nurse's experience, it may not effectively address the conflict regarding the assignment. It could come across as dismissive of the nurse's concerns rather than facilitating a resolution to the disagreement.
Correct Answer is C
Explanation
A. Trimethoprim-sulfamethoxazole: This antibiotic is commonly prescribed for treating urinary tract infections. There is typically no need to verify this prescription with the provider, as it is appropriate for the condition.
B. Hyoscyamine: Hyoscyamine is an anticholinergic that can be used to relieve urinary symptoms associated with UTIs, but it is not a first-line treatment for the infection itself. Verification may not be necessary unless there are specific concerns about the client's medical history or contraindications.
C. Oxybutynin: Oxybutynin is an anticholinergic medication used to treat overactive bladder by relaxing the bladder muscle. However, in clients with an active urinary tract infection (UTI), it can worsen urinary retention and delay clearance of the infection. It is not appropriate for managing UTI symptoms and may mask urinary urgency while contributing to incomplete bladder emptying, which increases the risk of complications. Therefore, the nurse should verify this prescription with the provider before administering.
D. Phenazopyridine: This is a urinary analgesic used to relieve burning and discomfort during urination with a UTI. It does not treat the infection, but helps with symptom management. It is safe for short-term use.
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